public Medicaid and marketplace managed-care insurer
Molina Healthcare
Industry Insurance
A public managed-care insurer focused on Medicaid, Medicare, and marketplace plans. Molina's public-program focus is more socially necessary than luxury financial products, but the structure still privatizes healthcare administration under shareholder control.
Why this matters: Molina is a lower-income public-program insurer that still needs scoring as a private managed-care gatekeeper.
Letter grade D Extractive High confidence (AI) Rubric gcd-rubric-v1
* Tentative scaffolding score. Not human-checked or final.
Request verification to have the evidence record checked against primary materials and organization-supplied documents. Verification does not buy a higher score; scores change only when review finds factual errors, omissions, or miscalibration.
Evaluation Overview
D - Extractive
The score turns mainly on Scale Integrity, with the largest penalty coming from Policy Capture.
Strengths
- Scale Integrity3/5
- Extraction2/10
- Solidarity with the Unemployed2/7
Penalties
- Policy Capture-3
- Accountability Opacity-2
- Subscription Capture-1
- Surveillance Capture-1
Evidence state
- ConfidenceHigh confidence (AI)
- ThoroughnessDeveloped (AI)
- Linked claims14
- Direct axis claims14
- Coverage14/14
Scoring Axes
| Axis | Score | Why this score |
|---|---|---|
Ownership
?
Control rights: shareholder-dominated at 0, worker cooperative control
at 10.
|
1 / 10 |
Molina Healthcare's public materials identify its ownership form, parent relationship, nonprofit status, mutual structure, or shareholder-controlled insurance model. Linked evidence
|
Governance
?
Binding decision authority: centralized control at 0, democratic
stakeholder control at 10.
|
1 / 10 |
Molina Healthcare's public record gives limited direct evidence about whether binding control sits with policyholders, members, nonprofit boards, parent companies, public shareholders, or executives. Linked evidence
|
Extraction
?
Surplus allocation, wage share, CEO pay ratio, margins, and structured
extraction judgment.
|
2 / 10 |
Molina Healthcare's insurance model collects premiums or dues and controls how much value returns as claims, benefits, reserves, dividends, surplus, or shareholder/investor return. Linked evidence
|
Labor Sovereignty
?
Worker power: coercive conditions at 0, co-determination or ownership at
7. Employee dissatisfaction matters only when source-backed evidence
shows concrete limits on worker agency, such as coercive scheduling,
retaliation, wage theft, harassment, unsafe conditions, suppression of
worker voice, or extreme turnover.
|
1 / 7 |
Molina Healthcare's public structure does not show ordinary workers holding binding democratic control over insurance operations. Linked evidence
|
Solidarity with the
Unemployed
?
Treatment of exits and nonworkers, including severance, redeployment,
and non-competes.
|
2 / 7 |
Molina Healthcare's coverage model affects people during job loss, disability, illness, accidents, housing instability, or other periods when insurance access and continuity matter. Linked evidence
|
Loss-Bearing Fidelity
?
Willingness to absorb costs to preserve values, workers, users, and
public obligations.
|
2 / 7 |
Molina Healthcare's product is built around bearing covered losses, but the public record also shows policy terms, eligibility, exclusions, or managed-care constraints that determine how much loss the insurer actually absorbs. Linked evidence
|
Market Conduct
?
Pricing fairness, switching costs, lock-in, and rent extraction.
|
2 / 5 |
Molina Healthcare competes in insurance markets where pricing, underwriting, networks, formularies, claims handling, cancellation, and renewal practices determine ordinary consumer power. Linked evidence
|
Product Integrity
?
Preservation of quality rather than degradation for monetization.
|
2 / 5 |
Molina Healthcare's core product can protect against catastrophic financial loss, but coverage integrity depends on claim payment, network adequacy, exclusions, and transparent policy terms. Linked evidence
|
Scale Integrity
?
Whether growth improves or degrades fairness and accountability.
|
3 / 5 |
Molina Healthcare's scale and category make its underwriting, care-management, claims, or investment decisions consequential for households, workers, patients, pets, or public programs. Linked evidence
|
Penalties
| Penalty | Applied | Why this penalty |
|---|---|---|
Policy Capture
?
Private-interest attempts to bend law, regulation, subsidies, taxes,
enforcement, trade, labor, safety, competition, environmental,
healthcare, housing, surveillance, civil-liberties, or consumer policy
against workers, customers, citizens, affected communities, or
ecological life. Public-interest advocacy is not penalized merely
because it is lobbying. Range: -15 to 0.
|
-3 |
Molina Healthcare's public record makes Policy Capture relevant to the evaluation through mutual/member governance, nonprofit mission, public-program policy, recurring premiums, policy… Linked evidence
|
Subscription Capture
?
Manipulative recurring-payment, automatic-renewal,
cancellation-friction, bundling, trial-conversion, or refund designs
that profit from inertia or confusion. Range: -5 to 0.
|
-1 |
Molina Healthcare's public record makes Subscription Capture relevant to the evaluation through mutual/member governance, nonprofit mission, public-program policy, recurring premiums,… Linked evidence
|
Accountability Opacity
?
