Payer Overview

Cambia Health Solutions Inc Market Analysis: Market Share and Coverage by State

Cambia Health Solutions Inc. is a regional health insurer with a concentrated presence in the US West. Its operations emphasize regional provider relationships and targeted network strategies rather than a broad national footprint.

Cambia Health Solutions IncHealth InsuranceHealthcare MarketProvider ContractingReimbursementWAUTORID

Payer Overview

Cambia Health Solutions Inc. is the #26 largest US A&H payer by premium, operating across 4 states with a concentrated West regional footprint. The company reports $7.97B in US premium and holds a US market share of 0.55%, with an estimated total membership of 1.35M across its footprint and operations that roll up through 7 affiliated subsidiaries.

Cambia does not hold a #1 statewide position in the national statistics set provided. Its business is focused on a small group of contiguous Western states, which supports concentrated provider networks and regional contracting strategies rather than a broad national network approach.

Premium by Scope

Scope	Jurisdictions	Premium	Share of Payer Total
US States & DC	4	$7.97B	100.00%
Total	4	$7.97B	100.00%

Cambia Health Solutions Inc.'s premium is exclusively reported in the US States & DC scope in the provided data, accounting for 100.00% of the payer's reported premium. There is no reported premium in US territories or foreign jurisdictions in the supplied statistics.

This exclusive U.S. mainland concentration implies that provider groups negotiating with Cambia will be engaging with a payer whose commercial and network strategies are focused on a limited set of states, simplifying multi-state negotiations to a regional scope rather than a national one.

Subsidiary	Domicile
Asuris Nw Health	WA
Bridgespan Health Company	UT
Commencement Bay Risk Management Insurance Company	WA
Regence BlueCross BlueShield of Oregon	OR
Regence BlueCross BlueShield of Utah	UT
Regence Blueshield	WA
Regence Blueshield of Idaho Inc	ID

Subsidiary

Domicile

Asuris Nw Health

Bridgespan Health Company

Commencement Bay Risk Management Insurance Company

Regence BlueCross BlueShield of Oregon

Regence BlueCross BlueShield of Utah

Regence Blueshield

Regence Blueshield of Idaho Inc

State	Market Share	Premium Written	Estimated Members
ID	14.31%	$921M	198K
OR	10.73%	$2.73B	314K
UT	11.71%	$1.34B	330K
WA	8.89%	$2.98B	504K
National Total	—	$7.97B	1.35M

State

Market Share

Premium Written

Estimated Members

14.31%

$921M

198K

10.73%

$2.73B

314K

11.71%

$1.34B

330K

8.89%

$2.98B

504K

National Total

—

$7.97B

1.35M

Age Band	Idaho	Washington	Oregon	Utah	National Total
Under 6	12,523	30,402	16,958	27,834	87,718
6–18	36,455	74,734	45,629	71,637	228,456
19–25	19,592	42,953	27,782	40,041	130,367
26–34	23,408	71,568	40,502

Age Band

Idaho

Washington

Oregon

Utah

National Total

Under 6

12,523

30,402

16,958

27,834

87,718

6–18

36,455

74,734

45,629

71,637

228,456

19–25

19,592

42,953

27,782

40,041

130,367

26–34

23,408

71,568

40,502

State-by-State Market Position

Cambia's strongest presence is in the West. The Western region (specifically the Pacific Northwest and Intermountain West) shows the clearest concentration of market share and premium, with Idaho at 14.31% market share, Utah at 11.71%, Oregon at 10.73%, and Washington at 8.89%. These four states are contiguous and form a geographic cluster that favors regional provider networks and shared management of care pathways.

There is minimal to no presence in the Northeast, Southeast, Midwest, or Southwest in the supplied data. For multi-state health systems and provider groups, this distribution means that contracting teams should prioritize relationship depth and value-based arrangements in the Western corridor where Cambia controls meaningful premium and membership (e.g., $2.98B in WA, $2.73B in OR). National expansion or negotiation strategies with Cambia will need to be coordinated state-by-state within this cluster rather than relying on a uniform national contract.

Estimated Members by State

CAMBIA HEALTH SOLUTIONS INC's estimated member distribution is concentrated in Washington (503,942 members), followed by Utah (329,515), Oregon (314,336), and Idaho (198,127). This geographic concentration aligns with the payer's market share and premium volume in these states, reflecting their strong regional presence in the Pacific Northwest and Intermountain West.

Washington's dominance in member count is notable, as it holds the highest estimated membership despite not being the top-ranked state by market share (rank 5). Utah and Oregon also have substantial member bases, supporting robust provider networks and care delivery infrastructure. Idaho, while smaller in absolute member count, maintains a high market share (rank 3), indicating a strong local presence relative to population size.

For providers, this concentration means that contracting strategies and care delivery models should prioritize Washington, Utah, and Oregon, where member volumes are highest. Idaho's high market share suggests opportunities for deeper engagement and influence in local healthcare delivery. The payer's regional focus supports integrated care approaches and population health initiatives tailored to these states' demographic profiles.

OpenPayer

Payer Overview

Cambia Health Solutions Inc Market Analysis: Market Share and Coverage by State

Payer Overview

Premium by Scope

National Market Presence

Estimated Member Demographics

State-by-State Market Position

Estimated Members by State