Medicare Advantage in Kossuth County, Iowa
733 people in Kossuth County, Iowa were enrolled in Medicare Advantage in October 2026, 16.8% of 4,373 eligible beneficiaries (−1.6 pts since October 2025). UnitedHealth Group, Inc. is the largest parent organization with 27% of reported enrollment; 7 parent organizations have 11 or more members and the HHI is 1,878 (highly concentrated). HRSA classifies the county as fully rural. For 2027, 161 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 18 to 25.
Parent organizations in Kossuth County
| Parent organization | Members | Change since October 2025 | Share |
|---|---|---|---|
| UnitedHealth Group, Inc. | 192 | −133 | 26.9% |
| Blue Cross Blue Shield of Michigan Mutual Ins. Co. | 168 | +16 | 23.5% |
| Trinity Health Corporation | 110 | +57 | 15.4% |
| Centene Corporation | 104 | +52 | 14.5% |
| Medical Associates Clinic, P.C. | 73 | 0 | 10.2% |
| Humana Inc. | 47 | −7 | 6.6% |
| Elevance Health, Inc. | 21 | −22 | 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, 2,543 beneficiaries in Kossuth County were assigned to 22 Medicare Shared Savings Program ACOs, 86.2% of assignable Original Medicare beneficiaries. Together, roughly 89% of all Medicare beneficiaries in the county are in Medicare Advantage or an MSSP ACO. See the ACOs in the MSSP Explorer.