Medicare Advantage in Franklin County, New York
5,568 people in Franklin County, New York were enrolled in Medicare Advantage in October 2026, 44.1% of 12,635 eligible beneficiaries (−0.4 pts since October 2025). CVS Health Corporation is the largest parent organization with 49% of reported enrollment; 7 parent organizations have 11 or more members and the HHI is 3,195 (highly concentrated). HRSA classifies the county as fully rural. For 2027, 885 members here are in plans that terminate or leave the county. MA plans offered go from 20 to 14.
Parent organizations in Franklin County
| Parent organization | Members | Change since October 2025 | Share |
|---|---|---|---|
| CVS Health Corporation | 2,723 | +1,276 | 49.2% |
| UnitedHealth Group, Inc. | 1,164 | −1,093 | 21.0% |
| Centene Corporation | 820 | +95 | 14.8% |
| Lifetime Healthcare, Inc. | 487 | +141 | 8.8% |
| Humana Inc. | 302 | 0 | 5.5% |
| MVP Health Care, Inc. | 18 | −351 | 0.3% |
| Elevance Health, Inc. | 16 | +2 | 0.3% |
CMS suppresses county and contract counts of 10 or fewer; shares are of reported enrollment.
Value-based care alongside MA
In PY 2024, 3,778 beneficiaries in Franklin County were assigned to 41 Medicare Shared Savings Program ACOs, 69.8% of assignable Original Medicare beneficiaries. Together, roughly 83% of all Medicare beneficiaries in the county are in Medicare Advantage or an MSSP ACO. See the ACOs in the MSSP Explorer.
