Medicare Advantage in Scotts Bluff County, Nebraska
3,143 people in Scotts Bluff County, Nebraska were enrolled in Medicare Advantage in October 2026, 35.6% of 8,832 eligible beneficiaries (+2.0 pts since October 2025). Medica Holding Company is the largest parent organization with 45% of reported enrollment; 4 parent organizations have 11 or more members and the HHI is 3,515 (highly concentrated). HRSA classifies the county as fully rural. For 2027, 1,206 members here are in plans that terminate or leave the county, and Humana Inc. leaves. MA plans offered go from 12 to 6.
Parent organizations in Scotts Bluff County
| Parent organization | Members | Change since October 2025 | Share |
|---|---|---|---|
| Medica Holding Company | 1,399 | +267 | 45.4% |
| Centene Corporation | 968 | −40 | 31.4% |
| Humana Inc. | 663 | −32 | 21.5% |
| UnitedHealth Group, Inc. | 51 | −7 | 1.7% |
CMS suppresses county and contract counts of 10 or fewer; shares are of reported enrollment.
Value-based care alongside MA
In PY 2024, 199 beneficiaries in Scotts Bluff County were assigned to 29 Medicare Shared Savings Program ACOs, 4.5% of assignable Original Medicare beneficiaries. Together, roughly 38% of all Medicare beneficiaries in the county are in Medicare Advantage or an MSSP ACO. See the ACOs in the MSSP Explorer.