Medicare Advantage in Richmond County, New York
47,562 people in Richmond County, New York were enrolled in Medicare Advantage in October 2026, 47.3% of 100,573 eligible beneficiaries (+0.1 pts since October 2025). CVS Health Corporation is the largest parent organization with 34% of reported enrollment; 18 parent organizations have 11 or more members and the HHI is 2,000 (highly concentrated). For 2027, 4,865 members here are in plans that terminate or leave the county, and EmblemHealth, Inc., Health Care Service Corporation leave. MA plans offered go from 25 to 18.
Parent organizations in Richmond County
| Parent organization | Members | Change since October 2025 | Share |
|---|---|---|---|
| CVS Health Corporation | 16,285 | +2,322 | 34.4% |
| Healthfirst, Inc. | 8,953 | +495 | 18.9% |
| UnitedHealth Group, Inc. | 8,491 | −1,657 | 17.9% |
| Centene Corporation | 3,236 | −1,349 | 6.8% |
| Visiting Nurse Service of New York | 2,818 | +1,430 | 5.9% |
| EmblemHealth, Inc. | 2,630 | −114 | 5.6% |
| Elevance Health, Inc. | 2,202 | +222 | 4.6% |
| Humana Inc. | 728 | −51 | 1.5% |
| Elderplan, Inc. | 518 | +228 | 1.1% |
| Village Care of New York, Inc. | 342 | +231 | 0.7% |
| New York City Health and Hospitals Corporation | 338 | +77 | 0.7% |
| Catholic Health Care System | 217 | +67 | 0.5% |
| Health Care Service Corporation | 167 | −973 | 0.4% |
| CenterLight Health System, Inc. | 127 | +57 | 0.3% |
| Hamaspik of Rockland County, Inc. | 102 | +55 | 0.2% |
CMS suppresses county and contract counts of 10 or fewer; shares are of reported enrollment.
Value-based care alongside MA
In PY 2024, 16,153 beneficiaries in Richmond County were assigned to 124 Medicare Shared Savings Program ACOs, 42.3% of assignable Original Medicare beneficiaries. Together, roughly 70% of all Medicare beneficiaries in the county are in Medicare Advantage or an MSSP ACO. See the ACOs in the MSSP Explorer.
