MOLINA HEALTHCARE, INC. (Exact name of registrant as specified in its charter)
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1 UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C FORM 8-K Current Report Pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934 Date of Report (Date of earliest event reported): January 9, 2017 MOLINA HEALTHCARE, INC. (Exact name of registrant as specified in its charter) Delaware (State of Incorporation) (Commission File Number) (IRS Employer Identification Number) 200 Oceangate, Suite 100, Long Beach, California (Address of principal executive offices) Registrant s telephone number, including area code: (562) Check the appropriate box below if the Form 8-K filing is intended to simultaneously satisfy the filing obligation of the registrant under any of the following provisions (see General Instruction A.2. below): o Written communication pursuant to Rule 425 under the Securities Act (17 CFR ) o o o Soliciting material pursuant to Rule 14a-12 under the Exchange Act (17 CFR a-12) Pre-commencement communications pursuant to Rule 14d-2(b) under the Exchange Act (17 CFR d-2(b)) Pre-commencement communications pursuant to Rule 13e-4(c) under the Exchange Act (17 CFR e-4(c))
2 Item Regulation FD Disclosure. On Monday, January 9, 2017, at 9:00 a.m. Pacific time, the Company s management gave a presentation followed by a question and answer session at the 35th Annual J.P. Morgan Healthcare Conference in San Francisco, California. During the presentation, the Company presented and webcast certain slides, and addressed such issues as revenue and membership growth and opportunities for further expansion. A copy of the Company s complete slide presentation is included as Exhibit 99.1 to this report. An audio and slide replay of the Company s presentation will also be available for 30 days from the date of the presentation on the Company s website. The information in this Current Report on Form 8-K and the exhibits attached hereto shall not be deemed to be filed for purposes of Section 18 of the Securities Exchange Act of 1934, as amended (the Exchange Act ), or otherwise subject to the liabilities of that section, and shall not be incorporated by reference into any registration statement or other document filed by the Company under the Securities Act of 1933, as amended, or the Exchange Act, except as shall be expressly set forth by specific reference in such filing. -2-
3 Item Financial Statements and Exhibits. (d) Exhibits: Exhibit No. Description 99.1 Slide presentation in connection with the Company s presentation at the 35th Annual J.P. Morgan Healthcare Conference on January 9,
4 SIGNATURE Pursuant to the requirements of the Securities Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by the undersigned hereunto duly authorized. MOLINA HEALTHCARE, INC. Date: January 9, 2017 By: /s/ Jeff D. Barlow Jeff D. Barlow Chief Legal Officer and Secretary -4-
5 EXHIBIT INDEX Exhibit No. Description 99.1 Slide presentation in connection with the Company s presentation at the 35th Annual J.P. Morgan Healthcare Conference on January 9,
6 M O L IN A H E A L T H C A R E,IN C. 3 5 th A n n u a l J P M o rg a n H e a lth c a re C o n fe re n c e J a n u a ry 9-1 2, S a n F ra n c is c o,c A M o lin a H e a lth c a re J.M a rio M o lin a,m D P re s id e n t& C h ie fe x e c u tiv e O fic e r
