Medicare Advantage in Bernalillo County, New Mexico
84,870 people in Bernalillo County, New Mexico were enrolled in Medicare Advantage in October 2026, 58.9% of 143,983 eligible beneficiaries (−0.3 pts since October 2025). Presbyterian Healthcare Services is the largest parent organization with 35% of reported enrollment; 14 parent organizations have 11 or more members and the HHI is 2,490 (highly concentrated). HRSA classifies the county as partly rural. For 2027, 31,482 members here are in plans that terminate or leave the county, and SCAN Group, Molina Healthcare, Inc., CHRISTUS Health leave. MA plans offered go from 34 to 21.
Parent organizations in Bernalillo County
| Parent organization | Members | Change since October 2025 | Share |
|---|---|---|---|
| Presbyterian Healthcare Services | 29,668 | −1,965 | 35.1% |
| UnitedHealth Group, Inc. | 19,016 | +126 | 22.5% |
| Humana Inc. | 16,553 | +1,091 | 19.6% |
| Health Care Service Corporation | 16,326 | +385 | 19.3% |
| SCAN Group | 724 | +483 | 0.9% |
| CVS Health Corporation | 591 | −4 | 0.7% |
| Devoted Health, Inc. | 576 | new | 0.7% |
| Molina Healthcare, Inc. | 369 | +241 | 0.4% |
| Total Community Options, Inc. | 352 | +6 | 0.4% |
| Elevance Health, Inc. | 310 | +10 | 0.4% |
| CHRISTUS Health | 60 | +3 | under 0.1% |
| Blue Cross Blue Shield of Michigan Mutual Ins. Co. | 46 | −11 | under 0.1% |
| California Physicians' Service | 30 | +1 | under 0.1% |
| Highmark Health | 13 | −3 | under 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, 5,395 beneficiaries in Bernalillo County were assigned to 171 Medicare Shared Savings Program ACOs, 16.8% of assignable Original Medicare beneficiaries. Together, roughly 66% of all Medicare beneficiaries in the county are in Medicare Advantage or an MSSP ACO. See the ACOs in the MSSP Explorer.