Medicare Advantage in Valencia County, New Mexico
11,519 people in Valencia County, New Mexico were enrolled in Medicare Advantage in October 2026, 63.0% of 18,298 eligible beneficiaries (+0.1 pts since October 2025). Presbyterian Healthcare Services is the largest parent organization with 34% of reported enrollment; 8 parent organizations have 11 or more members and the HHI is 2,591 (highly concentrated). HRSA classifies the county as partly rural. For 2027, 3,543 members here are in plans that terminate or leave the county, and Molina Healthcare, Inc. leaves. MA plans offered go from 24 to 18.
Parent organizations in Valencia County
| Parent organization | Members | Change since October 2025 | Share |
|---|---|---|---|
| Presbyterian Healthcare Services | 3,934 | −190 | 34.3% |
| UnitedHealth Group, Inc. | 2,941 | +197 | 25.6% |
| Humana Inc. | 2,607 | +360 | 22.7% |
| Health Care Service Corporation | 1,780 | −216 | 15.5% |
| CVS Health Corporation | 70 | −4 | 0.6% |
| Elevance Health, Inc. | 65 | +5 | 0.6% |
| Molina Healthcare, Inc. | 60 | +46 | 0.5% |
| Total Community Options, Inc. | 16 | 0 | 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, 492 beneficiaries in Valencia County were assigned to 44 Medicare Shared Savings Program ACOs, 14.4% of assignable Original Medicare beneficiaries. Together, roughly 68% of all Medicare beneficiaries in the county are in Medicare Advantage or an MSSP ACO. See the ACOs in the MSSP Explorer.