7 M O L IN A H E A L T H C A R E,IN C. 2 C a u tio n a ry S ta te m e n t S a fe H a rb o rs ta te m e n tu n d e rth e P riv a te S e c u ritie s L itig a tio n R e fo rm A c to f :T h is s lid e p re s e n ta tio n a n d o u r a c c o m p a n y in g o ra l re m a rk s c o n ta in fo rw a rd -lo o k in g s ta te m e n ts re g a rd in g,w ith o u tlim ita tio n :p o litic a l u n c e rta in ty a n d fu tu re p o te n tia le g is la tiv e c h a n g e s to th e M e d ic a id,a C A M a rk e tp la c e,a n d M e d ic a re p ro g ra m s ;th e p e n d in g A e tn a -H u m a n a M e d ic a re A d v a n ta g e d iv e s titu re tra n s a c tio n,in c lu d in g th e F e d e ra l C o u rt s d e c is io n in th e p e n d in g a n titru s tp ro c e e d in g,a n d th e tim e ly s a tis fa c tio n o fa l c lo s in g c o n d itio n s ; M a rk e tp la c e e n ro lm e n te s tim a te s ;a n d v a rio u s o th e rm a te rs.a l o fo u rfo rw a rd - lo o k in g s ta te m e n ts a re s u b je c to n u m e ro u s ris k s,u n c e rta in tie s,a n d o th e rfa c to rs th a tc o u ld c a u s e o u ra c tu a l re s u lts to d ife r m a te ria ly.a n y o n e v ie w in g o rlis te n in g to th is p re s e n ta tio n is u rg e d to re a d th e ris k fa c to rs a n d c a u tio n a ry s ta te m e n ts fo u n d u n d e rite m 1 A in o u ra n n u a l re p o rto n F o rm 1 0 -K,a s w e l a s th e ris k fa c to rs a n d c a u tio n a ry s ta te m e n ts in o u rq u a rte rly re p o rts a n d in o u ro th e re p o rts a n d filin g s w ith th e S e c u ritie s a n d E x c h a n g e C o m m is s io n a n d a v a ila b le fo rv ie w in g o n its w e b s ite a t s e c.g o v.e x c e p to th e e x te n to th e rw is e re q u ire d b y fe d e ra l s e c u ritie s la w s,w e d o n o tu n d e rta k e to a d d re s s o ru p d a te fo rw a rd - lo o k in g s ta te m e n ts in fu tu re filin g s o rc o m m u n ic a tio n s re g a rd in g o u rb u s in e s s o ro p e ra tin g re s u lts.
8 M O L IN A H E A L T H C A R E,IN C. 3 O u rm is s io n T o p ro v id e q u a lity h e a lth c a re to p e o p le re c e iv in g g o v e rn m e n ta s s is ta n c e
9 M O L IN A H E A L T H C A R E,IN C. 4 1.T o ta l e n ro lm e n tre la te s to e s tim a te d m e m b e rs h ip a s o fs e p te m b e r3 0, a n d in c lu d e s th e T o ta l C a re tra n s a c tio n in N e w Y o rk,w h ic h c lo s e d o n A u g u s t1, M e m b e rm ix 4.2 M M e m b e rs P u e rto R ic o U S V I 1 M o lin a H e a lth p la n s M o lin a M e d ic a id S o lu tio n s P rim a ry C a re D ire c td e liv e ry P a th w a y s b y M o lin a 1 % M e d ic a re 6 0 % T A N F & C H IP 1 6 % E x p a n s io n 9 % A B D 1 4 % M a rk e tp la c e 1 % D u a ls O u rfo o tp rin to d a y H e a lth p la n fo o tp rin tin c lu d e s th e 5 la rg e s tm e d ic a id m a rk e ts
10 M O L IN A H E A L T H C A R E,IN C. 5 1.M A C S ta ts D a ta B o o k D e c e m b e r ,U S C e n s u s,c M S o fic e o fth e A c tu a ry J o h n s o n E s ta b lis h e d M e d ic a id & M e d ic a re P ro g ra m s C lin to n S ta te C h ild re n s H e a lth In s u ra n c e P ro g ra m (S C H IP ) B u s h M e d ic a re M o d e rn iz a tio n A c t O b a m a A fo rd a b le C a re A c t T ru m p M o lin a re s p o n d s a n d a d a p ts M o lin a h a s a p ro v e n tra c k re c o rd in re s p o n d in g to c h a n g e s in g o v e rn m e n tp ro g ra m s C.D a v id M o lin a O b ta in s M P H a t U