Molina Healthcare
Molina Healthcare is a public FORTUNE 500 managed care organization providing government-sponsored Medicaid, Medicare, and Marketplace health insurance to approximately 5 million members across 16+ U.S. states through state-contracted health plan subsidiaries.
- Company typePublic
- Founded1980
- HeadquartersLong Beach, United States
- Headcount5,001–10,000
- GTM typeB2B and B2C
- OfferingServices
What Molina Healthcare does
Molina Healthcare is a FORTUNE 500 managed care organization founded in 1980 and headquartered in Long Beach, California, that provides government-sponsored health insurance to approximately 5.0 million members as of March 31, 2026. The company operates three core product lines: Medicaid managed care (serving low-income individuals and families through state contracts), Medicare Advantage and Dual-Eligible Special Needs Plans, and Marketplace/ACA exchange plans. Membership as of Q1 2026 was 4.498 million Medicaid, 229,000 Medicare, 305,000 Marketplace, and 2,000 Other across 16+ states including California, Florida, Illinois, Texas, Michigan, Nevada, Iowa, and others. State-specific health plan subsidiaries such as Molina Healthcare of Illinois, Florida, Michigan, Nevada, Texas, and Iowa handle contract execution with state Medicaid agencies and CMS.
The company generates revenue through capitated premium payments from state Medicaid agencies, CMS for Medicare programs, and risk-adjustment transfers from state-based ACA exchanges. Operating model is B2G/B2B2C sales-led, with health plans won through state-level competitive RFP processes; Molina reports a 90% RFP renewal win rate on $14 billion in retained revenue. Underlying technology consists of managed care healthcare information systems for claims administration, care coordination, and utilization management — no proprietary AI/ML platforms or differentiated technology stack is disclosed. Strategic posture emphasizes Medicaid scale (90%+ of revenue) with selective Medicare focus on dual-eligibles following the announced 2027 exit from Medicare Advantage Prescription Drug Plans through the ConnectiCare subsidiary. Recent inorganic activity includes ConnectiCare ($350M, 2024), My Choice Wisconsin ($150M, 2022), Affinity Health Plan ($380M, 2020), and Magellan Complete Care ($820M, 2020). Leadership is anchored by CEO Joseph M. Zubretsky (since 2017), with a board recently augmented by managed care veterans including Francis S. Soistman (2026) and Leo P. Grohowski (2025). The company is also subject to active regulatory scrutiny, including an Arizona Attorney General price-fixing lawsuit alleging MultiPlan algorithm-driven under-reimbursements.
Molina Healthcare firmographics
Firmographics- Name
- Molina Healthcare
- Legal name
- Molina Healthcare, Inc.
- Website
- https://investors.molinahealthcare.com
- Company type
- Public
- Founded year
- 1980
- Operating status
- Operating
- Headcount range
- 5,001–10,000 employees
- Short description
- Molina Healthcare is a public FORTUNE 500 managed care organization providing government-sponsored Medicaid, Medicare, and Marketplace health insurance to approximately 5 million members across 16+ U.S. states through state-contracted health plan subsidiaries.
- Ownership category
- akta.pro rank
Molina Healthcare industry classification
Industry- Product category
- Managed Care Health Insurance
- NAICS
- Direct Health and Medical Insurance Carriers (524114), Direct Life, Health, and Medical Insurance Carriers (52411)
- SIC
- Hospital & Medical Service Plans (6324), Accident & Health Insurance (6321)
- akta.pro primary industry
- Medicaid Managed Care HMOs (HLAEAMAI)
- akta.pro secondary industries
- Managed Care / Network-Based Group Health Plans (Carrier Network Products) (FSAIAFAO), Individual Health Insurance Administration (TPA/ASO) (FSAIAEAK)
Keywords
Where Molina Healthcare is headquartered
LocationHeadquarters
- HQ city
- Long Beach
- HQ country
- United States
- HQ region
- North America
Offices2 records
Markets served
Molina Healthcare business model
Business model- GTM type
- B2B and B2C
- Offering type
- Services
- Cost components
- Operations, Personnel, Technology or R&D, Marketing or Sales, Others
Revenue model
- Premium Revenue - Medicaid: The company generates revenue through premium payments from state Medicaid programs for managed care services to low-income individuals and families.
- Premium Revenue - Medicare: Revenue from Medicare programs including Medicare Advantage and dual eligible special needs plans for seniors and disabled individuals.
- Premium Revenue - Marketplace: Revenue from qualified health plans offered through state insurance marketplaces under the Affordable Care Act.
