Medicare Advantage in Fayette County, Kentucky
30,678 people in Fayette County, Kentucky were enrolled in Medicare Advantage in October 2026, 54.5% of 56,275 eligible beneficiaries (+0.2 pts since October 2025). Humana Inc. is the largest parent organization with 59% of reported enrollment; 14 parent organizations have 11 or more members and the HHI is 3,887 (highly concentrated). For 2027, 1,122 members here are in plans that terminate or leave the county. MA plans offered go from 40 to 38.
Parent organizations in Fayette County
| Parent organization | Members | Change since October 2025 | Share |
|---|---|---|---|
| Humana Inc. | 17,929 | +7,454 | 58.6% |
| Elevance Health, Inc. | 4,611 | −2,061 | 15.1% |
| CVS Health Corporation | 3,078 | +220 | 10.1% |
| UnitedHealth Group, Inc. | 3,073 | −5,094 | 10.1% |
| Centene Corporation | 1,225 | −12 | 4.0% |
| Devoted Health, Inc. | 384 | +266 | 1.3% |
| Hospice of the Bluegrass, Inc. | 76 | +23 | 0.2% |
| Blue Cross Blue Shield of Michigan Mutual Ins. Co. | 44 | 0 | 0.1% |
| BrightSpring Health Services, Inc. | 34 | −8 | 0.1% |
| Molina Healthcare, Inc. | 30 | +10 | under 0.1% |
| UMWA Health and Retirement Funds | 30 | +1 | under 0.1% |
| Lumeris Group Holdings Corporation | 28 | −106 | under 0.1% |
| Highmark Health | 15 | −1 | under 0.1% |
| Health Care Service Corporation | 14 | new | under 0.1% |
CMS suppresses county and contract counts of 10 or fewer; shares are of reported enrollment.
Value-based care alongside MA
In PY 2024, 11,283 beneficiaries in Fayette County were assigned to 99 Medicare Shared Savings Program ACOs, 66.3% of assignable Original Medicare beneficiaries. Together, roughly 85% of all Medicare beneficiaries in the county are in Medicare Advantage or an MSSP ACO. See the ACOs in the MSSP Explorer.