Medicare Advantage in Howard County, Nebraska
499 people in Howard County, Nebraska were enrolled in Medicare Advantage in October 2026, 30.4% of 1,640 eligible beneficiaries (−0.4 pts since October 2025). UnitedHealth Group, Inc. is the largest parent organization with 29% of reported enrollment; 7 parent organizations have 11 or more members and the HHI is 2,218 (highly concentrated). HRSA classifies the county as fully rural. For 2027, 310 members here are in plans that terminate or leave the county, and CVS Health Corporation leaves. MA plans offered go from 26 to 14.
Parent organizations in Howard County
| Parent organization | Members | Change since October 2025 | Share |
|---|---|---|---|
| UnitedHealth Group, Inc. | 136 | −35 | 28.9% |
| Medica Holding Company | 118 | −12 | 25.1% |
| Blue Cross Blue Shield of Nebraska | 116 | +18 | 24.7% |
| CVS Health Corporation | 43 | +1 | 9.1% |
| Devoted Health, Inc. | 30 | new | 6.4% |
| Sanford Health | 14 | −2 | 3.0% |
| Centene Corporation | 13 | 0 | 2.8% |
CMS suppresses county and contract counts of 10 or fewer; shares are of reported enrollment.
Value-based care alongside MA
In PY 2024, 766 beneficiaries in Howard County were assigned to 8 Medicare Shared Savings Program ACOs, 86.8% of assignable Original Medicare beneficiaries. Together, roughly 91% of all Medicare beneficiaries in the county are in Medicare Advantage or an MSSP ACO. See the ACOs in the MSSP Explorer.