Medicare Advantage in Harlan County, Nebraska
205 people in Harlan County, Nebraska were enrolled in Medicare Advantage in October 2026, 21.7% of 946 eligible beneficiaries (+0.6 pts since October 2025). Blue Cross Blue Shield of Nebraska is the largest parent organization with 33% of reported enrollment; 5 parent organizations have 11 or more members and the HHI is 2,352 (highly concentrated). HRSA classifies the county as fully rural. For 2027, 70 members here are in plans that terminate or leave the county. MA plans offered go from 18 to 11.
Parent organizations in Harlan County
| Parent organization | Members | Change since October 2025 | Share |
|---|---|---|---|
| Blue Cross Blue Shield of Nebraska | 50 | +6 | 33.1% |
| Medica Holding Company | 39 | −5 | 25.8% |
| Centene Corporation | 26 | −1 | 17.2% |
| UnitedHealth Group, Inc. | 21 | +8 | 13.9% |
| CVS Health Corporation | 15 | −21 | 9.9% |
CMS suppresses county and contract counts of 10 or fewer; shares are of reported enrollment.
Value-based care alongside MA
In PY 2024, 36 beneficiaries in Harlan County were assigned to 8 Medicare Shared Savings Program ACOs, 6.2% of assignable Original Medicare beneficiaries. Together, roughly 26% of all Medicare beneficiaries in the county are in Medicare Advantage or an MSSP ACO. See the ACOs in the MSSP Explorer.