Medicare Advantage in Spalding County, Georgia
10,702 people in Spalding County, Georgia were enrolled in Medicare Advantage in October 2026, 62.9% of 17,017 eligible beneficiaries (+0.9 pts since October 2025). UnitedHealth Group, Inc. is the largest parent organization with 32% of reported enrollment; 13 parent organizations have 11 or more members and the HHI is 2,250 (highly concentrated). HRSA classifies the county as partly rural. For 2027, 538 members here are in plans that terminate or leave the county, and CareSource leaves. MA plans offered go from 53 to 47.
Parent organizations in Spalding County
| Parent organization | Members | Change since October 2025 | Share |
|---|---|---|---|
| UnitedHealth Group, Inc. | 3,425 | −237 | 32.1% |
| Humana Inc. | 2,985 | +665 | 28.0% |
| CVS Health Corporation | 1,927 | −94 | 18.1% |
| Elevance Health, Inc. | 916 | −135 | 8.6% |
| Devoted Health, Inc. | 384 | +276 | 3.6% |
| Centene Corporation | 326 | −40 | 3.1% |
| Kaiser Foundation Health Plan, Inc. | 285 | +19 | 2.7% |
| Health Care Service Corporation | 242 | −86 | 2.3% |
| Clover Health Holdings, Inc. | 90 | +55 | 0.8% |
| UNICO Services, Inc. | 39 | +5 | 0.4% |
| Mitchell Family Office | 22 | +5 | 0.2% |
| CareSource | 13 | new | 0.1% |
| Blue Cross Blue Shield of Michigan Mutual Ins. Co. | 12 | −2 | 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, 1,982 beneficiaries in Spalding County were assigned to 46 Medicare Shared Savings Program ACOs, 43.6% of assignable Original Medicare beneficiaries. Together, roughly 79% of all Medicare beneficiaries in the county are in Medicare Advantage or an MSSP ACO. See the ACOs in the MSSP Explorer.