Medicare Advantage in Sarpy County, Nebraska
13,013 people in Sarpy County, Nebraska were enrolled in Medicare Advantage in October 2026, 38.3% of 33,960 eligible beneficiaries (+0.1 pts since October 2025). UnitedHealth Group, Inc. is the largest parent organization with 46% of reported enrollment; 11 parent organizations have 11 or more members and the HHI is 2,909 (highly concentrated). For 2027, 3,345 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 24.
Parent organizations in Sarpy County
| Parent organization | Members | Change since October 2025 | Share |
|---|---|---|---|
| UnitedHealth Group, Inc. | 6,013 | −1,136 | 46.4% |
| Blue Cross Blue Shield of Nebraska | 2,401 | +649 | 18.5% |
| Humana Inc. | 1,950 | +343 | 15.1% |
| CVS Health Corporation | 1,700 | +283 | 13.1% |
| Devoted Health, Inc. | 327 | new | 2.5% |
| Centene Corporation | 270 | +53 | 2.1% |
| Medica Holding Company | 192 | +17 | 1.5% |
| Molina Healthcare, Inc. | 53 | +32 | 0.4% |
| Sanford Health | 20 | +4 | 0.2% |
| Immanuel | 15 | −3 | 0.1% |
| Elevance Health, Inc. | 15 | new | 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, 10,646 beneficiaries in Sarpy County were assigned to 77 Medicare Shared Savings Program ACOs, 74.9% 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.