Payer Overview

Ascension Hlth Grp is the #141 largest US A&H payer by reported premium, writing $273.95M of premium in the US market and holding a 0.02% US market share. The company reports operations across 5 states and DC-equivalent reporting scope, with an Estimated Total Members count of 38.3K, and it operates through 3 affiliated subsidiaries.

Ascension Hlth Grp's footprint is concentrated in a handful of states with a particularly large presence in Texas, and the distribution of premium and membership suggests regional contracting strength rather than a broad national scale. The payer does not hold a #1 position in any state.

Premium by Scope

Ascension Hlth Grp's premium is exclusively in the US states and DC reporting scope based on the provided data; there are no reported premiums in US territories or foreign jurisdictions. This concentration means provider groups negotiating with Ascension Hlth Grp should prioritize understanding its state-level contracting dynamics, particularly in the states where premium is concentrated. The absence of territory or foreign exposure simplifies national contracting strategy because all risk and reimbursement arrangements are domestic.

National Market Footprint

Ascension Hlth Grp's premium is highly concentrated in Texas, which accounts for the vast majority of its US premium at $231.76M. The remainder of premium is split across Tennessee, Kansas, Indiana, and Michigan, each representing comparatively small pockets of membership. For national provider contracting, this concentration means negotiating leverage will vary greatly by state: network terms in Texas will drive the most member access and utilization, while the smaller-state relationships are likely to require bespoke arrangements.

Geographically, the payer’s strongest position is in the South and Midwest with the largest exposure in the Southwest/South (Texas and Tennessee) and select Midwestern states (Kansas, Indiana, Michigan). Providers pursuing multi-state contracts should prioritize capabilities in Texas given its dominant premium share, and treat the smaller-state presences as targeted opportunities to expand network breadth.

State-by-State Market Position

Ascension Hlth Grp shows a concentrated regional presence rather than broad national coverage. The strongest single-state position is in Texas, followed by meaningful but much smaller positions in Tennessee and Kansas, and modest footprints in Indiana and Michigan. This distribution indicates the payer functions as a regional incumbent in parts of the South and Midwest.

For multi-state provider groups, the geographic clustering implies that gaining scale with Ascension Hlth Grp requires a primary focus on Texas operations to capture the bulk of members and premium. Smaller operations in Kansas, Tennessee, Indiana, and Michigan can be useful for extending network reach, but will not substitute for strong Texas contracting given the gulf in premium scale (Texas at $231.76M versus the next largest state at $21.78M).

Estimated Member Demographics

Nationally, the largest age bands are 6–18 (6,402 members), 35–44 (5,885 members), and 45–54 (5,455 members), indicating a strong presence among children, adolescents, and working-age adults. The senior population (65+) is comparatively smaller, with only 2,530 in the 65–74 band and 1,690 in the 75+ band.

Texas, the payer's largest market, mirrors the national distribution, with the highest counts in the 6–18, 35–44, and 45–54 bands. Michigan, with the smallest member count, has a similar age distribution but much lower absolute numbers. No state shows a pronounced skew toward older or younger populations, though Texas's size amplifies all age bands.

Estimated Members by State

ASCENSION HLTH GRP's estimated member distribution is highly concentrated in Texas, which accounts for 31,715 of the total 38,257 members nationally. Tennessee follows with 3,295 members, Kansas with 1,777, Indiana with 1,250, and Michigan with 219. This geographic concentration means that nearly 83% of the payer's insured population is located in Texas.

This member distribution aligns closely with the payer's market share and premium volume, as Texas is also the state with the highest market share (0.16%) and premium written ($231,757,890). The other states have much smaller member counts and premium volumes, reflecting ASCENSION HLTH GRP's limited footprint outside Texas. For providers, this means that contracting and care delivery strategies should be heavily focused on Texas, with only niche considerations for the other states.