Pricing tiers
| Model | Billing | Price |
|---|---|---|
| Subscription | Monthly | Government-sponsored health insurance plans with premium rates negotiated through state contracts |
Go-to-market motion1 record
Distribution channels3 records
Marketing channels5 records
Molina Healthcare product offering
Product offeringCore offering
Molina Healthcare, Inc. is a FORTUNE 500 managed care company that delivers government-sponsored health insurance plans, primarily Medicaid Managed Care, Medicare Advantage and dual-eligible plans, and qualified health plans on ACA state marketplaces. The company operates through state-specific health plan subsidiaries that contract with state Medicaid agencies, the Centers for Medicare & Medicaid Services (CMS), and state insurance exchanges, serving approximately 5 million members across more than 16 U.S. states.
Product overview
Molina Healthcare operates as a managed care organization offering a portfolio of government-sponsored health insurance products. The core offerings consist of Medicaid Managed Care plans (serving low-income individuals and families under state Medicaid programs), Medicare Plans (including Medicare Advantage and dual eligible special needs plans), and Marketplace/ACA exchange plans. The company delivers these through state-specific health plan subsidiaries, with notable contracts including the HealthChoice Illinois Medicaid Managed Care program and Florida CMS Kids contract. Molina is undergoing strategic shifts, including exiting the Medicare Advantage Prescription Drug (MAPD) product line for 2027 to focus exclusively on dual eligible members, while expanding its Medicaid footprint through new state contract wins.
Differentiator
Problem solved
Functional benefit
Brands
- MolinaCares Accord: Molina Healthcare's charitable initiative focused on community health and wellness programs
- HealthChoice Illinois
Products and services
- Medicaid Managed Care
- Medicare Advantage Plans
- Marketplace (ACA) Plans
- HealthChoice Illinois Medicaid Managed Care Program Illinois Medicaid Managed Care program administered by Molina Healthcare of Illinois as one of six contracted health plans, covering approximately 3.1 million Medicaid beneficiaries statewide under contract with the Illinois Department of Healthcare and Family Services.
- Florida CMS Kids Contract Florida Medicaid contract for children's healthcare services operated by Molina Healthcare of Florida under the Centers for Medicare & Medicaid Services program, carrying approximately $6 billion in revenue at full run rate.
- ConnectiCare Medicare Advantage Plans Connecticut-based subsidiary of Molina Healthcare offering Medicare Advantage plans including Medicare Advantage Part D prescription drug plans, acquired in 2024. The company notified brokers of plans to exit Medicare Advantage Part D prescription drug plans for the 2027 plan year, affecting approximately 48,000 seniors.
Quantifiable outcome
- Illinois Medicaid contract covering approximately 3.1 million beneficiaries as one of six health plans
- +2 more outcomes
Companies that use Molina Healthcare
Customer profileNamed customers11 records
Segments4 records
Ideal customer profiles4 records
Molina Healthcare technology and API
TechnologyTechnology focussed No
API detail
- Has API
- No
- API docs
- API detail
Core technology
AI maturity
App detail
Molina Healthcare partnerships and signals
Strategic signalPartnerships
Four partnerships are on record, tiered minor.
- Inland Empire Health Plan (IEHP)minorMolina Healthcare collaborated with Inland Empire Health Plan, contributing $1.69 million in funding for the Kern Street Adult Residential Facility in Muscoy, San Bernardino County. The facility provides 30 beds for seriously mentally ill adults with 24-hour supervision, psychiatric care, counseling, and vocational training.
- YoloCaresminorYoloCares, a Davis-based nonprofit hospice and palliative care provider, partnered with Molina Healthcare through California's CalAIM initiative to offer community support services at Joshua's House (facility for unhoused patients) and Galileo Place (short-term respite care).
- Partnership HealthPlan of CaliforniaminorPartnership HealthPlan of California partnered with YoloCares through CalAIM with support from Molina Healthcare to expand community support services across Yolo, Sacramento, Sutter, Placer, and Colusa counties.
- MaeminorMolina Healthcare of Illinois partnered with Mae, a digital maternal health platform, to provide enhanced pregnancy and postpartum support services to Medicaid members across Illinois. The program offers real-time digital symptom monitoring, access to insurance-eligible doulas, and group-based education.
Scale indicators9 records
Recent moves6 records
Expansion highlights5 records
Molina Healthcare competitors and assessment
Company assessmentBroad incumbents
- Humana: Medicare Advantage market leader with growing Medicaid presence; directly overlaps with Molina in D-SNP and co-bidding for state Medicaid contracts.
