Molina Healthcare (MOH) reported Q2 adjusted EPS late Wednesday of $1.51 per diluted share, down from $5.48 a year earlier.
Analysts polled by FactSet expected $1.39.
Revenue in the three months ended June 30 fell to $10.87 billion from $11.43 billion a year earlier.
Analysts expected $10.83 billion.
The company raised its 2026 adjusted EPS outlook to at least $5.25, up from the previous forecast of at least $5, and reiterated premium-revenue guidance of $42 billion.
Analysts expect EPS of $5.14 and premium revenue of $42.1 billion.
Molina shares fell 6.2% in after-hours trading.