Payer Overview
MASS GEN BRIGHAM HLTH PLAN GRP Market Analysis: Market Share and Coverage by State
Mass Gen Brigham Health Plan Group is a regional health insurer concentrated in Massachusetts, focused on employer and member coverage within its home market. Its scale and operations favor local provider negotiations and network strategies.
Payer Overview
Mass Gen Brigham Health Plan Group operates as a regional health insurer anchored in Massachusetts and plays a focused role in employer and member coverage across its footprint. As the #72 ranked US A&H payer by premium, it reports $2.22B in US premium and a US market share of 0.15%, reflecting a concentrated but meaningful presence in its home state and select markets. The plan reports estimated total members of 341.1K and operates through 2 affiliated subsidiaries.
The payer's commercial scale is tightly concentrated in Massachusetts, spanning 1 states and exposing its business primarily to a single-state marketplace. The company does not report premium in US territories or foreign jurisdictions, and its strategic focus suggests contracting and network negotiations will be driven by Massachusetts market dynamics rather than multi-state considerations.
2 rows
| Subsidiary | Domicile |
|---|---|
| Mass Gen Brigham Health Insurance Company | MA |
| Mass Gen Brigham Health Plan Inc | MA |
National Market Presence
National Market Footprint
| State | Market Share | Premium Written | Estimated Members |
|---|---|---|---|
| MA | 6.31% | $2.22B | 341.1K |
| National Total | — | $2.22B | 341.1K |
Mass Gen Brigham Health Plan Group's footprint is highly concentrated in Massachusetts, where it writes $2.22B in premium and holds a 6.31% market share. The payer's estimated membership base is 341.1K, all located in MA. This concentration means the company's negotiating leverage, provider network design, and utilization trends will be driven by Massachusetts market dynamics rather than national patterns.
Given the single-state concentration, national providers and multi-state health systems should treat this payer as a localized contracting opportunity. Large multi-state groups seeking scale with this payer will need to rely on their Massachusetts presence or affiliate arrangements, as the payer does not provide premium exposure across other states.
Estimated Member Demographics
| Age Band | Massachusetts | National Total |
|---|---|---|
| Under 6 | 18882 | 18882 |
| 6–18 | 49228 | 49228 |
| 19–25 | 35542 | 35542 |
| 26–34 | 44596 | 44596 |
| 35–44 | 46811 | 46811 |
| 45–54 | 46086 | 46086 |
| 55–64 | 49882 | 49882 |
| 65–74 | 29325 |
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