Medicare Advantage in St. Francois County, Missouri
9,622 people in St. Francois County, Missouri were enrolled in Medicare Advantage in October 2026, 57.2% of 16,836 eligible beneficiaries (+1.4 pts since October 2025). UnitedHealth Group, Inc. is the largest parent organization with 52% of reported enrollment; 7 parent organizations have 11 or more members and the HHI is 3,872 (highly concentrated). HRSA classifies the county as fully rural. For 2027, 220 members here are in plans that terminate or leave the county. MA plans offered go from 28 to 28.
Parent organizations in St. Francois County
| Parent organization | Members | Change since October 2025 | Share |
|---|---|---|---|
| UnitedHealth Group, Inc. | 4,991 | +493 | 52.0% |
| Humana Inc. | 3,130 | +826 | 32.6% |
| CVS Health Corporation | 893 | +30 | 9.3% |
| Elevance Health, Inc. | 274 | −959 | 2.9% |
| Blue Cross Blue Shield of Michigan Mutual Ins. Co. | 244 | −10 | 2.5% |
| Rifkin Managed Care Holding, LLC | 49 | +1 | 0.5% |
| Lumeris Group Holdings Corporation | 13 | new | 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, 3,434 beneficiaries in St. Francois County were assigned to 38 Medicare Shared Savings Program ACOs, 60.3% 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.