Medicare Advantage in Holt County, Nebraska
490 people in Holt County, Nebraska were enrolled in Medicare Advantage in October 2026, 17.6% of 2,792 eligible beneficiaries (−0.6 pts since October 2025). Medica Holding Company is the largest parent organization with 49% of reported enrollment; 4 parent organizations have 11 or more members and the HHI is 3,395 (highly concentrated). HRSA classifies the county as fully rural. For 2027, 319 members here are in plans that terminate or leave the county, and Blue Cross Blue Shield of Nebraska leaves. MA plans offered go from 15 to 8.
Parent organizations in Holt County
| Parent organization | Members | Change since October 2025 | Share |
|---|---|---|---|
| Medica Holding Company | 221 | +3 | 48.6% |
| UnitedHealth Group, Inc. | 122 | +5 | 26.8% |
| Blue Cross Blue Shield of Nebraska | 68 | +27 | 14.9% |
| CVS Health Corporation | 44 | −46 | 9.7% |
CMS suppresses county and contract counts of 10 or fewer; shares are of reported enrollment.
Value-based care alongside MA
In PY 2024, 846 beneficiaries in Holt County were assigned to 16 Medicare Shared Savings Program ACOs, 44.8% of assignable Original Medicare beneficiaries. Together, roughly 55% of all Medicare beneficiaries in the county are in Medicare Advantage or an MSSP ACO. See the ACOs in the MSSP Explorer.