Payer Overview
COMMONWEALTH CARE ALIANCE GRP Market Analysis: Market Share and Coverage by State
Commonwealth Care Alliance is a regional health insurer with a compact national footprint focused on a few states. It plays a niche role in provider networks where it has meaningful local penetration.
Payer Overview
Commonwealth Care Alliance is a focused health insurer with a concentrated footprint and a clear national ranking among accident & health payers. It is the #192 ranked US A&H payer by premium, reporting $106.42M in US premium and a US market share of 0.01%, and it operates across 3 states. The organization serves an estimated 15.7K members and operates through 3 affiliated subsidiaries, reflecting a compact but regionally meaningful presence.
The payer does not hold a #1 position in any state. Its business is concentrated in a small set of states in the Northeast and the Midwest, which shapes contracting leverage locally while limiting national negotiating scale. There is no reported premium in US territories or foreign jurisdictions for this payer, keeping its exposure focused on the US mainland.
3 rows
| Subsidiary | Domicile |
|---|---|
| Cca Health of Michigan Inc | MI |
| Commonwealth Care Alliance of Massachusetts LLC | MA |
| Commonwealth Care Alliance of Rhode Island LLC | RI |
National Market Presence
National Market Footprint
| State | Market Share | Premium Written | Estimated Members |
|---|---|---|---|
| MA | 0.21% | $74.4M | 11.5K |
| MI | 0.03% | $14.6M | 2.08K |
| RI | 0.27% | $17.4M | 2.13K |
| National Total | — | $106M | 15.7K |
Commonwealth Care Alliance shows strong concentration in the Northeast and a modest presence in the Midwest. The bulk of premium is in Massachusetts at $74.4M, followed by Rhode Island at and Michigan at , with a national estimated membership of . This geographic concentration indicates that provider contracting leverage will be most relevant in Massachusetts and Rhode Island, where local network participation and reimbursement arrangements will affect the largest share of this payer's business.
Estimated Member Demographics
| Age Band | Rhode Island | Massachusetts | Michigan | National Total |
|---|---|---|---|---|
| Under 6 | 117 | 634 | 120 | 871 |
| 6–18 | 304 | 1654 | 316 | 2273 |
| 19–25 | 228 | 1194 | 198 | 1620 |
| 26–34 | 267 | 1498 | 241 | 2006 |
| 35–44 | 299 | 1572 |
Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.