Medicare Advantage in Howard County, Iowa
451 people in Howard County, Iowa were enrolled in Medicare Advantage in October 2026, 18.8% of 2,403 eligible beneficiaries (−1.9 pts since October 2025). Blue Cross Blue Shield of Michigan Mutual Ins. Co. is the largest parent organization with 55% of reported enrollment; 4 parent organizations have 11 or more members and the HHI is 3,799 (highly concentrated). HRSA classifies the county as fully rural. For 2027, 302 members here are in plans that terminate or leave the county, and Blue Cross Blue Shield of Michigan Mutual Ins. Co., CVS Health Corporation leave. MA plans offered go from 16 to 7.
Parent organizations in Howard County
| Parent organization | Members | Change since October 2025 | Share |
|---|---|---|---|
| Blue Cross Blue Shield of Michigan Mutual Ins. Co. | 235 | +80 | 55.3% |
| CVS Health Corporation | 90 | −19 | 21.2% |
| UnitedHealth Group, Inc. | 62 | −89 | 14.6% |
| Humana Inc. | 38 | +11 | 8.9% |
CMS suppresses county and contract counts of 10 or fewer; shares are of reported enrollment.
Value-based care alongside MA
In PY 2024, 1,436 beneficiaries in Howard County were assigned to 12 Medicare Shared Savings Program ACOs, 87.4% of assignable Original Medicare beneficiaries. Together, roughly 90% of all Medicare beneficiaries in the county are in Medicare Advantage or an MSSP ACO. See the ACOs in the MSSP Explorer.