Medicare Advantage in Wapello County, Iowa
3,438 people in Wapello County, Iowa were enrolled in Medicare Advantage in October 2026, 43.6% of 7,883 eligible beneficiaries (−1.4 pts since October 2025). UnitedHealth Group, Inc. is the largest parent organization with 34% of reported enrollment; 6 parent organizations have 11 or more members and the HHI is 2,541 (highly concentrated). HRSA classifies the county as fully rural. For 2027, 154 members here are in plans that terminate or leave the county. MA plans offered go from 9 to 8.
Parent organizations in Wapello County
| Parent organization | Members | Change since October 2025 | Share |
|---|---|---|---|
| UnitedHealth Group, Inc. | 1,171 | −881 | 34.5% |
| CVS Health Corporation | 868 | +237 | 25.5% |
| Humana Inc. | 653 | +220 | 19.2% |
| Centene Corporation | 617 | new | 18.2% |
| Mitchell Family Office | 46 | −14 | 1.4% |
| Elevance Health, Inc. | 44 | −32 | 1.3% |
CMS suppresses county and contract counts of 10 or fewer; shares are of reported enrollment.
Value-based care alongside MA
In PY 2024, 1,959 beneficiaries in Wapello County were assigned to 29 Medicare Shared Savings Program ACOs, 56.6% of assignable Original Medicare beneficiaries. Together, roughly 76% of all Medicare beneficiaries in the county are in Medicare Advantage or an MSSP ACO. See the ACOs in the MSSP Explorer.