The business consistently makes massive mistakes in offshoring IT work. The quality is extremely poor and barely works. It also takes about three offshore resources to do the work of one full time employee and offshore resources have little interest in the long term maintainability of what they are doing. For most of them this is just a contract job that they won't have to think about ever again after six months to a year.
Molina already spends way too much money on offshoring work because it looks cheaper on paper until the walls start to crumble because the contractors were not passionate about building the best solutions, only the fastest most backwards solutions possible. They are incentivized to write code that breaks or is not maintainable.