Cascade Comprehensive Care Group Market Analysis: Market Share and Coverage by State

Payer Overview

Cascade Comprehensive Care Group occupies a modest but clearly defined position in the U.S. accident & health market as the #105 ranked US A&H payer, writing $581M in the US market and holding a 0.04% US market share. The organization reports operations across 2 states and DC is not included in that count, and it serves an estimated 67.4K members through 2 affiliated subsidiaries, which supports a regional strategy concentrated on a single western state with a smaller presence nearby.

Cascade Comprehensive Care Group does not hold a #1 position in any state. Its national footprint is focused on a concentrated set of markets rather than a broad national network, which shapes contracting leverage and negotiation priorities differently than for large national payers.

Premium by Scope

Cascade Comprehensive Care Group's premium is entirely within the US States & DC scope based on the authoritative data provided, with $581M recorded in that category and no premium allocated to US territories or foreign jurisdictions. This concentration means the payer's commercial and network strategies are driven solely by mainland U.S. dynamics, simplifying competitive benchmarking for providers evaluating contracts. For provider groups, this implies negotiations and network design should prioritize the payer's strong state markets rather than bilateral considerations across territories or foreign exposures.

National Market Footprint

Cascade Comprehensive Care Group shows a very concentrated national footprint, with the vast majority of premium and membership concentrated in the West. The payer writes $571M in Oregon alone and only $10.1M in Nevada, producing a national total of $581M and 67.4K estimated members. This concentration means provider contracting leverage will be strongest in Oregon, where the payer's enrollment and premium volumes are materially larger.

From a national perspective, the payer's limited geographic reach reduces complexity for provider groups negotiating with them, but it also limits the payer's leverage as a multisite contracting counterparty. National or multi-state provider systems should prioritize relationship and network planning in Oregon to capture the bulk of the payer's business.

State-by-State Market Position

Cascade Comprehensive Care Group's regional strength is clearly in the West. Oregon is the top state by a wide margin, reflecting the payer's focused market strategy in that state. Nevada is a much smaller presence by comparison, indicating either a recent market entry or a secondary operational market.

Regions such as the Northeast, Midwest, Southeast, and Southwest show no reported presence for this payer, so multi-state provider groups operating across those regions will not gain significant exposure through contracting with this specific payer. For multi-state providers that include Oregon in their network, prioritizing alignment with Cascade Comprehensive Care Group could capture the largest share of the payer's membership and premium, which are concentrated in the Western region.

The Affordable Care Act (ACA) established federally-facilitated health insurance marketplaces ("exchanges") where individuals and small businesses can shop for and enroll in health plans, often with income-based subsidies. Issuers that participate in these marketplaces are required to report enrollment, claims, and denial data to CMS (Centers for Medicare & Medicaid Services) each year.

The sections below cover this payer's ACA marketplace-specific footprint — enrollment, plan portfolio, and claims/denial-rate data. This is a narrower, separate population from the NAIC-based commercial data shown earlier on this page (total premium, market share, and membership across all lines of business): ACA marketplace enrollment is typically a small fraction of a payer's total commercial book, and the two datasets should not be treated as equivalent. CMS claims-transparency reporting has also been inconsistent industry-wide since 2020 — many issuers have little or no data for 2021 onward, so a single reporting year is common and does not necessarily indicate anything about the payer's current ACA presence.

Estimated Member Demographics

Nationally, the largest age bands are 35–44 (10,452 members), 45–54 (9,446 members), and 55–64 (8,956 members), indicating a strong concentration in the working-age and pre-retirement population. The pediatric segment (Under 6 and 6–18) together accounts for over 13,000 members, while the senior segment (65–74 and 75+) totals just over 10,000 members.

Oregon, the dominant state, closely mirrors the national profile, with the largest age bands also being 35–44, 45–54, and 55–64. Nevada, with a much smaller member base, shows a similar distribution but with slightly higher proportions in the younger age bands, though the absolute numbers are low. There is no significant skew toward older or younger populations in either state, but the overall member base is clearly concentrated in adults and middle-aged groups.

Estimated Members by State

CASCADE COMPREHENSIVE CARE GRP's estimated member distribution is highly concentrated in Oregon, with , compared to just in . This reflects the payer's much larger market share and premium volume in Oregon, where it holds a market share of 2.25% and ranks 11th in the state. Nevada, by contrast, represents a minor presence with only 0.08% market share and a 37th place ranking.