Medicare Advantage in Adams County, Nebraska
2,270 people in Adams County, Nebraska were enrolled in Medicare Advantage in October 2026, 31.4% of 7,239 eligible beneficiaries (−0.9 pts since October 2025). UnitedHealth Group, Inc. is the largest parent organization with 39% of reported enrollment; 8 parent organizations have 11 or more members and the HHI is 2,637 (highly concentrated). HRSA classifies the county as fully rural. For 2027, 1,224 members here are in plans that terminate or leave the county, and Molina Healthcare, Inc. leaves. MA plans offered go from 19 to 21.
Parent organizations in Adams County
| Parent organization | Members | Change since October 2025 | Share |
|---|---|---|---|
| UnitedHealth Group, Inc. | 870 | −59 | 38.7% |
| Blue Cross Blue Shield of Nebraska | 615 | +164 | 27.4% |
| Medica Holding Company | 372 | −83 | 16.6% |
| Centene Corporation | 191 | +107 | 8.5% |
| Devoted Health, Inc. | 142 | new | 6.3% |
| Sanford Health | 23 | −3 | 1.0% |
| CVS Health Corporation | 19 | −317 | 0.8% |
| Molina Healthcare, Inc. | 15 | new | 0.7% |
CMS suppresses county and contract counts of 10 or fewer; shares are of reported enrollment.
Value-based care alongside MA
In PY 2024, 1,738 beneficiaries in Adams County were assigned to 21 Medicare Shared Savings Program ACOs, 46.2% of assignable Original Medicare beneficiaries. Together, roughly 63% of all Medicare beneficiaries in the county are in Medicare Advantage or an MSSP ACO. See the ACOs in the MSSP Explorer.