Medicare Advantage in Prince George's County, Maryland
48,984 people in Prince George's County, Maryland were enrolled in Medicare Advantage in October 2026, 30.9% of 158,730 eligible beneficiaries (−1.3 pts since October 2025). Kaiser Foundation Health Plan, Inc. is the largest parent organization with 49% of reported enrollment; 13 parent organizations have 11 or more members and the HHI is 3,163 (highly concentrated). For 2027, 1,718 members here are in plans that terminate or leave the county, and SNP Holdings, LLC leaves. MA plans offered go from 20 to 15.
Parent organizations in Prince George's County
| Parent organization | Members | Change since October 2025 | Share |
|---|---|---|---|
| Kaiser Foundation Health Plan, Inc. | 23,888 | +1,241 | 49.1% |
| Humana Inc. | 9,879 | +5,734 | 20.3% |
| CareFirst, Inc. | 7,294 | +4,420 | 15.0% |
| UnitedHealth Group, Inc. | 4,920 | −12,296 | 10.1% |
| CVS Health Corporation | 1,870 | +60 | 3.8% |
| LifeBridge Health, Inc. | 545 | +396 | 1.1% |
| SNP Holdings, LLC | 116 | −37 | 0.2% |
| Volunteers of America National Services | 50 | new | 0.1% |
| Elevance Health, Inc. | 33 | +1 | under 0.1% |
| Blue Cross Blue Shield of Michigan Mutual Ins. Co. | 32 | +1 | under 0.1% |
| ISNP Holdings, LLC | 21 | new | under 0.1% |
| Health Care Service Corporation | 15 | −12 | under 0.1% |
| Highmark Health | 12 | 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, 11,466 beneficiaries in Prince George's County were assigned to 177 Medicare Shared Savings Program ACOs, 18.4% of assignable Original Medicare beneficiaries. Together, roughly 44% of all Medicare beneficiaries in the county are in Medicare Advantage or an MSSP ACO. See the ACOs in the MSSP Explorer.