Molina raises FY2026 guidance after Q2 results
Molina Healthcare reported Q2 adjusted EPS of $1.51, beating estimates, while revenue fell to $10.874 billion. The company raised its FY2026 adjusted EPS guidance to at least $5.25, driven by Medicaid performance, offset by Marketplace headwinds.

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Molina Healthcare reported second quarter 2026 adjusted earnings per share of $1.51, beating the analyst consensus estimate of $1.39. The company increased its full year 2026 adjusted earnings guidance to at least $5.25 per diluted share, reflecting solid performance in its Medicaid and Medicare segments. Total revenue for the quarter was $10.874 billion, a decrease from $11.427 billion in the prior year, while GAAP net income fell to $60 million from $255 million.
Financial Performance
The following table details Molina Healthcare's performance against analyst estimates and compares the current quarter to the prior year.
| Metric | Q2 Current Year | Q2 Prior Year | Change | Estimate | Beat/Miss |
|---|---|---|---|---|---|
| Adj. EPS ($) | 1.51 | 5.48 | -72.45% | 1.39 | Beat |
| Sales ($B) | 10.874 | 11.427 | -4.84% | 10.794 | Beat |
The decline in earnings per share was significant, dropping from $5.48 in the same period last year to $1.51 this quarter. Sales also saw a reduction, moving from $11.427 billion to $10.874 billion over the same timeframe.
Operational Metrics
The Medical Care Ratio (MCR) for the second quarter of 2026 was 92.2%, an increase from 90.4% in the prior year. The consolidated G&A ratio was 6.7%, compared to 6.2% in the prior year. As of June 30, 2026, the company served approximately 4.9 million members.
Outlook
Management raised its full year 2026 GAAP earnings guidance to at least $2.15 per diluted share and its full year 2026 adjusted earnings to at least $5.25 per diluted share. The increase to earnings guidance reflects first half performance in Medicaid. Based on developing medical cost trends, a $1.50 increase in earnings per share in Medicare is offset by a $1.50 decrease related to Marketplace.
What specific factors are driving the unfavorable medical cost trends in the Medicare segment?
How will the company manage the rising Medical Care Ratio to prevent further margin compression?
Are there strategic initiatives planned to reverse the decline in total membership and revenue?




























