Molina Healthcare MOH Business Segments
| Q1 '26 | Q4 '25 | Q3 '25 | Q2 '25 | Q1 '25 | ||
|---|---|---|---|---|---|---|
| Premiums Earned And Service Revenue by Business | ||||||
| Marketplace | $724M-33.3% | $1.09B-9.3% | $1.2B-0.3% | $1.2B+19.5% | $1B+54.5% | |
| Medicaid | $7.93B-1.7% | $8.07B+0.6% | $8.02B-0.2% | $8.03B-1.2% | $8.13B+1.1% | |
| Medicare | $1.52B-2.1% | $1.55B-3.8% | $1.61B+0.1% | $1.61B+9.5% | $1.47B+13.6% | |
| Other | $26M-27.8% | $36M-10.0% | $40M-24.5% | $53M+10.4% | $48M+129% | |
| Premium revenue by Business | ||||||
| Marketplace | $724M-33.3% | $1.09B-9.3% | $1.2B-0.3% | $1.2B+19.5% | $1B+54.5% | |
| Medicaid | $7.93B-1.7% | $8.07B+0.6% | $8.02B-0.2% | $8.03B-1.2% | $8.13B+1.1% | |
| Medicare | $1.52B-2.1% | $1.55B-3.8% | $1.61B+0.1% | $1.61B+9.5% | $1.47B+13.6% | |
| Other | $4M-71.4% | $14M-26.3% | $19M-38.7% | $31M+19.2% | $26M— | |
| Segment Expenses by Business | ||||||
| Marketplace | $608M-43.4% | $1.07B-6.1% | $1.14B+11.6% | $1.03B+24.8% | $821M+51.5% | |
| Medicaid | $7.3B-3.2% | $7.54B+2.2% | $7.38B+0.6% | $7.33B-0.1% | $7.34B+1.2% | |
| Medicare | $1.36B-9.7% | $1.51B+0.2% | $1.51B+4.1% | $1.45B+11.7% | $1.3B+7.0% | |
| Other | $24M-22.6% | $31M-16.2% | $37M-15.9% | $44M+4.8% | $42M+133% | |
| Service revenue by Business | ||||||
| Marketplace | $0— | $0— | $0— | $0— | $0— | |
| Medicaid | $0— | $0— | $0— | $0— | $0— | |
| Medicare | $0— | $0— | $0— | $0— | $0— | |
| Other | $22M0.0% | $22M+4.8% | $21M-4.5% | $22M0.0% | $22M+4.8% | |
| Cost of service revenue by Business | ||||||
| Marketplace | $0— | $0— | $0— | $0— | $0— | |
| Medicaid | $0— | $0— | $0— | $0— | $0— | |
| Medicare | $0— | $0— | $0— | $0— | $0— | |
| Other | $21M+5.0% | $20M0.0% | $20M+5.3% | $19M0.0% | $19M+5.6% | |
| Current year by Business | ||||||
| Marketplace | $634M-40.4% | $1.06B-5.5% | $1.13B+10.3% | $1.02B+28.3% | $795M+46.4% | |
| Medicaid | $7.45B-1.0% | $7.53B+2.7% | $7.33B-0.1% | $7.34B-2.1% | $7.5B+2.6% | |
| Medicare | $1.43B-4.9% | $1.51B+1.0% | $1.49B+2.2% | $1.46B+8.1% | $1.35B+12.5% | |
| Other | $6M-45.5% | $11M-35.3% | $17M-32.0% | $25M+8.7% | $23M— | |
| Liability for Unpaid Claims and Claims Adjustment Expense, Incurred Claims by Business | ||||||
| Marketplace | $608M-43.4% | $1.07B-6.1% | $1.14B+11.6% | $1.03B+24.8% | $821M+51.5% | |
| Medicaid | $7.3B-3.2% | $7.54B+2.2% | $7.38B+0.6% | $7.33B-0.1% | $7.34B+1.2% | |
| Medicare | $1.36B-9.7% | $1.51B+0.2% | $1.51B+4.1% | $1.45B+11.7% | $1.3B+7.0% | |
| Other | $3M-72.7% | $11M-35.3% | $17M-32.0% | $25M+8.7% | $23M— | |
| Liability for Claims and Claims Adjustment Expense by Business | ||||||
| Marketplace | $406M-25.8% | $547M-6.2% | $583M+23.3% | $473M+14.0% | $415M+65.3% | |
| Medicaid | $3.82B+5.1% | $3.64B+2.5% | $3.55B-2.5% | $3.64B+2.0% | $3.57B-2.8% | |
| Medicare | $701M+1.9% | $688M-1.0% | $695M-7.2% | $749M-5.9% | $796M+10.2% | |
| Other | $10M-28.6% | $14M-22.2% | $18M-25.0% | $24M-11.1% | $27M— | |
| Medical care costs by Business | ||||||
