Medicare Advantage in Dickinson County, Iowa
1,122 people in Dickinson County, Iowa were enrolled in Medicare Advantage in October 2026, 18.8% of 5,963 eligible beneficiaries (−0.9 pts since October 2025). Blue Cross Blue Shield of Michigan Mutual Ins. Co. is the largest parent organization with 48% of reported enrollment; 7 parent organizations have 11 or more members and the HHI is 3,111 (highly concentrated). HRSA classifies the county as fully rural. For 2027, 524 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 20 to 19.
Parent organizations in Dickinson County
| Parent organization | Members | Change since October 2025 | Share |
|---|---|---|---|
| Blue Cross Blue Shield of Michigan Mutual Ins. Co. | 534 | +264 | 48.5% |
| UnitedHealth Group, Inc. | 244 | −56 | 22.2% |
| CVS Health Corporation | 155 | −234 | 14.1% |
| Humana Inc. | 65 | +10 | 5.9% |
| Medica Holding Company | 54 | +14 | 4.9% |
| Elevance Health, Inc. | 27 | −20 | 2.5% |
| Mitchell Family Office | 22 | −4 | 2.0% |
CMS suppresses county and contract counts of 10 or fewer; shares are of reported enrollment.
Value-based care alongside MA
In PY 2024, 2,928 beneficiaries in Dickinson County were assigned to 38 Medicare Shared Savings Program ACOs, 76.5% of assignable Original Medicare beneficiaries. Together, roughly 81% of all Medicare beneficiaries in the county are in Medicare Advantage or an MSSP ACO. See the ACOs in the MSSP Explorer.