C L A M e d ic a id fo c u s e d p rim a ry c a re c lin ic s fo u n d e d in C a lifo rn ia A w a rd e d firs ts C H IP c o n tra c t A w a rd e d M e d ic a re A d v a n ta g e S p e c ia l N e e d s P la n c o n tra c ts M e d ic a id E x p a n s io n, M a rk e tp la c e,d u a l E lig ib le D e m o n s tra tio n P ro g ra m s A w a rd e d firs tm e d ic a id H M O c o n tra c t M o lin a H e a lth c a re R e s p o n s e M ilio n C u re n tly e n ro le d M e d ic a id & M e d ic a re b e n e fic ia rie s M ilio n M e d ic a id & M e d ic a re B e n e fic ia rie s e n ro le d w ith M o lin a
11 M O L IN A H E A L T H C A R E,IN C. 6 D e m a n d fo rlo w -c o s th e a lth in s u ra n c e w il c o n tin u e S ta te s th a th a v e e x p a n d e d M e d ic a id 1 1.h tp :/k k f.o rg /h e a lth -re fo rm 2.h tp :/w w w.c n b c.c o m / /0 6 /1 3 /o b a m a c a re -re p e a l-w o u ld -le a d -to m ilio n -m o re -p e o p le -w ith o u t-h e a lth -in s u ra n c e.h tm l P u e rto R ic o U S V IN u m b e ro fa m e ric a n s th a tc u re n tly re c e iv e th e ir c a re th ro u g h M e d ic a id E x p a n s io n a n d M a rk e tp la c e p ro d u c ts 2 4 M ilio n 2 D e m o c ra tic S ta te s th a t h a v e e x p a n d e d M e d ic a id R e p u b lic a n S ta te s th a th a v e e x p a n d e d M e d ic a id H e a lth c a re is a g ro w in g p o rtio n o fe d e ra l a n d s ta te b u d g e ts L o n g te rm c a re n e e d s o fb a b y b o o m e rs G ro w in g c o s to fd ru g s (s p e c ia lty & g e n e ric ) E m e rg in g p u b lic h e a lth th re a ts (i.e.z ik a,e tc )
12 M O L IN A H E A L T H C A R E,IN C. 7 F e e fo rs e rv ic e re m a in s s ig n ific a n t M a n a g e d c a re o rg a n iz a tio n s a n d fe e fo rs e rv ic e F Y S o u rc e s : 1.C M S M e d ic a id M a n a g e d c a re E n ro lm e n ta n d P ro g ra m C h a ra c te ris tic s, P u b lis h e d s p rin g M A C S ta ts D a ta B o o k D e c e m b e r % o fm e d ic a id s p e n d in g re m a in s in F e e -fo r-s e rv ic e $ B 7 2 M 2 4 % 7 6 % 6 2 % 3 8 % 5 5 M 1 7 M $ B $ B M e d ic a id E n ro lm e n t M e d ic a id B e n e fits p e n d in g F e e -F o r-s e rv ic e M a n a g e d C a re
13 M O L IN A H E A L T H C A R E,IN C. 8 O u rto o lk itfo re s p o n d in g to in d u s try c h a n g e s & c u s to m e rn e e d s P ro d u c tp o rtfo lio s R is k -b a s e d h e a lth p la n o u ts o u rc in g fo rm e d ic a id, M e d ic a re,a n d o th e r g o v e rn m e n tp ro g ra m s. C o m p a n y o w n e d a n d o p e ra te d p rim a ry c a re c o m m u n ity c lin ic s. M e d ic a l S e rv ic e s P rim a ry C a re P ro v id e rn e tw o rk o fo u tc o m e b a s e d b e h a v io ra l/m e n ta l h e a lth a n d s o c ia l s e rv ic e s. M e d ic a l S e rv ic e s B e h a v io ra l H e a lth G o v e rn m e n t H e a lth P la n s M e d ic a id n o n -ris k fe e b a s e d fis c a l a g e n ts e rv ic e s,b u s in e s s p ro c e s s o u ts o u rc in g,a n d c a re a n d u tiliz a tio n m a n a g e m e n t. M e d ic a id H e a lth In fo rm a tio n M a n a g e m e n t
