Medicare Advantage in Butler County, Nebraska
506 people in Butler County, Nebraska were enrolled in Medicare Advantage in October 2026, 25.1% of 2,016 eligible beneficiaries (−1.0 pts since October 2025). UnitedHealth Group, Inc. is the largest parent organization with 26% of reported enrollment; 8 parent organizations have 11 or more members and the HHI is 1,935 (highly concentrated). HRSA classifies the county as fully rural. For 2027, 313 members here are in plans that terminate or leave the county, and Blue Cross Blue Shield of Nebraska, Medica Holding Company leave. MA plans offered go from 28 to 14.
Parent organizations in Butler County
| Parent organization | Members | Change since October 2025 | Share |
|---|---|---|---|
| UnitedHealth Group, Inc. | 130 | −29 | 26.3% |
| Blue Cross Blue Shield of Nebraska | 126 | +27 | 25.5% |
| Medica Holding Company | 85 | −4 | 17.2% |
| CVS Health Corporation | 74 | −1 | 15.0% |
| Humana Inc. | 30 | +9 | 6.1% |
| Highmark Health | 20 | −1 | 4.0% |
| Centene Corporation | 18 | new | 3.6% |
| Sanford Health | 11 | new | 2.2% |
CMS suppresses county and contract counts of 10 or fewer; shares are of reported enrollment.
Value-based care alongside MA
In PY 2024, 851 beneficiaries in Butler County were assigned to 14 Medicare Shared Savings Program ACOs, 72.3% of assignable Original Medicare beneficiaries. Together, roughly 79% of all Medicare beneficiaries in the county are in Medicare Advantage or an MSSP ACO. See the ACOs in the MSSP Explorer.