Medicare Advantage in Lancaster County, Nebraska
21,196 people in Lancaster County, Nebraska were enrolled in Medicare Advantage in October 2026, 34.9% of 60,707 eligible beneficiaries (−0.1 pts since October 2025). UnitedHealth Group, Inc. is the largest parent organization with 40% of reported enrollment; 12 parent organizations have 11 or more members and the HHI is 2,559 (highly concentrated). For 2027, 4,889 members here are in plans that terminate or leave the county, and Medica Holding Company, Molina Healthcare, Inc. leave. MA plans offered go from 29 to 26.
Parent organizations in Lancaster County
| Parent organization | Members | Change since October 2025 | Share |
|---|---|---|---|
| UnitedHealth Group, Inc. | 8,475 | −2,129 | 40.1% |
| Blue Cross Blue Shield of Nebraska | 5,091 | +1,482 | 24.1% |
| CVS Health Corporation | 2,916 | +267 | 13.8% |
| Humana Inc. | 2,604 | +651 | 12.3% |
| Highmark Health | 753 | −35 | 3.6% |
| Centene Corporation | 594 | +136 | 2.8% |
| Medica Holding Company | 412 | +31 | 2.0% |
| Molina Healthcare, Inc. | 112 | +47 | 0.5% |
| Sanford Health | 106 | +39 | 0.5% |
| Elevance Health, Inc. | 20 | +5 | under 0.1% |
| Health Care Service Corporation | 20 | +2 | under 0.1% |
| Blue Cross Blue Shield of Michigan Mutual Ins. Co. | 15 | +1 | under 0.1% |
CMS suppresses county and contract counts of 10 or fewer; shares are of reported enrollment.
Value-based care alongside MA
In PY 2024, 21,392 beneficiaries in Lancaster County were assigned to 88 Medicare Shared Savings Program ACOs, 74.7% of assignable Original Medicare beneficiaries. Together, roughly 84% of all Medicare beneficiaries in the county are in Medicare Advantage or an MSSP ACO. See the ACOs in the MSSP Explorer.