Molina Healthcare

Molina Healthcare leads the worst in access failures, receiving a 4.2 out of 5 star rating from CMS for network adequacy but ranking #5 due to audit findings that revealed systemic delays in processing claims, with only 73% meeting required timeframes in 2023. This lapse denied low-income populations timely access to specialists, a deficiency that #6 Aetna avoids after its CVS integration improved claim processing rates. Molina’s failures are more severe than the average Medicaid insurer—CMS data shows a 94% industry compliance rate—and its inadequate mental health parity compliance, documented in 2022 audits, further compounds harm for vulnerable members.