Medicare Advantage in Fillmore County, Nebraska
399 people in Fillmore County, Nebraska were enrolled in Medicare Advantage in October 2026, 24.5% of 1,629 eligible beneficiaries (+0.5 pts since October 2025). Medica Holding Company is the largest parent organization with 49% of reported enrollment; 5 parent organizations have 11 or more members and the HHI is 3,239 (highly concentrated). HRSA classifies the county as fully rural. For 2027, 90 members here are in plans that terminate or leave the county, and CVS Health Corporation leaves. MA plans offered go from 28 to 18.
Parent organizations in Fillmore County
| Parent organization | Members | Change since October 2025 | Share |
|---|---|---|---|
| Medica Holding Company | 177 | +15 | 48.8% |
| UnitedHealth Group, Inc. | 90 | −19 | 24.8% |
| CVS Health Corporation | 43 | −4 | 11.8% |
| Blue Cross Blue Shield of Nebraska | 27 | +1 | 7.4% |
| Humana Inc. | 26 | +14 | 7.2% |
CMS suppresses county and contract counts of 10 or fewer; shares are of reported enrollment.
Value-based care alongside MA
In PY 2024, 742 beneficiaries in Fillmore County were assigned to 15 Medicare Shared Savings Program ACOs, 72.9% of assignable Original Medicare beneficiaries. Together, roughly 80% of all Medicare beneficiaries in the county are in Medicare Advantage or an MSSP ACO. See the ACOs in the MSSP Explorer.