Medicare Advantage in Highlands County, Florida
22,687 people in Highlands County, Florida were enrolled in Medicare Advantage in October 2026, 60.1% of 37,722 eligible beneficiaries (+1.0 pts since October 2025). UnitedHealth Group, Inc. is the largest parent organization with 43% of reported enrollment; 10 parent organizations have 11 or more members and the HHI is 3,705 (highly concentrated). HRSA classifies the county as partly rural. For 2027, 4,514 members here are in plans that terminate or leave the county, and Health First Shared Services, Inc. leaves. MA plans offered go from 37 to 25.
Parent organizations in Highlands County
| Parent organization | Members | Change since October 2025 | Share |
|---|---|---|---|
| UnitedHealth Group, Inc. | 9,766 | −159 | 43.3% |
| Humana Inc. | 9,474 | +1,458 | 42.0% |
| CVS Health Corporation | 1,600 | −324 | 7.1% |
| Blue Cross Blue Shield of Michigan Mutual Ins. Co. | 472 | −46 | 2.1% |
| Health First Shared Services, Inc. | 457 | −24 | 2.0% |
| Guidewell Mutual Holding Corporation | 431 | −167 | 1.9% |
| Centene Corporation | 174 | −67 | 0.8% |
| Elevance Health, Inc. | 120 | −2 | 0.5% |
| Highmark Health | 29 | +2 | 0.1% |
| UMWA Health and Retirement Funds | 23 | −1 | 0.1% |
CMS suppresses county and contract counts of 10 or fewer; shares are of reported enrollment.
Value-based care alongside MA
In PY 2024, 3,419 beneficiaries in Highlands County were assigned to 187 Medicare Shared Savings Program ACOs, 27.3% of assignable Original Medicare beneficiaries. Together, roughly 71% of all Medicare beneficiaries in the county are in Medicare Advantage or an MSSP ACO. See the ACOs in the MSSP Explorer.