Payer Overview
Health Share of OR Market Analysis: Market Share and Coverage by State
Health Share of OR is a regional health insurer concentrated in Oregon with a focused membership base and local market influence. Its scale favors deep provider relationships within its primary state rather than national network leverage.
Payer Overview
Health Share of OR operates as a regional health insurer focused on Oregon, positioned as the #56 largest US A&H payer by reported premium. The company reports $2.76B in US premium and holds a US market share of 0.19%, operating in 1 states and reaching an estimated 317.8K total members. The insurer does not hold a #1 position in any state and operates through 0 affiliated subsidiaries.
Health Share of OR's business is concentrated in Oregon, which drives the bulk of its premium and membership. That focused footprint suggests contracting strategies and network investments are best aligned to deep, localized provider relationships rather than broad multi-state network scale.
National Market Presence
National Market Footprint
| State | Market Share | Premium Written | Estimated Members |
|---|---|---|---|
| OR | 10.85% | $2.76B | 318K |
| National Total | — | $2.76B | 318K |
Health Share of OR's national footprint is highly concentrated in the state of Oregon, where it writes $2.76B in premium and serves roughly 318K members. That concentration produces a single-state exposure that should focus provider contracting on Oregon health systems and networks. From a national perspective, the payer's influence is localized rather than broadly distributed across multiple states, meaning national multi-state providers may have limited leverage unless they operate in Oregon.
The payer's concentrated premium base simplifies regulatory and network management, allowing investments in targeted care management and provider relations within Oregon. However, it also means the payer is more sensitive to state-level policy changes and local market dynamics than diversified national competitors.
State-by-State Market Position
Health Share of OR's presence is strongest in the West region, with its entire reported business located in Oregon. There are no reported top-ranked (#1) states for this payer, and its distribution does not span the Northeast, Midwest, Southeast, or Southwest regions. For multi-state provider groups, this means contracting with Health Share of OR is primarily relevant for provider organizations with an Oregon footprint.
Because the payer writes $2.76B in premium exclusively in Oregon and serves about 318K members there, its negotiating posture will be driven by local network depth and the competitive dynamics of Oregon's health market. Providers operating only outside Oregon should expect minimal commercial leverage with this payer.
Estimated Member Demographics
| Age Band | Oregon | National Total |
|---|---|---|
| Under 6 | 17146 | 17146 |
| 6–18 | 46135 | 46135 |
| 19–25 | 28090 | 28090 |
| 26–34 | 40951 | 40951 |
| 35–44 | 49287 | 49287 |
| 45–54 | 44483 | 44483 |
| 55–64 | 42140 | 42140 |
| 65–74 | 28686 | 28686 |
| 75+ | 20903 | 20903 |
The largest age bands nationally for HEALTH SHARE OF OR are 35–44 (49,287 members), 6–18 (46,135 members), and 26–34 (40,951 members). This indicates a strong presence among families and working-age adults, with a significant pediatric population as well. The senior population (65+) is smaller in comparison, with 28,686 in the 65–74 band and 20,903 in the 75+ band.
All estimated members are concentrated in Oregon, with no reported membership in other states. This means the demographic profile for Oregon is identical to the national profile, and there is no state-to-state variation in age distribution for this payer.
Estimated Members by State
HEALTH SHARE OF OR's estimated membership is entirely concentrated in Oregon, with 317,821 members. There are no reported members in any other state or territory according to the available data. This aligns with the payer's market share and premium concentration, which are also focused solely on Oregon.
This geographic concentration means that providers in Oregon are the primary stakeholders for this payer's membership. For providers outside Oregon, HEALTH SHARE OF OR does not represent a significant contracting opportunity. For Oregon-based providers, the payer's large membership base makes it a critical partner for Medicaid and commercial populations alike, and contracting strategies should reflect this dominant local presence.