Medicare Advantage in Des Moines County, Iowa
3,184 people in Des Moines County, Iowa were enrolled in Medicare Advantage in October 2026, 31.3% of 10,180 eligible beneficiaries (−1.0 pts since October 2025). UnitedHealth Group, Inc. is the largest parent organization with 33% of reported enrollment; 7 parent organizations have 11 or more members and the HHI is 2,562 (highly concentrated). HRSA classifies the county as fully rural. For 2027, 543 members here are in plans that terminate or leave the county, and Blue Cross Blue Shield of Michigan Mutual Ins. Co., CVS Health Corporation, Molina Healthcare, Inc. leave. MA plans offered go from 18 to 9.
Parent organizations in Des Moines County
| Parent organization | Members | Change since October 2025 | Share |
|---|---|---|---|
| UnitedHealth Group, Inc. | 1,040 | −1,004 | 33.0% |
| Humana Inc. | 930 | +330 | 29.5% |
| Centene Corporation | 664 | +539 | 21.0% |
| Blue Cross Blue Shield of Michigan Mutual Ins. Co. | 392 | +44 | 12.4% |
| CVS Health Corporation | 102 | +28 | 3.2% |
| Elevance Health, Inc. | 17 | −9 | 0.5% |
| Molina Healthcare, Inc. | 11 | new | 0.3% |
CMS suppresses county and contract counts of 10 or fewer; shares are of reported enrollment.
Value-based care alongside MA
In PY 2024, 451 beneficiaries in Des Moines County were assigned to 36 Medicare Shared Savings Program ACOs, 8.1% of assignable Original Medicare beneficiaries. Together, roughly 37% of all Medicare beneficiaries in the county are in Medicare Advantage or an MSSP ACO. See the ACOs in the MSSP Explorer.