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Sharper Thinking for Health Plans
That Can't Afford to Guess

Analysis, playbooks, and research for government-sponsored health plans navigating a faster, more competitive market.

Insights

Molina Healthcare Q4 2025 Earnings Call Insight

Molina Healthcare reported a Q4 2025 adjusted loss of $2.75 per share versus expectations of $0.34 EPS, a 909% miss that triggered a 30% premarket stock decline. The miss was driven by $2.00/share of unexpected California retroactive premium adjustments and persistent medical cost trend pressure across Medicare and Marketplace.

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Insights

Centene Corporation Q4 2025 Earnings Call Insight

The most striking revelation from Centene’s Q4 2025 earnings call: management explicitly acknowledged that if they only deliver a stable 93.7% Medicaid HBR in 2025, CEO Sarah London will be “very disappointed”—signaling aggressive expectations for margin improvement beyond the conservative guidance baseline.

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