Is Molina the Next Aggregator of Smaller Medicaid Plans?

With an increasing share of seniors enrolling each year, a healthy rate environment and a meaningful return on scale, Medicare Advantage is largely seen as a safe space for insurers and one that is likely to drive mergers and acquisitions (M&A) for the foreseeable future. But one analyst suggests there’s room for growth in managed Medicaid, and that Molina Healthcare, Inc. could be positioned as the next aggregator of Medicaid managed care plans.

In the midst of a financial turnaround that involved major management changes and a corporate restructuring effort, Molina in February delivered impressive fourth-quarter and full-year 2019 earnings and unveiled two small acquisitions that would have given the company nearly 100,000 new enrollees combined (RMA 3/5/20, p. 5). Although one of the deals fell through, Molina on July 1 said it completed the acquisition of certain assets of YourCare Health Plan, Inc., a nonprofit subsidiary of Monroe Plan for Medical Care with approximately 47,000 Medicaid members in seven counties in the Western New York and Finger Lakes regions.

© 2024 MMIT
Lauren Flynn Kelly

Lauren Flynn Kelly Managing Editor, Radar on Medicare Advantage

Lauren has been covering health business issues since the early 2000s and specializes in in-depth reporting on Medicare Advantage, managed Medicaid and Medicare Part D. She also possesses a deep understanding of the complex world of pharmacy benefit management, having written AIS Health’s Radar on Drug Benefits from 2004 to 2005 and again from 2011 to 2016. In addition to her role as managing editor of Radar on Medicare Advantage, she oversees AIS Health’s publications and manages the health editorial staff. She graduated from Vassar College with a B.A. in English.

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