Molina Healthcare raises 2024 adjusted EPS outlook to at least $5.25 as Medicaid trends stabilize
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Molina raised its 2024 adjusted EPS floor to $5.25, but the small guidance lift and renewed pressure in ACA Marketplace underwriting outweighed the beat, driving a sharp after-hours selloff. Management framed Medicaid rate-to-cost dynamics as stabilizing, yet investors are likely to scrutinize membership growth and expense control, alongside disclosed losses tied to a new Florida Medicaid contract and a planned Medicare Advantage exit.
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Molina Healthcare lifted its 2024 adjusted earnings forecast to at least $5.25 per share, up from at least $5.00, but its shares fell more than 9% in extended trading after a relatively modest guidance increase. The company said its Marketplace business faced pressure during the quarter as a larger share of members needed costly medical care than expected. Molina also flagged expected losses of $1.50 per share this year tied to a new Florida Medicaid contract and $1 per share related to its planned Medicare Advantage exit in 2027. The quarter’s adjusted EPS came in at $1.51 and the medical cost ratio was 92.2%.