# Molina Healthcare Q3 2026 Earnings Report

> Molina Healthcare reports Q3 2026 earnings with $0.89 adjusted EPS and $10.5 billion premium revenue, projecting $45 billion in 2027 premium revenue.
- Title: Molina Healthcare Q3 2026 Earnings Report · The Motley Fool
- Summary: Molina Healthcare reports Q3 2026 earnings with $0.89 adjusted EPS and $10.5 billion premium revenue, projecting $45 billion in 2027 premium revenue. Molina…
- Keywords: molina healthcare, moh, q3 2026, earnings call, premium revenue, medical care ratio, medicaid, medicare, marketplace, florida cms contract, embedded earnings, 2027 premium revenue
- Source: The Motley Fool — https://fool.com/earnings/call-transcripts/2026/10/22/molina-healthcare-moh-q3-2026-earnings-call-transcript
- Author: Motley Fool Transcribing
- Published: 2026-10-22T16:54:09+00:00
- Read time: 2 min
- Topics: molina healthcare, moh, q3 2026, earnings call, premium revenue, medical care ratio, medicaid, medicare, marketplace, florida cms contract, embedded earnings, 2027 premium revenue
## Q3 2026 Results
Molina Healthcare reported adjusted EPS of $0.89 for Q3 2026, a 52% decrease due to higher medical care ratios.
## Premium Revenue
Q3 2026 premium revenue reached $10.5 billion, a 4% year-over-year decline from Medicaid and Marketplace segments.
## 2026 Guidance
Molina Healthcare reaffirmed 2026 adjusted EPS guidance of at least $5.25 per share, including $1.50 per share loss from Florida Medicaid contracts.
## Consolidated MCR
Consolidated medical care ratio stood at 92.9% in Q3 2026, reflecting a challenging medical cost environment.
## Medicaid MCR
Medicaid medical care ratio was 93% in Q3 2026, as rate updates offset a slight increase in medical costs.
## Medicare MCR
Medicare medical care ratio reached 93% in Q3 2026, driven by strong duals business performance.
## Marketplace MCR
Marketplace medical care ratio was 92.5% in Q3 2026, consistent with expectations and normal seasonality.
## Medicaid Rate Outlook
Full-year 2026 Medicaid rate outlook increased to 4.5%, up from the previous 4% range due to rate updates.
## Medicaid Trend Outlook
Full-year 2026 Medicaid trend outlook rose to 5.5%, reflecting elevated utilization and acuity shifts.
## 2027 Premium Revenue
Molina Healthcare projects at least $45 billion in 2027 premium revenue, down from $46.5 billion due to delayed Medicaid contracts.
## Embedded Earnings
Molina Healthcare has $9 per share of embedded earnings from strategic initiatives, including RFP wins and acquisitions.
## 2027 Embedded Earnings Harvest
Molina Healthcare expects to harvest $4 per share of embedded earnings in 2027 from Florida contract breakeven and MAPD product exit.
## Florida CMS Contract
Florida CMS contract implementation projects $1.5 billion in Q4 revenue with a 99% medical care ratio.
## 2027 Medicaid Rate Projection
2027 Medicaid rate projection is approximately 6%, based on known January 1 renewals averaging 7% for 55% of the full-year premium.
## 2027 Medical Cost Trend
2027 medical cost trend projection ranges from 5.5% to 6%, including 50 basis points of conservatism.
## 2027 Earnings Outlook
Molina Healthcare projects at least $9.50 per share of adjusted earnings for 2027, excluding legacy Medicaid or Medicare improvements.
## Key takeaway

Molina Healthcare reported Q3 2026 earnings of $0.89 adjusted EPS with $10.5 billion premium revenue, projecting $45 billion in 2027 premium revenue.