Medicare Advantage in Columbia County, New York
7,635 people in Columbia County, New York were enrolled in Medicare Advantage in October 2026, 43.1% of 17,720 eligible beneficiaries (+0.00 pts since October 2025). Lifetime Healthcare, Inc. is the largest parent organization with 34% of reported enrollment; 9 parent organizations have 11 or more members and the HHI is 2,285 (highly concentrated). HRSA classifies the county as fully rural. For 2027, 1,220 members here are in plans that terminate or leave the county, and EmblemHealth, Inc. leaves. MA plans offered go from 26 to 25.
Parent organizations in Columbia County
| Parent organization | Members | Change since October 2025 | Share |
|---|---|---|---|
| Lifetime Healthcare, Inc. | 2,605 | +140 | 34.3% |
| UnitedHealth Group, Inc. | 2,199 | +252 | 28.9% |
| MVP Health Care, Inc. | 818 | −78 | 10.8% |
| CVS Health Corporation | 677 | −147 | 8.9% |
| Centene Corporation | 427 | −3 | 5.6% |
| Elevance Health, Inc. | 426 | +3 | 5.6% |
| Highmark Health | 196 | −110 | 2.6% |
| Humana Inc. | 168 | +42 | 2.2% |
| EmblemHealth, Inc. | 81 | +21 | 1.1% |
CMS suppresses county and contract counts of 10 or fewer; shares are of reported enrollment.
Value-based care alongside MA
In PY 2024, 1,488 beneficiaries in Columbia County were assigned to 69 Medicare Shared Savings Program ACOs, 20.8% of assignable Original Medicare beneficiaries. Together, roughly 55% of all Medicare beneficiaries in the county are in Medicare Advantage or an MSSP ACO. See the ACOs in the MSSP Explorer.
