Molina Healthcare Inc

MOH

Molina Healthcare Inc

@Arnaudl
4 months ago

Medical insurer mainly under Medicaid

How Do They Make Money?

Molina Healthcare is an american health insurer with a small health ecosystem. They make money from different means :

Premium revenue ($9,694) :
-- Medicaid clients ($8,263) with a MCR of 90.5%

-- Medicare clients ($1,385) with a MCR of 89.6%

-- Marketplace clients ($672) with a MCR of 73.0%

Investment income ($118) : They invest premiums in fixed income investment like bonds

Other ($20) : They have a small ecosystem with clinics, clinics services and social workers to help clients socially. The objectif of this ecosystem is not to have the highest revenue but to lower medical costs.

These numbers are from Q3 2024, with numbers in millions USD. MCR is medical cost divided by total premiums received, the higher, the most profitable a plan is.

The biggest costs are medical care costs ($8,643 for $9 832 revenues) and administratives expenses ($700).

Medicaid is a governement program to help people with low income to get a medical insurance, Medicare is for disabled people or aged more than 65.