Medicare Advantage in Madison County, New York
10,038 people in Madison County, New York were enrolled in Medicare Advantage in October 2026, 60.3% of 16,659 eligible beneficiaries (+1.4 pts since October 2025). Lifetime Healthcare, Inc. is the largest parent organization with 32% of reported enrollment; 9 parent organizations have 11 or more members and the HHI is 2,308 (highly concentrated). HRSA classifies the county as partly rural. For 2027, 3,656 members here are in plans that terminate or leave the county. MA plans offered go from 33 to 26.
Parent organizations in Madison County
| Parent organization | Members | Change since October 2025 | Share |
|---|---|---|---|
| Lifetime Healthcare, Inc. | 3,239 | +329 | 32.4% |
| UnitedHealth Group, Inc. | 2,750 | −314 | 27.5% |
| CVS Health Corporation | 1,745 | +202 | 17.5% |
| Humana Inc. | 1,054 | +207 | 10.5% |
| Centene Corporation | 888 | −67 | 8.9% |
| Trinity Health Corporation | 158 | +100 | 1.6% |
| MVP Health Care, Inc. | 128 | −20 | 1.3% |
| Elevance Health, Inc. | 15 | −3 | 0.2% |
| VISITING NURSE ASSOCIATION OF CENTRAL NEW YORK | 14 | +3 | 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, 3,206 beneficiaries in Madison County were assigned to 35 Medicare Shared Savings Program ACOs, 63.0% of assignable Original Medicare beneficiaries. Together, roughly 85% of all Medicare beneficiaries in the county are in Medicare Advantage or an MSSP ACO. See the ACOs in the MSSP Explorer.