Payer Overview
Mercy Hlth Corp Grp Market Analysis: Market Share and Coverage by State
Mercy Hlth Corp Grp is a small, regionally focused health insurer concentrating membership and premium in the Midwest. The payer's limited state footprint suggests targeted provider contracting and negotiation strategies.
Payer Overview
Mercy Hlth Corp Grp is a regional health insurance organization positioned within the broader U.S. accident & health market as the #183 ranked US A&H payer by premium. The company reports $149.86M in US premium and holds a 0.01% US market share across 2 states, operating through 2 affiliated subsidiaries and serving an estimated 24.5K members.
The payer's footprint is concentrated in the Midwest, with the largest presence in Wisconsin and a secondary presence in Illinois. Mercy Hlth Corp Grp does not hold a #1 position in any state. Its operations are limited to the U.S. states reported; there is no recorded territory or foreign premium in the authoritative data.
2 rows
| Subsidiary | Domicile |
|---|---|
| Mercycare HMO Inc | WI |
| Mercycare Insurance Company | WI |
National Market Presence
National Market Footprint
| State | Market Share | Premium Written | Estimated Members |
|---|---|---|---|
| IL | 0.02% | $13.2M | 1.91K |
| WI | 0.49% | $137M | 22.6K |
| National Total | — | $149.86M | 24.5K |
Mercy Hlth Corp Grp's premium is highly concentrated in the Midwest, with $137M written in Wisconsin and $13.2M in Illinois, totaling $149.86M across the reported footprint. The estimated membership aligns with that concentration: about 22.6K members in Wisconsin and 1.91K in Illinois, for 24.5K members nationally. This regional concentration means provider contracting efforts will have the greatest leverage and operational impact in Wisconsin, where the payer carries the bulk of its premium and membership.
Estimated Member Demographics
| Age Band | Illinois | Wisconsin | National Total |
|---|---|---|---|
| Under 6 | 115 | 1352 | 1467 |
| 6–18 | 300 | 3584 | 3883 |
| 19–25 | 179 | 2193 | 2372 |
| 26–34 | 245 | 2624 | 2869 |
| 35–44 | 279 | 3126 | 3404 |
| 45–54 | 267 | 3003 | 3271 |
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.