Payer Overview

Boston Medical Center Health Plan Inc operates as a regional health insurer with a focused national footprint, sitting as the #36 largest US A&H payer by premium with $5.21B in reported US premium and a 0.36% US market share. The plan reports operations across 2 states and DC is not included in that count, serving an estimated 821.7K total members and operating through 0 affiliated subsidiaries.

While the insurer does not hold a #1 rank in any state, its concentration in specific New England markets gives it meaningful negotiating leverage with regional provider systems. Its premium base is entirely within the US states scope and the absence of territory or foreign premium indicates a U.S.-centric commercial and government business mix.

Premium by Scope

Boston Medical Center Health Plan Inc's premium footprint is exclusively within the US states scope, accounting for 100.00% of its reported premium. This concentration indicates that the payer's commercial and government business is fully domestic within the 50-state reporting boundary and suggests provider negotiations and network strategy should prioritize U.S. state-level contracting dynamics.

For providers evaluating partnerships, the lack of territory or foreign premiums simplifies reimbursement benchmarking to U.S. state comparators and removes the need to consider territory- or foreign-specific regulatory differences.

Boston Medical Center Health Plan Inc's premium is highly concentrated in New England, with $4.68B written in Massachusetts and $526M in New Hampshire, totaling $5.21B across the two states. The plan serves an estimated 720K members in Massachusetts and 101K members in New Hampshire, for a combined 821.7K members. This regional concentration creates strong local negotiating leverage with major hospital systems in Massachusetts while requiring targeted contracting approaches in New Hampshire where share is meaningful but smaller.

Estimated Member Demographics