Medicare Advantage in Fayette County, Iowa
1,737 people in Fayette County, Iowa were enrolled in Medicare Advantage in October 2026, 32.3% of 5,378 eligible beneficiaries (+0.3 pts since October 2025). UnitedHealth Group, Inc. is the largest parent organization with 34% of reported enrollment; 9 parent organizations have 11 or more members and the HHI is 2,517 (highly concentrated). HRSA classifies the county as fully rural. For 2027, 334 members here are in plans that terminate or leave the county, and Blue Cross Blue Shield of Michigan Mutual Ins. Co., Centene Corporation, Molina Healthcare, Inc. leave. MA plans offered go from 28 to 29.
Parent organizations in Fayette County
| Parent organization | Members | Change since October 2025 | Share |
|---|---|---|---|
| UnitedHealth Group, Inc. | 576 | −265 | 33.7% |
| CVS Health Corporation | 569 | +194 | 33.3% |
| Blue Cross Blue Shield of Michigan Mutual Ins. Co. | 235 | +2 | 13.7% |
| Humana Inc. | 112 | +23 | 6.5% |
| Centene Corporation | 94 | +49 | 5.5% |
| Trinity Health Corporation | 47 | +26 | 2.7% |
| Elevance Health, Inc. | 43 | −12 | 2.5% |
| University of Wisconsin Hospitals and Clincs Autho | 21 | −2 | 1.2% |
| Molina Healthcare, Inc. | 14 | 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, 2,297 beneficiaries in Fayette County were assigned to 25 Medicare Shared Savings Program ACOs, 79.2% of assignable Original Medicare beneficiaries. Together, roughly 86% of all Medicare beneficiaries in the county are in Medicare Advantage or an MSSP ACO. See the ACOs in the MSSP Explorer.