Material opacity, reputation laundering, or hidden accountability
structures that prevent public accountability. Range: -2 to 0.
|
-2 |
Molina Healthcare's public record makes Accountability Opacity relevant to the evaluation through mutual/member governance, nonprofit mission, public-program policy, recurring premiums,… Linked evidence
|
Surveillance Capture
?
Invasive surveillance, unreasonably non-optional tracking, facial
recognition, biometric identification, or AI behavior scanning of
customers, workers, bystanders, or the public. Range: -5 to 0.
|
-1 |
Molina Healthcare's public record makes Surveillance Capture relevant to the evaluation through mutual/member governance, nonprofit mission, public-program policy, recurring premiums,… Linked evidence
|
Ideological Disavowal
?
Concealed ideology presented as neutrality, expertise, professional
necessity, public-service administration, market inevitability, or
non-ideological common sense while exercising power. Range: -3 to 0.
|
-1 |
Molina Healthcare's public record makes Ideological Disavowal relevant to the evaluation through mutual/member governance, nonprofit mission, public-program policy, recurring premiums,… Linked evidence
|
Bonus Credits
No bonus credits applied in this version.
Confidence Basis
Confidence Basis
Confidence is computed from the evidence trail and review state, not typed into the profile by hand.
High 85/100
14 verified linked claims 14 direct axis claims 0 disputed claims 14/14 components covered
This confidence label measures the source-backed evidence trail. AI-scaffolded scores remain tentative until human review.
Claim confidence 16/20
14 verified linked claims
Source quality 16/18
Best source per verified claim, weighted by institutional reliability
Direct axis-specific claims 14/18
14 direct claims across 14 active components
Dispute load 12/12
0 disputed claims on this entity
Recency 10/10
Newest accepted timestamp: May 13, 2026
Reviewer status 7/12
Human-reviewed components score higher than AI scaffolding
Component coverage 10/10
14/14 evidence-bearing components have direct support
Evidence State
Evidence State
Claims and Sources
Claims are the evidence record. Each claim needs a source link, axis category, status, confidence level, and timestamp before it can support a score.
* Tentative scaffolding score. Not human-checked or final.1Molina Healthcare's public materials identify its ownership form, parent relationship, nonprofit status, mutual structure, or shareholder-controlled insurance model.
- Molina financial reportsPrimary institutional record · 90%
2Molina Healthcare's public record shows whether binding control sits with policyholders, members, nonprofit boards, parent companies, public shareholders, or executives.
- Molina financial reportsPrimary institutional record · 90%
4Molina Healthcare's public structure does not show ordinary workers holding binding democratic control over insurance operations.
- Molina financial reportsPrimary institutional record · 90%
5Molina Healthcare's coverage model affects people during job loss, disability, illness, accidents, housing instability, or other periods when insurance access and continuity matter.
- Molina annual reportPrimary institutional record · 90%
6Molina Healthcare's product is built around bearing covered losses, but the public record also shows policy terms, eligibility, exclusions, or managed-care constraints that determine how much loss the insurer actually absorbs.
- Molina financial reportsPrimary institutional record · 90%
7Molina Healthcare competes in insurance markets where pricing, underwriting, networks, formularies, claims handling, cancellation, and renewal practices determine ordinary consumer power.
- Molina annual reportPrimary institutional record · 90%
8Molina Healthcare's core product can protect against catastrophic financial loss, but coverage integrity depends on claim payment, network adequacy, exclusions, and transparent policy terms.
- Molina financial reportsPrimary institutional record · 90%
9Molina Healthcare's scale and category make its underwriting, care-management, claims, or investment decisions consequential for households, workers, patients, pets, or public programs.
- Molina annual reportPrimary institutional record · 90%
10Molina Healthcare's public record makes Policy Capture relevant to the evaluation through mutual/member governance, nonprofit mission, public-program policy, recurring premiums, policy complexity, healthcare data, marketing identity, or claims/care gatekeeping.
- Molina annual reportPrimary institutional record · 90%
11Molina Healthcare's public record makes Subscription Capture relevant to the evaluation through mutual/member governance, nonprofit mission, public-program policy, recurring premiums, policy complexity, healthcare data, marketing identity, or claims/care gatekeeping.
- Molina annual reportPrimary institutional record · 90%
12Molina Healthcare's public record makes Accountability Opacity relevant to the evaluation through mutual/member governance, nonprofit mission, public-program policy, recurring premiums, policy complexity, healthcare data, marketing identity, or claims/care gatekeeping.
- Molina annual reportPrimary institutional record · 90%
13Molina Healthcare's public record makes Surveillance Capture relevant to the evaluation through mutual/member governance, nonprofit mission, public-program policy, recurring premiums, policy complexity, healthcare data, marketing identity, or claims/care gatekeeping.
- Molina annual reportPrimary institutional record · 90%
14Molina Healthcare's public record makes Ideological Disavowal relevant to the evaluation through mutual/member governance, nonprofit mission, public-program policy, recurring premiums, policy complexity, healthcare data, marketing identity, or claims/care gatekeeping.
- Molina annual reportPrimary institutional record · 90%
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How This Page Is Maintained
Evidence comes in through contributors, is checked by verifiers, and is synthesized by reviewers. Founder authority remains narrow and visible; scores recalculate when verified claims or the rubric change.
Civic Note
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Audit Log
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