Medicare Advantage in Essex County, New York
4,263 people in Essex County, New York were enrolled in Medicare Advantage in October 2026, 40.4% of 10,558 eligible beneficiaries (−0.6 pts since October 2025). CVS Health Corporation is the largest parent organization with 36% of reported enrollment; 7 parent organizations have 11 or more members and the HHI is 2,742 (highly concentrated). HRSA classifies the county as fully rural. For 2027, 2,638 members here are in plans that terminate or leave the county. MA plans offered go from 18 to 11.
Parent organizations in Essex County
| Parent organization | Members | Change since October 2025 | Share |
|---|---|---|---|
| CVS Health Corporation | 1,531 | +1,177 | 36.2% |
| Lifetime Healthcare, Inc. | 1,355 | +563 | 32.0% |
| Centene Corporation | 684 | +172 | 16.2% |
| UnitedHealth Group, Inc. | 501 | −1,168 | 11.8% |
| MVP Health Care, Inc. | 87 | −733 | 2.1% |
| Elevance Health, Inc. | 49 | +6 | 1.2% |
| Humana Inc. | 24 | +7 | 0.6% |
CMS suppresses county and contract counts of 10 or fewer; shares are of reported enrollment.
Value-based care alongside MA
In PY 2024, 2,997 beneficiaries in Essex County were assigned to 55 Medicare Shared Savings Program ACOs, 67.0% of assignable Original Medicare beneficiaries. Together, roughly 80% of all Medicare beneficiaries in the county are in Medicare Advantage or an MSSP ACO. See the ACOs in the MSSP Explorer.
