Medicare Advantage in Harlan County, Kentucky
4,486 people in Harlan County, Kentucky were enrolled in Medicare Advantage in October 2026, 64.5% of 6,950 eligible beneficiaries (+1.4 pts since October 2025). Humana Inc. is the largest parent organization with 44% of reported enrollment; 7 parent organizations have 11 or more members and the HHI is 2,646 (highly concentrated). HRSA classifies the county as fully rural. For 2027, 392 members here are in plans that terminate or leave the county. MA plans offered go from 37 to 35.
Parent organizations in Harlan County
| Parent organization | Members | Change since October 2025 | Share |
|---|---|---|---|
| Humana Inc. | 1,942 | +370 | 43.5% |
| UnitedHealth Group, Inc. | 776 | −315 | 17.4% |
| Centene Corporation | 712 | +5 | 15.9% |
| Elevance Health, Inc. | 575 | −191 | 12.9% |
| UMWA Health and Retirement Funds | 178 | −17 | 4.0% |
| CVS Health Corporation | 158 | +140 | 3.5% |
| Devoted Health, Inc. | 128 | +94 | 2.9% |
CMS suppresses county and contract counts of 10 or fewer; shares are of reported enrollment.
Value-based care alongside MA
In PY 2024, 1,104 beneficiaries in Harlan County were assigned to 17 Medicare Shared Savings Program ACOs, 50.7% of assignable Original Medicare beneficiaries. Together, roughly 83% of all Medicare beneficiaries in the county are in Medicare Advantage or an MSSP ACO. See the ACOs in the MSSP Explorer.