Medicare Advantage in Caldwell County, Kentucky
1,667 people in Caldwell County, Kentucky were enrolled in Medicare Advantage in October 2026, 50.4% of 3,306 eligible beneficiaries (+0.5 pts since October 2025). Humana Inc. is the largest parent organization with 63% of reported enrollment; 5 parent organizations have 11 or more members and the HHI is 4,451 (highly concentrated). HRSA classifies the county as fully rural. For 2027, 277 members here are in plans that terminate or leave the county. MA plans offered go from 24 to 22.
Parent organizations in Caldwell County
| Parent organization | Members | Change since October 2025 | Share |
|---|---|---|---|
| Humana Inc. | 1,045 | +285 | 63.3% |
| UnitedHealth Group, Inc. | 238 | −170 | 14.4% |
| Elevance Health, Inc. | 186 | −96 | 11.3% |
| Centene Corporation | 168 | −8 | 10.2% |
| UMWA Health and Retirement Funds | 13 | −1 | 0.8% |
CMS suppresses county and contract counts of 10 or fewer; shares are of reported enrollment.
Value-based care alongside MA
In PY 2024, 408 beneficiaries in Caldwell County were assigned to 17 Medicare Shared Savings Program ACOs, 28.9% of assignable Original Medicare beneficiaries. Together, roughly 65% of all Medicare beneficiaries in the county are in Medicare Advantage or an MSSP ACO. See the ACOs in the MSSP Explorer.