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Goldman Sachs

May 22, 2026

Americas Managed Care: Providence Health Plan Market Exit

Sector ReportEquitiesMacro Economic IndicatorsHealth Care

Providence Health Plan's decision to exit multiple insurance markets in 2027 reflects intensifying pressure on regional carriers and validates Goldman Sachs' thesis on the government underwriting cycle's capacity reduction phase.

Key Takeaways

  • 1.Providence Health Plan is exiting most health insurance operations (ACA, Commercial Group, Government lines) starting in 2027.
  • 2.Providence's exit stems from financial pressure, specifically a $102 million net loss in 2025 and an inability for regional plans to compete with national scale.
  • 3.This development confirms the 'capacity reduction phase' of the Government-sponsored underwriting cycle, paving the way for eventual recovery.

Table of Contents

  • Americas Managed Care: Government Underwriting Cycle's Capacity Reduction Phase Continues as Providence to Exit Health Plan Market
  • Updating Our Ongoing Tally of Carrier Exits from Government End Markets
  • Disclosure Appendix

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Authors

Scott FidelSarah ConradSam BeckerValentine Vlasov

Securities

Providence Health PlanCVSCIMOHELV

Themes

Underwriting Cycle InflectionCapacity Reduction and ConsolidationPricing Power vs. Scale

Regions

North AmericaUnited States