Medicare Advantage in Franklin County, Nebraska
240 people in Franklin County, Nebraska were enrolled in Medicare Advantage in October 2026, 28.0% of 858 eligible beneficiaries (+1.2 pts since October 2025). Blue Cross Blue Shield of Nebraska is the largest parent organization with 27% of reported enrollment; 5 parent organizations have 11 or more members and the HHI is 2,249 (highly concentrated). HRSA classifies the county as fully rural. For 2027, 120 members here are in plans that terminate or leave the county, and CVS Health Corporation leaves. MA plans offered go from 22 to 12.
Parent organizations in Franklin County
| Parent organization | Members | Change since October 2025 | Share |
|---|---|---|---|
| Blue Cross Blue Shield of Nebraska | 56 | +15 | 26.9% |
| UnitedHealth Group, Inc. | 51 | −6 | 24.5% |
| Medica Holding Company | 49 | −9 | 23.6% |
| CVS Health Corporation | 37 | +21 | 17.8% |
| Centene Corporation | 15 | +1 | 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, 145 beneficiaries in Franklin County were assigned to 12 Medicare Shared Savings Program ACOs, 28.0% of assignable Original Medicare beneficiaries. Together, roughly 48% of all Medicare beneficiaries in the county are in Medicare Advantage or an MSSP ACO. See the ACOs in the MSSP Explorer.