14 M O L IN A H E A L T H C A R E,IN C. 9 O u rh e a lth p la n p o rtfo lio is g e o g ra p h ic a ly d iv e rs e 1.P re m iu m re v e n u e a s re p o rte d fo rth e Y e a re n d in g S e p te m b e r3 0, T h e T o ta l C a re tra n s a c tio n in N e w Y o rk,c lo s e d o n A u g u s t1, Wa s h in g to n 1 3 % U ta h 3 % T e x a s 1 5 % O h io 1 2 % N e w M e x ic o 8 % Ilin o is 4 % F lo rid a 1 2 % C a lifo rn ia 1 4 % Wis c o n s in 3 % N e w Y o rk < 1 %2 P u e rto R ic o 5 % S o u th C a ro lin a 2 % M ic h ig a n 9 % R is k -b a s e d h e a lth p la n o u ts o u rc in g fo rm e d ic a id, M e d ic a re,a n d o th e r g o v e rn m e n tp ro g ra m s. G o v e rn m e n t H e a lth P la n s P re m iu m C o n trib u tio n b y S ta te 1
15 M O L IN A H E A L T H C A R E,IN C. P re m iu m R e v e n u e 1 0 R e v e n u e d iv e rs ific a tio n th ro u g h e x p a n s io n in to n e w p ro d u c ts M o lin a s c h a n g in g p a tie n tm ix 1.T A N F in c lu d e s C H IP m e m b e rs h ip,a n d s ta rtin g in ,M e d ic a id E x p a n s io n m e m b e rs h ip $ 6.2 B $ 9.0 B $ 3.1 B $ $ $ B le n d e d R e v e n u e P M P M A A A 5 4 % M a rk e tp la c e 1 % T A N F % A B D M e d ic a re 7 % D u a ls 2 % A B D 5 1 % T A N F 4 0 % M e d ic a re 9 % $ $ B 3 Q 1 6 L T M T A N F % T A N F 1 8 % M e d ic a re 3 % 5 2 % M a rk e tp la c e D u a ls 8 % 8 % 2 9 % A B D M e d ic a re 3 % T A N F 1 A B D A B D
16 M O L IN A H E A L T H C A R E,IN C. 1 1 O u rm e d ic a re b u s in e s s c o n tin u e s to g ro w 1.K a is e rf a m ily F o u n d a tio n,m e d ic a re A d v a n ta g e F a c ts h e e t,m a y h tp :/k f.o rg /m e d ic a re /fa c t-s h e e t/m e d ic a re -a d v a n ta g e / 2.h tp :/k f.o rg /m e d ic a re /is s u e -b rie f/in c o m e -a n d -a s s e ts -o f-m e d ic a re -b e n e fic ia rie s / $ 0.3 B $ 0.4 B $ 0.5 B $ 0.5 B $ 0.8 B $ 1.6 B A s M e d ic a re re v e n u e s c o n tin u e to g ro w 6 9 % 3 1 % T ra d itio n a l M e d ic a re M e d ic a re A d v a n ta g e H M O 6 4 % L o c a l P P O 2 3 % R e g io n a l P P O 7 % P F F S 1 % O th e r4 % D is trib u tio n o fe n ro lm e n tin M e d ic a re P riv a te P la n s, b y P la n T y p e, % o fa l M e d ic a re b e n e fic ia rie s in th e U.S.h a d in c o m e s b e lo w $ 2 4,1 5 0 (2 0 7 % o fth e F e d e ra l P o v e rty L e v e l)2 th e o p p o rtu n ity re m a in s la rg e M e d ic a re R e v e n u e 1 8 M ilio n 1 N u m b e ro fa m e ric a n s e n ro le d in M e d ic a re A d v a n ta g e.
17 M O L IN A H E A L T H C A R E,IN C. 1 2 A E T /H U M M e d ic a re A d v a n ta g e p ro p o s e d a c q u is itio n b y M o lin a D iv e s titu re s a n n o u n c e d b y A E T /H U M o n A u g u s t2, D iv e rs ific a tio n E n h a n c e m a rg in p ro file C o n s is te n tw ith o u rfo c u s o n g o v e rn m e n t c o n tra c ts Im m e d ia te s ig n ific a n ts c a le in M e d ic a re A d v a n ta g e b u s in e s s (2 9 0,0 0 0 m e m b e rs ) E x p e c te d to im p ro v e o v e ra l q u a lity s c o re s T ra n s a c tio n tim e lin e s e x te n d e d A E T /H U M e x te n d e d to F e b ru a ry 1 5, M o lin a /A E T /H U M a g re e m e n ts e x te n d e d to A u g u s t3 1, D e la w a re P ro F o rm a H e a lth P la n F o o tp rin t E x is tin g M o lin a s ta te s A E T /H U M s ta te s O v e rla p s ta te s
18 M O L IN A H E A L T H C A R E,IN C. 1 3 D ire c td e liv e ry Wh y p ro v id e s e rv ic e s d ire c tly? D e d ic a te d n e tw o rk o fp ro v id e rs P ro v id e s a d d itio n a l p rim a ry c a re c a p a c ity G re a te rc o n tro l o n q u a lity a n d o u tc o m e s N u rtu re s p a tie n tlo y a lty B ra n d a w a re n e s s & c o m m u n ity e n g a g e m e n t C o m p a n y o w n e d a n d o p e ra te d p rim a ry c a re c o m m u n ity c lin ic s. M e d ic a l S e rv ic e s P rim a ry C a re
