Medicare Advantage in Madison County, Nebraska
3,027 people in Madison County, Nebraska were enrolled in Medicare Advantage in October 2026, 38.1% of 7,953 eligible beneficiaries (−0.5 pts since October 2025). Blue Cross Blue Shield of Nebraska is the largest parent organization with 28% of reported enrollment; 8 parent organizations have 11 or more members and the HHI is 2,178 (highly concentrated). HRSA classifies the county as fully rural. For 2027, 1,477 members here are in plans that terminate or leave the county, and Molina Healthcare, Inc. leaves. MA plans offered go from 26 to 19.
Parent organizations in Madison County
| Parent organization | Members | Change since October 2025 | Share |
|---|---|---|---|
| Blue Cross Blue Shield of Nebraska | 855 | +255 | 28.3% |
| UnitedHealth Group, Inc. | 792 | −165 | 26.2% |
| Medica Holding Company | 642 | −75 | 21.3% |
| CVS Health Corporation | 421 | −96 | 13.9% |
| Humana Inc. | 169 | +74 | 5.6% |
| Centene Corporation | 84 | +12 | 2.8% |
| Sanford Health | 31 | +10 | 1.0% |
| Molina Healthcare, Inc. | 25 | +7 | 0.8% |
CMS suppresses county and contract counts of 10 or fewer; shares are of reported enrollment.
Value-based care alongside MA
In PY 2024, 659 beneficiaries in Madison County were assigned to 24 Medicare Shared Savings Program ACOs, 20.1% of assignable Original Medicare beneficiaries. Together, roughly 50% of all Medicare beneficiaries in the county are in Medicare Advantage or an MSSP ACO. See the ACOs in the MSSP Explorer.