Medicare Advantage in Appanoose County, Iowa
1,454 people in Appanoose County, Iowa were enrolled in Medicare Advantage in October 2026, 41.8% of 3,475 eligible beneficiaries (−2.0 pts since October 2025). Trinity Health Corporation is the largest parent organization with 24% of reported enrollment; 8 parent organizations have 11 or more members and the HHI is 1,800 (moderately concentrated). HRSA classifies the county as fully rural. For 2027, 203 members here are in plans that terminate or leave the county, and Blue Cross Blue Shield of Michigan Mutual Ins. Co. leaves. MA plans offered go from 15 to 13.
Parent organizations in Appanoose County
| Parent organization | Members | Change since October 2025 | Share |
|---|---|---|---|
| Trinity Health Corporation | 337 | +222 | 23.6% |
| UnitedHealth Group, Inc. | 322 | −399 | 22.5% |
| CVS Health Corporation | 280 | −26 | 19.6% |
| Blue Cross Blue Shield of Michigan Mutual Ins. Co. | 183 | +2 | 12.8% |
| Centene Corporation | 163 | +101 | 11.4% |
| Humana Inc. | 108 | +43 | 7.6% |
| Elevance Health, Inc. | 25 | −14 | 1.7% |
| Mitchell Family Office | 12 | new | 0.8% |
CMS suppresses county and contract counts of 10 or fewer; shares are of reported enrollment.
Value-based care alongside MA
In PY 2024, 1,252 beneficiaries in Appanoose County were assigned to 20 Medicare Shared Savings Program ACOs, 74.7% of assignable Original Medicare beneficiaries. Together, roughly 85% of all Medicare beneficiaries in the county are in Medicare Advantage or an MSSP ACO. See the ACOs in the MSSP Explorer.