Medicare Advantage in Otoe County, Nebraska
1,280 people in Otoe County, Nebraska were enrolled in Medicare Advantage in October 2026, 30.9% of 4,149 eligible beneficiaries (+0.6 pts since October 2025). UnitedHealth Group, Inc. is the largest parent organization with 47% of reported enrollment; 8 parent organizations have 11 or more members and the HHI is 3,020 (highly concentrated). HRSA classifies the county as fully rural. For 2027, 555 members here are in plans that terminate or leave the county. MA plans offered go from 23 to 18.
Parent organizations in Otoe County
| Parent organization | Members | Change since October 2025 | Share |
|---|---|---|---|
| UnitedHealth Group, Inc. | 581 | −139 | 46.9% |
| Blue Cross Blue Shield of Nebraska | 314 | +101 | 25.3% |
| Medica Holding Company | 98 | −1 | 7.9% |
| Devoted Health, Inc. | 97 | new | 7.8% |
| Centene Corporation | 80 | +23 | 6.5% |
| CVS Health Corporation | 40 | −51 | 3.2% |
| Highmark Health | 15 | 0 | 1.2% |
| Sanford Health | 14 | −1 | 1.1% |
CMS suppresses county and contract counts of 10 or fewer; shares are of reported enrollment.
Value-based care alongside MA
In PY 2024, 1,392 beneficiaries in Otoe County were assigned to 18 Medicare Shared Savings Program ACOs, 61.4% of assignable Original Medicare beneficiaries. Together, roughly 73% of all Medicare beneficiaries in the county are in Medicare Advantage or an MSSP ACO. See the ACOs in the MSSP Explorer.