Molina Healthcare MOH Business Segments
| Q1 '26 | Q4 '25 | Q3 '25 | Q2 '25 | Q1 '25 | ||
|---|---|---|---|---|---|---|
| Premiums Earned And Service Revenue by Business | ||||||
| Marketplace | $724M-27.9% | $1.09B+67.1% | $1.2B+81.6% | $1.2B+91.4% | $1B+76.1% | |
| Medicaid | $7.93B-2.5% | $8.07B+0.3% | $8.02B+4.5% | $8.03B+8.8% | $8.13B+8.5% | |
| Medicare | $1.52B+3.3% | $1.55B+19.9% | $1.61B+17.8% | $1.61B+11.6% | $1.47B+1.8% | |
| Other | $26M-45.8% | $36M+71.4% | $40M+100% | $53M+165% | $48M+140% | |
| Premium revenue by Business | ||||||
| Marketplace | $724M-27.9% | $1.09B+67.1% | $1.2B+81.6% | $1.2B+91.4% | $1B+76.1% | |
| Medicaid | $7.93B-2.5% | $8.07B+0.3% | $8.02B+4.5% | $8.03B+8.8% | $8.13B+8.5% | |
| Medicare | $1.52B+3.3% | $1.55B+19.9% | $1.61B+17.8% | $1.61B+11.6% | $1.47B+1.8% | |
| Other | $4M-84.6% | $14M— | $19M— | $31M— | $26M— | |
| Segment Expenses by Business | ||||||
| Marketplace | $608M-25.9% | $1.07B+98.2% | $1.14B+138% | $1.03B+128% | $821M+96.4% | |
| Medicaid | $7.3B-0.6% | $7.54B+4.0% | $7.38B+6.3% | $7.33B+9.5% | $7.34B+9.3% | |
| Medicare | $1.36B+5.2% | $1.51B+24.7% | $1.51B+23.0% | $1.45B+18.2% | $1.3B+1.3% | |
| Other | $24M-42.9% | $31M+72.2% | $37M+94.7% | $44M+144% | $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+5.0% | $22M+10.0% | $22M+10.0% | |
| 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+10.5% | $20M+11.1% | $20M+5.3% | $19M+5.6% | $19M+5.6% | |
| Current year by Business | ||||||
| Marketplace | $634M-20.3% | $1.06B+95.8% | $1.13B+138% | $1.02B+126% | $795M+87.5% | |
| Medicaid | $7.45B-0.6% | $7.53B+3.0% | $7.33B+4.3% | $7.34B+6.9% | $7.5B+7.0% | |
| Medicare | $1.43B+6.1% | $1.51B+25.5% | $1.49B+20.1% | $1.46B+18.1% | $1.35B+2.6% | |
| Other | $6M-73.9% | $11M— | $17M— | $25M— | $23M— | |
| Liability for Unpaid Claims and Claims Adjustment Expense, Incurred Claims by Business | ||||||
| Marketplace | $608M-25.9% | $1.07B+98.2% | $1.14B+138% | $1.03B+128% | $821M+96.4% | |
| Medicaid | $7.3B-0.6% | $7.54B+4.0% | $7.38B+6.3% | $7.33B+9.5% | $7.34B+9.3% | |
| Medicare | $1.36B+5.2% | $1.51B+24.7% | $1.51B+23.0% | $1.45B+18.2% | $1.3B+1.3% | |
| Other | $3M-87.0% | $11M— | $17M— | $25M— | $23M— | |
| Liability for Claims and Claims Adjustment Expense by Business | ||||||
| Marketplace | $406M-2.2% | $547M+118% | $583M+147% | $473M+70.1% | $415M+68.7% | |
| Medicaid | $3.82B+7.2% | $3.64B-0.8% | $3.55B-5.4% | $3.64B+3.6% | $3.57B+2.3% | |
| Medicare | $701M-11.9% | $688M-4.7% | $695M-6.6% | $749M-4.9% | $796M-5.1% | |
| Other | $10M-63.0% | $14M— | $18M— | $24M— | $27M— | |
| Medical care costs by Business | ||||||
| Marketplace | $608M-25.9% | $1.07B+98.2% | $1.14B+138% | $1.03B+128% | $821M+96.4% | |
| Medicaid | $7.3B-0.6% | $7.54B+4.0% | $7.38B+6.3% | $7.33B+9.5% | $7.34B+9.3% | |
| Medicare | $1.36B+5.2% | $1.51B+24.7% | $1.51B+23.0% | $1.45B+18.2% | $1.3B+1.3% | |
| Other | $3M-87.0% | $11M— | $17M— | $25M— | $23M— | |
| Change in non-risk and other payables by Business | ||||||
| Marketplace | $0— | $0— | $0— | $0— | $0— | |
| Medicaid | $295M+439% | $62M+132% | -$285M-240% | $347M+698% | -$87M+26.9% | |
| Medicare | $0— | $1M— | $0-100% | $0+100% | $0+100% | |
| Other | $0— | $0— | $0— | $0— | $0— | |
| Liability for Unpaid Claims and Claims Adjustment Expense, Claims Paid, Prior Years by Business | ||||||
| Marketplace | $405M+41.1% | $21M+600% | $22M+4.8% | $0-100% | $287M+56.8% | |
| Medicaid | $2.69B-2.6% | $43M+2,050% | $89M+368% | $218M+27.5% | $2.76B+33.6% | |
| Medicare | $532M-14.6% | $21M+10.5% | $35M+150% | $18M-81.6% | $623M-1.1% | |
| Other | $3M-78.6% | $10M— | —— | $1M— | $14M— | |
| Liability for Unpaid Claims and Claims Adjustment Expense, Claims Paid, Current Year by Business | ||||||
| Marketplace | $344M-24.9% | $1.08B+107% | $1.06B+112% | $1.01B+149% | $458M+111% | |
| Medicaid | $4.72B+2.7% | $7.47B+4.7% | $7.09B+3.1% | $7.39B+14.7% | $4.59B+2.3% | |
| Medicare | $818M+13.5% | $1.52B+23.7% | $1.55B+14.0% | $1.48B+26.1% | $721M+2.7% | |
| Other | $4M-76.5% | $7M— | $22M— | $34M— | $17M— | |
| Liability for Unpaid Claims and Claims Adjustment Expense, Claims Paid by Business | ||||||
| Marketplace | $749M+0.5% | $1.11B+110% | $1.08B+107% | $1B+141% | $745M+86.3% | |
| Medicaid | $7.41B+0.7% | $7.51B+5.2% | $7.18B+4.1% | $7.61B+15.0% | $7.35B+12.2% | |
| Medicare | $1.35B+0.4% | $1.54B+23.5% | $1.59B+15.4% | $1.5B+17.8% | $1.34B+0.9% | |
| Other | $7M-77.4% | $17M— | $17M— | $35M— | $31M— | |
| Prior years by Business | ||||||
| Marketplace | -$26M-200% | $11M+1,200% | $19M— | $5M+267% | $26M+533% | |
| Medicaid | -$153M+1.9% | —— | —— | -$6M+96.4% | -$156M+46.0% | |
| Medicare | -$71M-26.8% | —— | —— | -$14M-7.7% | -$56M-43.6% | |
| Other | -$3M— | $0— | $0— | $0— | $0— | |
| Gross Profit by Product | ||||||
| Medical margin | $902M-21.5% | $579M-40.9% | $797M-24.2% | $1.04B-3.6% | $1.15B+5.4% | |
| Service margin | $1M-66.7% | $2M-33.3% | $1M0.0% | $3M+50.0% | $3M+50.0% |
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.
