Medicare Advantage in Keith County, Nebraska
337 people in Keith County, Nebraska were enrolled in Medicare Advantage in October 2026, 14.1% of 2,392 eligible beneficiaries (−3.3 pts since October 2025). Blue Cross Blue Shield of Nebraska is the largest parent organization with 66% of reported enrollment; 3 parent organizations have 11 or more members and the HHI is 5,297 (highly concentrated). HRSA classifies the county as fully rural. For 2027, 116 members here are in plans that terminate or leave the county. MA plans offered go from 4 to 3.
Parent organizations in Keith County
| Parent organization | Members | Change since October 2025 | Share |
|---|---|---|---|
| Blue Cross Blue Shield of Nebraska | 204 | +33 | 66.0% |
| UnitedHealth Group, Inc. | 94 | +7 | 30.4% |
| Centene Corporation | 11 | −112 | 3.6% |
CMS suppresses county and contract counts of 10 or fewer; shares are of reported enrollment.
Value-based care alongside MA
In PY 2024, 156 beneficiaries in Keith County were assigned to 14 Medicare Shared Savings Program ACOs, 10.7% of assignable Original Medicare beneficiaries. Together, roughly 23% of all Medicare beneficiaries in the county are in Medicare Advantage or an MSSP ACO. See the ACOs in the MSSP Explorer.