Payer Overview
Promedica Hlth System Grp Market Analysis: Market Share and Coverage by State
Promedica Hlth System Grp is a regional health insurer concentrated in the Midwest, focused on managed care products and provider partnerships. Its footprint is concentrated across a small number of neighboring states, giving it localized negotiating leverage but limited national influence.
Payer Overview
Promedica Hlth System Grp operates as a regional health insurer with a concentrated commercial and managed care footprint anchored in the Midwest. The organization ranks as the #136 largest US A&H payer and writes $286.80M in the US market, representing a 0.02% US market share across 4 states. The company reports an Estimated Total Members base of 40.1K and operates through 6 affiliated subsidiaries.
Promedica Hlth System Grp's commercial presence is focused in Ohio, Indiana, Michigan, and Kentucky, which collectively shape its negotiating leverage with regional provider systems. The payer does not hold a #1 ranked position in any state, instead positioning as a meaningful regional competitor within selected Midwest markets.
6 rows
| Subsidiary | Domicile |
|---|---|
| Health Resources Inc | IN |
| Health Resources of Ohio Inc | OH |
| Paramount Care of Indiana Inc | IN |
| Paramount Care of Michigan Inc | MI |
| Paramount Care of Pennsylvania Inc | PA |
| Paramount Health Care | OH |
National Market Presence
| State | Market Share | Premium Written | Estimated Members |
|---|---|---|---|
| IN | 0.16% | $49.8M | 5.17K |
| KY | 0.06% | $15.8M | 1.81K |
| MI | 0.07% | $36.2M | 5.17K |
| OH | 0.31% | $185M | 25.2K |
| National Total | — | $286.80M | 40.1K |
Estimated Member Demographics
| Age Band | Ohio | Indiana | Michigan | Kentucky | National Total |
|---|---|---|---|---|---|
| Under 6 | 1539 | 495 | 298 | 107 | 2439 |
| 6–18 | 4007 | 1331 | 786 | 277 | 6401 |
| 19–25 | 2353 | 815 | 492 | 173 | 3833 |
| 26–34 | 3027 | 971 | 599 | 219 |
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.