Medicare Advantage in Saunders County, Nebraska
1,775 people in Saunders County, Nebraska were enrolled in Medicare Advantage in October 2026, 34.6% of 5,135 eligible beneficiaries (−0.5 pts since October 2025). UnitedHealth Group, Inc. is the largest parent organization with 38% of reported enrollment; 9 parent organizations have 11 or more members and the HHI is 2,660 (highly concentrated). HRSA classifies the county as fully rural. For 2027, 1,036 members here are in plans that terminate or leave the county, and Medica Holding Company leaves. MA plans offered go from 29 to 19.
Parent organizations in Saunders County
| Parent organization | Members | Change since October 2025 | Share |
|---|---|---|---|
| UnitedHealth Group, Inc. | 675 | −137 | 38.5% |
| Blue Cross Blue Shield of Nebraska | 536 | +97 | 30.6% |
| Humana Inc. | 191 | +49 | 10.9% |
| CVS Health Corporation | 171 | −36 | 9.8% |
| Medica Holding Company | 49 | +10 | 2.8% |
| Highmark Health | 46 | −3 | 2.6% |
| Devoted Health, Inc. | 36 | new | 2.1% |
| Centene Corporation | 31 | +9 | 1.8% |
| Sanford Health | 16 | +3 | 0.9% |
CMS suppresses county and contract counts of 10 or fewer; shares are of reported enrollment.
Value-based care alongside MA
In PY 2024, 2,009 beneficiaries in Saunders County were assigned to 19 Medicare Shared Savings Program ACOs, 82.8% of assignable Original Medicare beneficiaries. Together, roughly 89% of all Medicare beneficiaries in the county are in Medicare Advantage or an MSSP ACO. See the ACOs in the MSSP Explorer.