| Marketplace | $608M-43.4% | $1.07B-6.1% | $1.14B+11.6% | $1.03B+24.8% | $821M+51.5% | |
| Medicaid | $7.3B-3.2% | $7.54B+2.2% | $7.38B+0.6% | $7.33B-0.1% | $7.34B+1.2% | |
| Medicare | $1.36B-9.7% | $1.51B+0.2% | $1.51B+4.1% | $1.45B+11.7% | $1.3B+7.0% | |
| Other | $3M-72.7% | $11M-35.3% | $17M-32.0% | $25M+8.7% | $23M— | |
| Change in non-risk and other payables by Business | ||||||
| Marketplace | $0— | $0— | $0— | $0— | $0— | |
| Medicaid | $295M+376% | $62M+122% | -$285M-182% | $347M+499% | -$87M+55.6% | |
| Medicare | $0-100% | $1M— | $0— | $0— | $0— | |
| Other | $0— | $0— | $0— | $0— | $0— | |
| Liability for Unpaid Claims and Claims Adjustment Expense, Claims Paid, Prior Years by Business | ||||||
| Marketplace | $405M+1,829% | $21M-4.5% | $22M— | $0-100% | $287M+9,467% | |
| Medicaid | $2.69B+6,151% | $43M-51.7% | $89M-59.2% | $218M-92.1% | $2.76B+137,900% | |
| Medicare | $532M+2,433% | $21M-40.0% | $35M+94.4% | $18M-97.1% | $623M+3,179% | |
| Other | $3M-70.0% | $10M— | —— | $1M-92.9% | $14M— | |
| Liability for Unpaid Claims and Claims Adjustment Expense, Claims Paid, Current Year by Business | ||||||
| Marketplace | $344M-68.3% | $1.08B+2.3% | $1.06B+5.3% | $1.01B+120% | $458M-12.6% | |
| Medicaid | $4.72B-36.9% | $7.47B+5.3% | $7.09B-4.0% | $7.39B+60.9% | $4.59B-35.6% | |
| Medicare | $818M-46.1% | $1.52B-2.1% | $1.55B+4.6% | $1.48B+106% | $721M-41.2% | |
| Other | $4M-42.9% | $7M-68.2% | $22M-35.3% | $34M+100% | $17M— | |
| Liability for Unpaid Claims and Claims Adjustment Expense, Claims Paid by Business | ||||||
| Marketplace | $749M-32.2% | $1.11B+2.1% | $1.08B+7.8% | $1B+34.8% | $745M+41.4% | |
| Medicaid | $7.41B-1.4% | $7.51B+4.6% | $7.18B-5.6% | $7.61B+3.4% | $7.35B+3.0% | |
| Medicare | $1.35B-12.3% | $1.54B-2.9% | $1.59B+5.7% | $1.5B+11.6% | $1.34B+7.9% | |
| Other | $7M-58.8% | $17M0.0% | $17M-51.4% | $35M+12.9% | $31M— | |
| Prior years by Business | ||||||
| Marketplace | -$26M-336% | $11M-42.1% | $19M+280% | $5M-80.8% | $26M+2,700% | |
| Medicaid | -$153M— | —— | —— | -$6M+96.2% | -$156M-169% | |
| Medicare | -$71M— | —— | —— | -$14M+75.0% | -$56M— | |
| Other | -$3M— | $0— | $0— | $0— | $0— | |
| Gross Profit by Product | ||||||
| Medical margin | $902M+55.8% | $579M-27.4% | $797M-23.3% | $1.04B-9.6% | $1.15B+17.2% | |
| Service margin | $1M-50.0% | $2M+100% | $1M-66.7% | $3M0.0% | $3M0.0% |
Chart any of these lines over time, or line them up against competitors.
Compare these in charts →Questions, answered.
- How does Molina Healthcare break its business down?
- Molina Healthcare (MOH) reports premiums earned and service revenue by business across 4 parts — Marketplace, Medicaid, Medicare and Other. Each is extracted from the segment footnotes and tracked over time.
- Where does Molina Healthcare's segment data come from?
- Segment breakdowns are pulled from the segment footnotes in Molina Healthcare's SEC filings (the XBRL dimensional tags), so every line ties back to a reported figure. Switch between quarterly, annual, and TTM, or open any segment for its full history.