19 M O L IN A H E A L T H C A R E,IN C. 1 4 D ire c td e liv e ry A fe w o fth e s e rv ic e s M o lin a C lin ic s p ro v id e in c lu d e : P e d ia tric,in te rn a l a n d fa m ily m e d ic in e Im m u n iz a tio n s a n d flu s h o ts P h y s ic a l e x a m s a n d h e a lth s c re e n in g s A c u te c a re O n s ite c h ild c a re s e rv ic e s In te rp re ta tio n a n d tra n s la tio n C o m p a n y o w n e d a n d o p e ra te d p rim a ry c a re c o m m u n ity c lin ic s. M e d ic a l S e rv ic e s P rim a ry C a re
20 M O L IN A H E A L T H C A R E,IN C. 1 5 D ire c td e liv e ry b e h a v io ra l/m e n ta l h e a lth P a th w a y s,a m u lti-s ta te,b e h a v io ra l/m e n ta l h e a lth a n d s o c ia l s e rv ic e s p ro v id e r O p e ra tio n s in 2 3 s ta te s + D C M e d ic a id fo c u s O v e r5,6 0 0 c lie n tfa c in g e m p lo y e e s P u e rto R ic o U S V I
21 M O L IN A H E A L T H C A R E,IN C. 1 6 M o lin a M e d ic a id S o lu tio n s We s tv irg in ia C M S C e rtific a tio n R e c e iv e d fu l fe d e ra l c e rtific a tio n O c to b e r, A lo w s We s tv irg in ia to re c e iv e th e m a x im u m fe d e ra l fu n d in g a v a ila b le C M S c ite d We s tv irg in ia fo rs u c c e s s fu ly im p le m e n tin g a M e d ic a id M a n a g e m e n tin fo rm a tio n S y s te m o n s c h e d u le a n d o n b u d g e t T h e U S V irg in Is la n d s le v e ra g e s We s t V irg in ia 's M M IS s y s te m P u e rto R ic o U S V I M o lin a M e d ic a id S o lu tio n s F o o tp rin t
22 M O L IN A H E A L T H C A R E,IN C. 1 7 M a rk e tp la c e S k ils d e v e lo p e d a re tra n s fe ra b le to o th e rh e a lth p la n p ro d u c ts 1.C o m p a n y s e n ro lm e n te s tim a te a s o fj a n u a ry K K K K A A 3 Q J a n H is to ric a l M a rk e tp la c e E n ro lm e n tg ro w th U n c e rta in ty d u e to th e ris k tra n s fe r m e th o d o lo g y A c c o u n tin g e s tim a te s c re a te u n c e rta in ty R is k tra n s fe rm e th o d o lo g y p e n a liz e s lo w c o s th e a lth p la n s C h a le n g e s C o n tin u e 1
23 M O L IN A H E A L T H C A R E,IN C. 1 8 M e d ic a id q u a lity ra n k in g s 1.h tp :/h e a lth in s u ra n c e ra tin g s.n c q a.o rg / /D e fa u lt.a s p x *= A c c re d ita tio n in p ro c e s s N C Q A O v e ra l Q u a lity R a n k in g s 1 M I,U T N M,O H,T X,WA C A,F L,S C,WI
24 M O L IN A H E A L T H C A R E,IN C M e d ic a re S ta ra tin g s L o w -in c o m e b e n e fic ia rie s fa c e u n iq u e c h a le n g e s to a c h ie v in g h ig h s ta ra tin g s 1 1.h tp :/h e a lth a fa irs.o rg /b lo g / /0 9 /2 2 /m e d ic a re -a d v a n ta g e -s ta rs -s y s te m s -d is p ro p o rtio n a te -im p a c t-o n -m a -p la n s -fo c u s in g -o n -lo w -in c o m e -p o p u la tio n s / N M C A F L,T X,U T,WA
25 M O L IN A H E A L T H C A R E,IN C. 2 0 O n e o fa k in d A d d in g c a p a b ilitie s th a tc a n im p a c ts o c ia l d e te rm in a n ts o fh e a lth c a re F o c u s e d o n p e o p le re c e iv in g g o v e rn m e n ta s s is ta n c e S c a la b le a d m in is tra tiv e in fra s tru c tu re C o n s is te n tn a tio n a l b ra n d E x p e rie n c e d m a n a g e m e n te a m M is s io n d riv e n c u ltu re
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