Medicare Advantage in Schenectady County, New York
23,056 people in Schenectady County, New York were enrolled in Medicare Advantage in October 2026, 65.8% of 35,066 eligible beneficiaries (+0.7 pts since October 2025). Lifetime Healthcare, Inc. is the largest parent organization with 36% of reported enrollment; 12 parent organizations have 11 or more members and the HHI is 2,098 (highly concentrated). For 2027, 2,666 members here are in plans that terminate or leave the county, and EmblemHealth, Inc. leaves. MA plans offered go from 36 to 31.
Parent organizations in Schenectady County
| Parent organization | Members | Change since October 2025 | Share |
|---|---|---|---|
| Lifetime Healthcare, Inc. | 8,282 | +255 | 36.1% |
| UnitedHealth Group, Inc. | 4,165 | +260 | 18.1% |
| MVP Health Care, Inc. | 3,998 | −334 | 17.4% |
| CVS Health Corporation | 2,011 | +487 | 8.8% |
| Centene Corporation | 1,811 | −83 | 7.9% |
| Humana Inc. | 669 | +31 | 2.9% |
| Highmark Health | 586 | −170 | 2.6% |
| Elevance Health, Inc. | 538 | −68 | 2.3% |
| Trinity Health Corporation | 468 | +97 | 2.0% |
| Visiting Nurse Service of New York | 333 | +120 | 1.4% |
| EmblemHealth, Inc. | 88 | +23 | 0.4% |
| VISITING NURSE ASSOCIATION OF CENTRAL NEW YORK | 18 | +7 | 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, 1,635 beneficiaries in Schenectady County were assigned to 53 Medicare Shared Savings Program ACOs, 19.5% of assignable Original Medicare beneficiaries. Together, roughly 72% of all Medicare beneficiaries in the county are in Medicare Advantage or an MSSP ACO. See the ACOs in the MSSP Explorer.