Medicare Advantage in St. Louis County, Minnesota
33,887 people in St. Louis County, Minnesota were enrolled in Medicare Advantage in October 2026, 64.7% of 52,383 eligible beneficiaries (−5.1 pts since October 2025). Medica Holding Company is the largest parent organization with 44% of reported enrollment; 8 parent organizations have 11 or more members and the HHI is 3,476 (highly concentrated). HRSA classifies the county as partly rural. For 2027, 827 members here are in plans that terminate or leave the county. MA plans offered go from 18 to 16.
Parent organizations in St. Louis County
| Parent organization | Members | Change since October 2025 | Share |
|---|---|---|---|
| Medica Holding Company | 14,734 | +8,549 | 43.6% |
| Aware Integrated, Inc. | 12,681 | −1,217 | 37.5% |
| UnitedHealth Group, Inc. | 4,141 | +1,209 | 12.2% |
| Elevance Health, Inc. | 1,351 | +15 | 4.0% |
| CVS Health Corporation | 776 | −654 | 2.3% |
| Humana Inc. | 68 | −1,226 | 0.2% |
| HealthPartners, Inc. | 40 | −400 | 0.1% |
| Blue Cross Blue Shield of Michigan Mutual Ins. Co. | 27 | −1 | 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, 6,756 beneficiaries in St. Louis County were assigned to 62 Medicare Shared Savings Program ACOs, 65.0% of assignable Original Medicare beneficiaries. Together, roughly 88% of all Medicare beneficiaries in the county are in Medicare Advantage or an MSSP ACO. See the ACOs in the MSSP Explorer.