Payer Overview

ASCENSION HLTH GRP Market Analysis: Market Share and Coverage by State

Ascension Hlth Grp is a regionally focused health insurer that concentrates premium and membership in a small set of states, offering targeted contracting opportunities for providers. Its footprint is driven by a few strong state markets rather than broad nationwide scale.

ASCENSION HLTH GRPHealth InsuranceHealthcare MarketProvider ContractingReimbursementTXTNKSINMI

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

Scope	Jurisdictions	Premium	Share of Payer Total
US States & DC	5	$273.95M	100.00%
Total	5	$273.95M	100.00%

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.

Subsidiary	Domicile
Seton Health Plan Inc	TX
Seton Insurance Company	—
Us Health & Life Insurance Company Inc	MI

Subsidiary

Domicile

Seton Health Plan Inc

Seton Insurance Company

—

Us Health & Life Insurance Company Inc

State	Market Share	Premium Written	Estimated Members
IN	0.03%	$7.78M	1.25K
KS	0.08%	$11.1M	1.78K
MI	0%	$1.53M	0.22K
TN	0.07%	$21.8M	3.30K
TX	0.16%	$231.76M

State

Market Share

Premium Written

Estimated Members

0.03%

$7.78M

1.25K

0.08%

$11.1M

1.78K

$1.53M

0.22K

0.07%

$21.8M

3.30K

0.16%

$231.76M

Age Band	Texas	Tennessee	Indiana	Kansas	Michigan	National Total
Under 6	2057	195	77	118	13	2460
6–18	5354	498	208	309	33	6402
19–25	3052	317	127	185	21	3702

Age Band

Texas

Tennessee

Indiana

Kansas

Michigan

National Total

Under 6

2057

195

118

2460

6–18

5354

498

208

309

6402

19–25

3052

317

127

185

3702

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.

OpenPayer

Payer Overview

ASCENSION HLTH GRP Market Analysis: Market Share and Coverage by State

Payer Overview

Premium by Scope

National Market Presence

National Market Footprint

Estimated Member Demographics

State-by-State Market Position

Estimated Members by State