Molina Healthcare Inc · NYSE:MOH
Molina Healthcare — 32nd J.P. Morgan Healthcare Conference 2014
18 slides from Molina Healthcare's conference presentation, Jan 14, 2014
Slide 1: Molina Healthcare
Exhibit 99.1 nd 32 J.P. Morgan Healthcare Conference January 13-16, 2014 San Francisco Molina Healthcare J. Mario Molina, MD President & Chief Executive Officer
Slide 2: Cautionary Statement
Cautionary Statement 2 Safe Harbor Statement under the Private Securities Litigation Reform Act of 1995: This slide presentation and our accompanying oral remarks contain numerous “forward-looking statements” regarding, without limitation: our revenue, membership, and profitability growth projection
Slide 3: Health Plan Enrollment as of January 10, 2014
1 Health Plan Enrollment as of January 10, 2014 3 Molina Healthcare WA Health Plan Enrollment 409K Growth 2 Dec 2013 - Jan 2014 WI 92K MI 11% 213K Growth 3 OH UT IL 255K 86K 5K CA 441K NM SC 4 162K 137K TX 249K FL 89K 2.1 million members 1. Reflects preliminary enrollment figures. 2. January 2014 en
Slide 4: Long Term Incremental Growth Drivers
Long Term Incremental Growth Drivers 4 Please refer to the Company’s cautionary statements. Estimated potential revenue run-rate by year-end 2015 associated with growth activities 1 Revenue ~$2B ~$12.5B ~$2B ~$8.5B 3 4 Current Duals ACA Total Health Plan Business 2015 & Acquisitions 2 2015 1. All am
Slide 5: Health Plan Footprint & Planned Growth
Health Plan Footprint & Planned Growth 5 WA WI MI IL OH UT CA NM SC TX FL Health Plan Markets Fully Integrated Dual Eligible Pilots Long Term Care Medicaid © 2014 Molina Healthcare, Inc.
Slide 6: Medicaid Expansion
Medicaid Expansion 6 Where Molina States Stand on Medicaid Expansion as of 1 December 20, 2013 WA WI MI IL OH UT CA NM SC TX FL Expanding Coverage Considering Expansion Not Expanding Coverage at this Time 1. The Advisory Board Company. Beyond the pledges: Where the states stand on Medicaid. © 2014 M
Slide 7: Medicaid Application Activity
Medicaid Application Activity 7 Marketplace Applicants Determined Eligible for Medicaid in Molina States Oct 1, 2013 to Nov 30, 2013 (1)(2) 182K 154K # Marketplace Applicants Determined Eligible for Medicaid 1. U.S. Department of Health and Human Services .“Health Insurance Marketplace: December Enr
Slide 8: Welcome-Mat Effect
Welcome-Mat Effect 8 The intensity of outreach and awareness efforts associated with the Affordable Care Act may affect the increase in Medicaid enrollment and participation among individuals previously eligible but who did not enroll. 1 MA Medicaid Unadjusted Enrollment Rates 80% Controls Massachus
Slide 9: Medicare-Medicaid Plan (MMP) Implementations
Medicare-Medicaid Plan (MMP) Implementations 9 Dual Eligible Illinois Michigan Molina Counties: Central Molina Counties: Wayne, Macomb Region Going Live: 10/1/14 Going Live: 2/1/14 California Molina Counties: San Diego, Riverside, San Bernardino Going Live: 4/1/14 Ohio Molina Counties: 13 counties i
Slide 10: Levels of Patient Care
Levels of Patient Care 10 Long Term Care Dual Eligible Seniors & Persons with Disabilities Temporary Assistance to Needy Families Number of potential enrollees © 2014 Molina Healthcare, Inc.
Slide 11: Duals – Model of Care
Duals – Model of Care 11 Dual Eligibles Most Common Diagnoses Health Risk Inpatient Services: Assessments Affective psychosis Measuring Individualized Septicemia Improvements Care Plans Care involving use of rehab procedures Pneumonia Chronic bronchitis Medication Care Transition Reviews and Program
Slide 12: Marketplace
Marketplace 12 Please refer to the Company’s cautionary statements. Enrollment ramp up has been slow due to delays on federal and state websites • Spanish language sites later start 8 out of 10 low-income Americans still don’t 1 understand the program Molina pricing assumed higher medical costs and
Slide 13: Preparing for Growth – Operational Priorities
Preparing for Growth – Operational Priorities 13 Hired 4K employees Product development Premium billing & in 2013 Pricing collections Dedicated team for Network customization Upgraded care Marketplace Premium billing and management software Expanded Medicare collection Clear Coverage™ team for Duals
Slide 14: Status of Reimbursement – ACA Fee in Molina States
Status of Reimbursement – ACA Fee in Molina States 14 Fee Tax State Reimburse Gross Comments ment Up Health plan association has received email from state California Yes Unknown committing to reimbursement of fee. Actuarial rate memorandum (Milliman) calls for Florida Yes Yes reimbursement of fee an
Slide 15: Washington Retroactive Rate Reduction
Washington Retroactive Rate Reduction 15 Please refer to the Company’s cautionary statements. State of Washington is seeking to recover premiums previously paid to the company as part of a retroactive premium change One-time recovery affects revenue recorded during July through December of 2013 The
Slide 16: Tailwinds & Headwinds
Tailwinds & Headwinds 16 Tailwinds Headwinds Medicaid expansion Delayed state implementations Footprint includes 4 of 5 largest Industry tax Medicaid markets Uniquely positioned to capture Medical cost pressure associated dual eligible enrollment with new contracts/populations © 2014 Molina Healthca
Slide 17: Investment Highlights
Investment Highlights 17 Please refer to the Company’s cautionary statements. Attractive sector growth prospects driven by government policies and economic conditions Focus on government-sponsored health care programs Proven flexible health care services portfolio (risk- based, fee-based and direct
Slide 18: Breakout
Breakout 18 © 2014 Molina Healthcare, Inc.
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