Medicare Advantage in Fresno County, California
80,059 people in Fresno County, California were enrolled in Medicare Advantage in October 2026, 48.9% of 163,635 eligible beneficiaries (−0.1 pts since October 2025). Kaiser Foundation Health Plan, Inc. is the largest parent organization with 29% of reported enrollment; 15 parent organizations have 11 or more members and the HHI is 1,798 (moderately concentrated). HRSA classifies the county as partly rural. For 2027, 4,642 members here are in plans that terminate or leave the county, and Molina Healthcare, Inc. leaves. MA plans offered go from 21 to 19.
Parent organizations in Fresno County
| Parent organization | Members | Change since October 2025 | Share |
|---|---|---|---|
| Kaiser Foundation Health Plan, Inc. | 23,047 | +575 | 28.9% |
| Alignment Healthcare USA, LLC | 19,446 | +6,452 | 24.4% |
| Elevance Health, Inc. | 11,764 | +487 | 14.7% |
| Humana Inc. | 5,635 | +1,004 | 7.1% |
| CVS Health Corporation | 5,532 | −3,128 | 6.9% |
| UnitedHealth Group, Inc. | 4,141 | −947 | 5.2% |
| Centene Corporation | 2,629 | −3,609 | 3.3% |
| SCAN Group | 2,372 | +1,597 | 3.0% |
| Molina Healthcare, Inc. | 1,769 | −1,160 | 2.2% |
| Innovative Integrated Health, Inc. | 885 | −5 | 1.1% |
| WelbeHealth LLC. | 803 | +140 | 1.0% |
| California Physicians' Service | 746 | +66 | 0.9% |
| Imperial Health Plan of California | 653 | +263 | 0.8% |
| Champion Health Plans-USA, LLC. | 274 | +202 | 0.3% |
| Valley PACE, LLC | 125 | +70 | 0.2% |
CMS suppresses county and contract counts of 10 or fewer; shares are of reported enrollment.
Value-based care alongside MA
In PY 2024, 6,257 beneficiaries in Fresno County were assigned to 114 Medicare Shared Savings Program ACOs, 11.3% of assignable Original Medicare beneficiaries. Together, roughly 55% of all Medicare beneficiaries in the county are in Medicare Advantage or an MSSP ACO. See the ACOs in the MSSP Explorer.