Medicare Advantage in Dakota County, Nebraska
1,630 people in Dakota County, Nebraska were enrolled in Medicare Advantage in October 2026, 43.3% of 3,767 eligible beneficiaries (−1.0 pts since October 2025). CVS Health Corporation is the largest parent organization with 63% of reported enrollment; 4 parent organizations have 11 or more members and the HHI is 4,622 (highly concentrated). For 2027, 88 members here are in plans that terminate or leave the county. MA plans offered go from 10 to 14.
Parent organizations in Dakota County
| Parent organization | Members | Change since October 2025 | Share |
|---|---|---|---|
| CVS Health Corporation | 1,009 | +193 | 62.6% |
| Humana Inc. | 368 | +86 | 22.8% |
| UnitedHealth Group, Inc. | 217 | −289 | 13.5% |
| Sanford Health | 18 | +6 | 1.1% |
CMS suppresses county and contract counts of 10 or fewer; shares are of reported enrollment.
Value-based care alongside MA
In PY 2024, 1,079 beneficiaries in Dakota County were assigned to 18 Medicare Shared Savings Program ACOs, 77.5% of assignable Original Medicare beneficiaries. Together, roughly 87% of all Medicare beneficiaries in the county are in Medicare Advantage or an MSSP ACO. See the ACOs in the MSSP Explorer.