Market Intelligence

Covered Lives Intelligence. Every Market. Every Payer.

Know exactly who covers the lives in your markets. Fulcrum maps payer share by state and channel — the market intelligence that grounds payer strategy, network participation, and managed care contracting. Select a state below to see the leading payers by covered lives.

~167M
Commercial medical lives
~34M
Medicare Advantage lives
~57M
Managed Medicaid lives
~24M
Exchange lives
Interactive · illustrative

Who covers the lives in your market?

Choose a channel, then click any state. You'll see the top payers by covered lives — the leading three named, with the rest of the top ten available in our complete study across every market, ZIP code, plan type, and benefit.

Alaska Alabama Arkansas Arizona California Colorado Connecticut Washington, DC Delaware Florida Georgia Hawaii Iowa Idaho Illinois Indiana Kansas Kentucky Louisiana Massachusetts Maryland Maine Michigan Minnesota Missouri Mississippi Montana North Carolina North Dakota Nebraska New Hampshire New Jersey New Mexico Nevada New York Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Virginia Vermont Washington Wisconsin West Virginia Wyoming

Illustrative only. Figures reflect purchased medical covered-lives data current through approximately Q2 2025 and are shown, rounded, for demonstration — not as current or complete market data. Rankings reflect parent payer organizations; Medicare Advantage excludes fee-for-service administrative contractors. Pharmacy benefit, plan-level detail, ZIP-level geography, and full payer rankings are available in Fulcrum's complete study.

The complete study

This map is a preview. The study is the whole board.

Fulcrum's covered lives intelligence goes far beyond the top three. It's the market picture behind every payer strategy, enrollment plan, and contracting decision.

Request the full study

See the payers behind every covered life.

Fulcrum's complete covered lives study ranks all payers across every market and ZIP code, by plan type and benefit (medical and pharmacy). Tell us the markets you care about and a member of our team will get in touch to scope what you need — or book a call to walk them with us directly.

Request the covered lives study

Tell us your markets of interest. A member of our team will follow up with scope and access.

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