Medicare Advantage in Franklin County, Iowa
485 people in Franklin County, Iowa were enrolled in Medicare Advantage in October 2026, 19.4% of 2,502 eligible beneficiaries (−0.8 pts since October 2025). UnitedHealth Group, Inc. is the largest parent organization with 25% of reported enrollment; 8 parent organizations have 11 or more members and the HHI is 1,781 (moderately concentrated). HRSA classifies the county as fully rural. For 2027, 145 members here are in plans that terminate or leave the county, and Blue Cross Blue Shield of Michigan Mutual Ins. Co., Medical Associates Clinic, P.C. leave. MA plans offered go from 23 to 21.
Parent organizations in Franklin County
| Parent organization | Members | Change since October 2025 | Share |
|---|---|---|---|
| UnitedHealth Group, Inc. | 122 | −135 | 25.4% |
| Blue Cross Blue Shield of Michigan Mutual Ins. Co. | 115 | +33 | 24.0% |
| Trinity Health Corporation | 77 | +65 | 16.0% |
| CVS Health Corporation | 63 | +28 | 13.1% |
| Centene Corporation | 39 | +18 | 8.1% |
| Medical Associates Clinic, P.C. | 30 | −5 | 6.2% |
| Humana Inc. | 20 | −4 | 4.2% |
| Elevance Health, Inc. | 14 | −9 | 2.9% |
CMS suppresses county and contract counts of 10 or fewer; shares are of reported enrollment.
Value-based care alongside MA
In PY 2024, 1,251 beneficiaries in Franklin County were assigned to 14 Medicare Shared Savings Program ACOs, 76.0% 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.