Medicare Advantage in Mitchell County, Iowa
488 people in Mitchell County, Iowa were enrolled in Medicare Advantage in October 2026, 17.9% of 2,730 eligible beneficiaries (−1.7 pts since October 2025). Blue Cross Blue Shield of Michigan Mutual Ins. Co. is the largest parent organization with 63% of reported enrollment; 7 parent organizations have 11 or more members and the HHI is 4,330 (highly concentrated). HRSA classifies the county as fully rural. For 2027, 307 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 21 to 10.
Parent organizations in Mitchell County
| Parent organization | Members | Change since October 2025 | Share |
|---|---|---|---|
| Blue Cross Blue Shield of Michigan Mutual Ins. Co. | 286 | +30 | 63.0% |
| Trinity Health Corporation | 74 | new | 16.3% |
| Medical Associates Clinic, P.C. | 26 | +1 | 5.7% |
| Humana Inc. | 25 | 0 | 5.5% |
| Centene Corporation | 20 | new | 4.4% |
| UnitedHealth Group, Inc. | 12 | −152 | 2.6% |
| CVS Health Corporation | 11 | new | 2.4% |
CMS suppresses county and contract counts of 10 or fewer; shares are of reported enrollment.
Value-based care alongside MA
In PY 2024, 1,823 beneficiaries in Mitchell County were assigned to 10 Medicare Shared Savings Program ACOs, 93.8% of assignable Original Medicare beneficiaries. Together, roughly 95% of all Medicare beneficiaries in the county are in Medicare Advantage or an MSSP ACO. See the ACOs in the MSSP Explorer.