Cambia Health Solutions

What Cambia Health Solutions does

Cambia Health Solutions is a nonprofit total health solutions company established in 1995 by four Blue Cross Blue Shield licensees and headquartered in Portland, Oregon. The company provides management and shared services to local Blue Cross Blue Shield plans serving members across the Pacific Northwest and Mountain West. With the BCBSND affiliation effective February 1, 2026, and a pending Arkansas Blue Cross affiliation, Cambia operates as a five-state enterprise spanning Idaho, Oregon, Utah, Washington, and North Dakota (with Arkansas pending regulatory approval). It serves approximately 3.6 million members through its Regence-branded regional health plans, Asuris Northwest Health, BridgeSpan, CHPW, Medicare Advantage products such as NextBlue of North Dakota, and Medicaid managed care. The company employs more than 4,500 people and is structured as a nonprofit entity, not publicly traded.

The company's core technology stack centers on a shared technology infrastructure for affiliated Blue plans, with investments in advanced primary care solutions, mobile and virtual primary care platforms, maternal and family health tools, and personalized member navigation tools. Subsidiary capabilities include HealthSparq (healthcare navigation), MedSavvy (prescription drug price comparison), Healthcare Management Administrators (insurance services), LifeMap, Commencement Bay Risk Management Insurance Company, and Cambia Grove (innovation). Cambia is also a founding partner and investor in Echo Health Ventures, providing a structured channel for strategic healthcare venture exposure.

Revenue is generated primarily through recurring health insurance premiums from individual, family, employer-group, Medicare Advantage, and Medicaid channels across the affiliated plans. Pricing varies by state, plan type, and coverage level and is not publicly disclosed on the company website. Distribution is via direct enterprise sales to employer groups, individual enrollment, broker/agent networks, and government program relationships, with go-to-market executed through the regional Blue plan brands and BCBS licensee affiliations. Cambia Health Foundation, the corporate philanthropic arm, has awarded more than $143 million in grants since 2007 focused on patient- and family-centered care.

Name

Cambia Health Solutions

Legal name

Cambia Health Solutions, Inc.

Website

http://www.cambiahealth.com

Company type

Private

Founded year

1996

Operating status

Operating

Headcount range

1,001–5,000 employees

Ownership category

akta.pro rank

Product category

Health Insurance

NAICS

Health Care and Social Assistance (62), Social Assistance (624)

SIC

Accident & Health Insurance (6321), Services-Health Services (8000), Insurance Agents, Brokers & Service (6411)

akta.pro primary industry

Public Health & Health Equity Organizations (BPAGACAL)

Keywords

• Health insurance plans
• Medicare Advantage coverage
• Employer group benefits
• Healthcare technology solutions
• Pharmacy benefit management

Headquarters

HQ city

Portland

HQ country

United States

HQ region

North America

Offices2 records

Markets served

GTM type

B2B and B2C

Offering type

Services

Cost components

Personnel, Operations, Technology or R&D, Marketing or Sales, Infrastructure, Others

Revenue model

1. Health Insurance Premiums: Revenue generated from insurance premiums paid by individuals, employers, and government programs for health coverage through Cambia's regional health plans and affiliated Blue Cross Blue Shield organizations.
2. Government Healthcare Programs: Revenue from Medicare Advantage and other government-sponsored healthcare programs including Medicaid solutions, as evidenced by BCBSND's Medicare Advantage offering through NextBlue of North Dakota.

Pricing tiers

Go-to-market motion2 records

Distribution channels4 records

Marketing channels5 records

Core offering

Cambia Health Solutions is a nonprofit health solutions company that provides management, shared services, and a common technology infrastructure for regional Blue Cross Blue Shield health plans. Its core offerings include commercial and government health insurance products (individual, family, employer group, Medicare Advantage, and Medicaid) distributed through the Regence brand in four states and affiliated Blue plans in additional states.

Product overview

Cambia Health Solutions is a nonprofit health solutions company established in 1995 that provides management and shared services for local Blue Cross Blue Shield plans across the Pacific Northwest and Mountain West. The company operates primarily as a health insurance provider through its regional health plan brands including Regence Health Plans (serving Idaho, Oregon, Utah, and Washington) and Asuris Northwest Health. Following the 2026 affiliation with Blue Cross Blue Shield of North Dakota (effective February 1, 2026), Cambia expanded to a five-state enterprise. The company also includes Cambia Health Foundation for philanthropic initiatives. Cambia's offerings center on health insurance products, Medicare Advantage plans (such as NextBlue of North Dakota), and health care technology solutions aimed at making care more accessible and affordable.

