Medicare Advantage in Orange County, New York
28,048 people in Orange County, New York were enrolled in Medicare Advantage in October 2026, 38.3% of 73,271 eligible beneficiaries (+0.7 pts since October 2025). CVS Health Corporation is the largest parent organization with 32% of reported enrollment; 15 parent organizations have 11 or more members and the HHI is 2,087 (highly concentrated). HRSA classifies the county as partly rural. For 2027, 4,320 members here are in plans that terminate or leave the county, and EmblemHealth, Inc., Health Care Service Corporation leave. MA plans offered go from 27 to 23.
Parent organizations in Orange County
| Parent organization | Members | Change since October 2025 | Share |
|---|---|---|---|
| CVS Health Corporation | 8,803 | +990 | 31.6% |
| UnitedHealth Group, Inc. | 7,784 | −842 | 27.9% |
| MVP Health Care, Inc. | 2,914 | −427 | 10.4% |
| Humana Inc. | 2,785 | +1,414 | 10.0% |
| Centene Corporation | 2,127 | −218 | 7.6% |
| Healthfirst, Inc. | 1,372 | +321 | 4.9% |
| Elevance Health, Inc. | 1,216 | +201 | 4.4% |
| EmblemHealth, Inc. | 459 | +220 | 1.6% |
| Hamaspik of Rockland County, Inc. | 197 | +37 | 0.7% |
| Health Care Service Corporation | 107 | −501 | 0.4% |
| Molina Healthcare, Inc. | 58 | +10 | 0.2% |
| Elderplan, Inc. | 33 | +10 | 0.1% |
| Horizon Mutual Holdings, Inc | 19 | +5 | under 0.1% |
| Visiting Nurse Service of New York | 15 | new | under 0.1% |
| NY Hotel Trades Council&Hotel Assn of NYC | 12 | −1 | under 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, 11,847 beneficiaries in Orange County were assigned to 141 Medicare Shared Savings Program ACOs, 34.6% of assignable Original Medicare beneficiaries. Together, roughly 60% of all Medicare beneficiaries in the county are in Medicare Advantage or an MSSP ACO. See the ACOs in the MSSP Explorer.