Medicare Advantage in Palo Alto County, Iowa
344 people in Palo Alto County, Iowa were enrolled in Medicare Advantage in October 2026, 14.7% of 2,344 eligible beneficiaries (−2.4 pts since October 2025). Blue Cross Blue Shield of Michigan Mutual Ins. Co. is the largest parent organization with 42% of reported enrollment; 4 parent organizations have 11 or more members and the HHI is 2,880 (highly concentrated). HRSA classifies the county as fully rural. For 2027, 133 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 12 to 10.
Parent organizations in Palo Alto County
| Parent organization | Members | Change since October 2025 | Share |
|---|---|---|---|
| Blue Cross Blue Shield of Michigan Mutual Ins. Co. | 136 | +44 | 41.8% |
| UnitedHealth Group, Inc. | 65 | −69 | 20.0% |
| Humana Inc. | 64 | +20 | 19.7% |
| Elevance Health, Inc. | 60 | −1 | 18.5% |
CMS suppresses county and contract counts of 10 or fewer; shares are of reported enrollment.
Value-based care alongside MA
In PY 2024, 1,450 beneficiaries in Palo Alto County were assigned to 9 Medicare Shared Savings Program ACOs, 89.9% of assignable Original Medicare beneficiaries. Together, roughly 91% of all Medicare beneficiaries in the county are in Medicare Advantage or an MSSP ACO. See the ACOs in the MSSP Explorer.