- UnitedHealth Group (UnitedHealthcare): Largest U.S. health insurer with a sizable Medicaid (Community & State) and Medicare Advantage footprint that competes head-to-head against Molina in many state procurements, though its scale spans commercial, PBM, and Optum services.
- Elevance Health (Anthem): Major multi-state Blues-affiliated carrier operating government business (Medicaid, Medicare Advantage, ACA) plans that compete against Molina in numerous state Medicaid contracts.
- CVS Health (Aetna): Aetna's Government Services segment is a significant Medicaid competitor and former employer of multiple Molina board members; comparable across Medicaid managed care and D-SNP.
Direct peers
- Centene Corporation: Largest U.S. pure-play Medicaid managed care company with substantial Marketplace and Medicare exposure; the closest direct comp to Molina given overlapping government-program focus and similar scale by membership.
- HealthCare Service Corporation (HCSC): Large customer-owned Blue Cross Blue Shield licensee with substantial Medicaid managed care presence in multiple states directly competing with Molina on state RFPs.
- Amerigroup (Elevance subsidiary): Elevance's dedicated government programs brand historically focused on Medicaid managed care; directly competes with Molina in several state Medicaid markets.
- CareSource: Non-profit Medicaid managed care organization operating in multiple Midwestern and Mid-Atlantic states; directly comparable to Molina's Medicaid-focused model.
Emerging players
- Highmark Health: Integrated payer-provider with growing Medicaid and Medicare government business; competes with Molina in select state Medicaid programs.
Regional players
- Inland Empire Health Plan (IEHP): California-focused public-sector Medicaid managed care plan that has partnered with Molina on community health initiatives; a regional government-program peer.
Market position
Strengths5 records
Weaknesses5 records
Competitive moat4 records
Key risks7 records
Key highlights7 records
Customer concentration
Molina Healthcare social profiles
Digital presenceMolina Healthcare financial estimates
Financial estimateRevenue estimate
Valuation estimate
Molina Healthcare leadership team
Management profileNumber of profiles
Profiles1 record
Molina Healthcare subsidiaries and ownership
Company hierarchySubsidiaries9 records
Molina Healthcare funding detail
Funding detailFunding overview
Funding rounds4 records
Investors
Funding detail is available on the Subscription and Enterprise plan.Contact sales →
Molina Healthcare M&A and investment
M&A and investmentM&A16 records
Investments8 records
M&A and investment is available on the Subscription and Enterprise plan.Contact sales →
Frequently asked questions about Molina Healthcare
What does Molina Healthcare do?
Molina Healthcare, Inc. is a FORTUNE 500 managed care company that delivers government-sponsored health insurance plans, primarily Medicaid Managed Care, Medicare Advantage and dual-eligible plans, and qualified health plans on ACA state marketplaces. The company operates through state-specific health plan subsidiaries that contract with state Medicaid agencies, the Centers for Medicare & Medicaid Services (CMS), and state insurance exchanges, serving approximately 5 million members across more than 16 U.S. states.
Is Molina Healthcare a public or private company?
Molina Healthcare is a public company. It is classified as public and is currently operating.
When was Molina Healthcare founded?
Molina Healthcare was founded in 1980. It employs 5,001 to 10,000 people.
Where is Molina Healthcare based?
Molina Healthcare is headquartered in Long Beach, United States, in the North America region.
How does Molina Healthcare make money?
Three revenue lines are on record. Premium Revenue - Medicaid is the primary driver. The others are premium Revenue - Medicare and premium Revenue - Marketplace.
Who are Molina Healthcare's main competitors?
Broad incumbents on record are Humana, UnitedHealth Group (UnitedHealthcare), Elevance Health (Anthem) and CVS Health (Aetna). Direct peers are Centene Corporation, HealthCare Service Corporation (HCSC), Amerigroup (Elevance subsidiary) and CareSource. Highmark Health is listed as an emerging player. Inland Empire Health Plan (IEHP) is listed as a regional player.
Does Molina Healthcare have an API?
No public API is recorded for Molina Healthcare.
What industry is Molina Healthcare in?
Molina Healthcare's product category is Managed Care Health Insurance. Its primary akta.pro industry code is HLAEAMAI, Medicaid Managed Care HMOs, with a secondary code of FSAIAFAO, Managed Care / Network-Based Group Health Plans (Carrier Network Products). Its NAICS code is 524114 and its SIC code is 6324.