Molina Healthcare Inc
Q1 2026 Earnings
Market Reaction
S&P 500 over the same 30 days: +5.95%.
Did MOH Beat Earnings? Q1 2026 Results
Molina Healthcare delivered a sharply mixed first quarter of 2026, posting adjusted diluted EPS of $2.35 and topping the $1.94 consensus estimate by 21.40%, even as revenue of $10.80 billion came in just 0.83% below expectations and fell 3.1% from a year ago. The headline profit beat, however, obscures a quarter defined by significant strain: GAAP net income collapsed to $14.00 million from $298.00 million a year earlier, weighed down by a $93.00 million impairment charge tied to the company's decision to exit its Medicare Advantage Prescription Drug product for 2027 and redirect focus toward dual-eligible members, a shift that investors tracking <a href="https://247wallst.com/investing/2026/04/22/will-the-new-medicare-rates-boost-finally-lift-molina-healthcare/">the Medicare rate environment</a> have been watching closely. Total membership declined to approximately 5.0 million from 5.75 million a year ago, and the consolidated medical care ratio deteriorated to 91.1% from 89.2%, reflecting broad cost pressure across Medicaid and Medicare segments. Molina reaffirmed full-year 2026 guidance for premium revenue of roughly $42.00 billion and adjusted EPS of at least $5.00, with a formal guidance update expected following second-quarter results.
- Medical cost trend modestly favorable to expectations
- Favorable prior year claims reserve development of $253 million
- Operating cash flow surge to $1,082 million driven by timing of government receivables and payables
- Disciplined medical cost management approach
- Marketplace MCR of ~79.5% excluding prior year risk adjustment and CMS program integrity impacts
“We are pleased with our first quarter results and continued disciplined approach to medical cost management. Medical cost trend was modestly favorable to our expectations, and our reaffirmed full year 2026 premium revenue and adjusted earnings guidance reflect a prudent view of full year results at this early point in the year. We look forward to updating you on our three-year outlook at our Investor Day event on Friday, May 8th.”
Molina Healthcare CEO, on the earnings call
Forward Guidance & Outlook
Molina reaffirmed full-year 2026 guidance: premium revenue of approximately $42 billion (a ~2% decline from full year 2025) and adjusted earnings of at least $5.00 per diluted share. Full-year 2026 GAAP earnings are expected to be at least $1.90 per diluted share. The company plans to update full-year 2026 guidance after Q2 results, which management views as providing a time-tested base for projecting the second half. An Investor Day is scheduled for May 8, 2026, where management will update its three-year outlook.
MOH YoY Financials
MOH Revenue by Segment
Figures from SEC filings and company reports. Not investment advice.