Differentiator

Problem solved

Functional benefit

Brands

• Regence: Regional health plans serving members in Idaho, Oregon, Utah, and Washington
• BridgeSpan
• Asuris Northwest Health
• Cambia Grove
• Cambia Health Foundation

Products and services

• Regence Health Plans Regional health insurance plans offered across Idaho, Oregon, Utah, and Washington, providing commercial, individual, family, and employer group coverage to millions of members under the Blue Cross Blue Shield brand.
• Asuris Northwest Health Regional health plan brand operating in the Pacific Northwest, offering commercial health insurance products to individuals and employer groups in Washington state.
• BridgeSpan Health Cambia health plan subsidiary offering individual and family health insurance products under the BridgeSpan brand in select markets.
• NextBlue of North Dakota Medicare Advantage plan offered by affiliated Blue Cross Blue Shield of North Dakota providing federal Medicare health and prescription drug coverage for seniors in North Dakota.
• HealthSparq Health care navigation platform offered as a Cambia subsidiary, providing tools that help members compare provider costs, quality, and treatment options.
• MedSavvy Prescription drug price comparison tool offered as a Cambia subsidiary, helping members evaluate medication costs and therapeutic alternatives.
• Employer Group Health Plans Group health insurance products offered to employers and groups through Cambia's regional health plan brands, providing employee benefits coverage and administrative services.
• Medicare Advantage Plans Medicare Advantage health plan products including NextBlue of North Dakota and other Medicare offerings across Cambia's affiliated Blue plans, providing integrated medical and pharmacy benefits for Medicare-eligible seniors.

Quantifiable outcome

• Reaches millions of Americans nationwide including 3.6+ million people served by regional health plans
• +2 more outcomes

Named customers2 records

Segments5 records

Ideal customer profiles4 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature3 records

Partnerships

Two partnerships are on record, tiered core.

• Arkansas Blue Cross and Blue ShieldcoreStrategic or Co-development Partner · 6 November 2025Strategic affiliation agreement between Cambia Health Solutions and Arkansas Blue Cross and Blue Shield. Partnership aims to address rising healthcare costs and expand ability to innovate and grow while maintaining independence and existing coverage for policyholders. The collaboration involves sharing operations and technology platforms while maintaining individual local assets and identities. Subject to regulatory approval in Arkansas expected in 2026.
• Blue Cross Blue Shield of North DakotacoreStrategic or Co-development Partner · 21 August 2025Strategic affiliation between Cambia Health Solutions and Blue Cross Blue Shield of North Dakota (BCBSND). The affiliation unifies all operations and enables organizations to share best practices for local plan innovation and services, deliver personalized member experiences, and leverage Cambia's technology infrastructure. BCBSND maintains its local plan name, board of directors, and mutual status. Affiliation took effect February 1, 2026, making Cambia a five-state enterprise.

Scale indicators6 records

Recent moves9 records

Expansion highlights6 records

Direct peers

• Blue Shield of California: Blue Shield of California is a nonprofit BCBS licensee covering 4M+ Californians with commercial, Medicare, and Medi-Cal plans — a structural twin to Cambia in nonprofit, multi-state BCBS strategy and member scale.
• Premera Blue Cross: Premera Blue Cross is a nonprofit BCBS licensee serving Washington, Alaska, and Oregon with commercial, Medicare Advantage, and ASO group products — directly overlapping Cambia's Regence footprint and customer mix in the Pacific Northwest.
• Health Care Service Corp (HCSC): HCSC is a mutual, customer-owned BCBS licensee operating plans across five states (TX, IL, MT, NM, OK), analogous to Cambia in license structure and multi-state BCBS scale, with similar member-services ambitions.
• Highmark Inc. Highmark is a BCBS licensee operating commercial, Medicare, and integrated Blue plans across Pennsylvania, West Virginia, Delaware, and New York — comparable to Cambia as a multi-state BCBS-aligned diversified health enterprise pursuing regional roll-ups.
• PacificSource Health Plans: PacificSource is a regional nonprofit health plan serving Oregon, Idaho, Montana, and Washington with commercial, Medicare, and Medicaid lines — directly competing with Cambia's Regence plans across the Pacific Northwest.
• Moda Health: Moda Health is an Oregon-headquartered nonprofit health plan operating in the Pacific Northwest and Alaska with commercial and Medicare Advantage products, creating direct competitive overlap with Regence's commercial book in Oregon and Washington.

Broad incumbents

• Kaiser Permanente: Kaiser Permanente is the largest integrated nonprofit health system-insurer in the U.S., with closed-network care delivery, large Medicare Advantage membership, and industry-leading value-based care capabilities — a broader nonprofit comparable anchoring the segment Cambia aspires to scale into.
• Elevance Health (Anthem): Elevance Health operates Blue Cross Blue Shield licensees across 14 states plus national Anthem brands, scaling technology and care delivery across markets — a broad incumbent whose national infrastructure Cambia's shared-services model aims to emulate within its affiliated footprint.
• UnitedHealth Group: UnitedHealth Group combines UnitedHealthcare insurance with Optum health-services and is the dominant national payer — relevant as the scale competitor Cambia must compete against in employer RFPs, value-based-care contracting, and technology infrastructure investment.

Regional players

• Humana Inc. Humana is a major Medicare Advantage-focused insurer whose senior-care and Stars-rating programs overlap directly with Cambia's NextBlue and growing Medicare line — relevant comparable for government-program product strategy rather than commercial-segment competition.

Market position

Strengths5 records

Weaknesses4 records

Competitive moat5 records

Key risks5 records

Key highlights7 records

Customer concentration

• LinkedInlinkedin.com/company/cambia-health-solutions
• Xx.com/CambiaHealthFdn
• Facebookfacebook.com/cambiahealthsolutions

Compliance5 records

Revenue estimate

Valuation estimate

Number of profiles

Profiles14 records

Subsidiaries11 records

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments27 records

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about Cambia Health Solutions