Medicare Advantage in Buncombe County, North Carolina
32,939 people in Buncombe County, North Carolina were enrolled in Medicare Advantage in October 2026, 48.3% of 68,224 eligible beneficiaries (+0.3 pts since October 2025). Humana Inc. is the largest parent organization with 41% of reported enrollment; 15 parent organizations have 11 or more members and the HHI is 2,704 (highly concentrated). HRSA classifies the county as partly rural. For 2027, 453 members here are in plans that terminate or leave the county, and Health Care Service Corporation leaves. MA plans offered go from 49 to 44.
Parent organizations in Buncombe County
| Parent organization | Members | Change since October 2025 | Share |
|---|---|---|---|
| Humana Inc. | 13,588 | +1,054 | 41.4% |
| UnitedHealth Group, Inc. | 9,066 | −1,205 | 27.6% |
| CuraCor Solutions Corp. | 3,763 | +66 | 11.5% |
| CVS Health Corporation | 2,859 | −248 | 8.7% |
| Devoted Health, Inc. | 988 | +685 | 3.0% |
| Alignment Healthcare USA, LLC | 975 | +187 | 3.0% |
| Centene Corporation | 652 | +88 | 2.0% |
| Health Care Service Corporation | 346 | +42 | 1.1% |
| HCA Healthcare, Inc. | 177 | +9 | 0.5% |
| Elevance Health, Inc. | 158 | −7 | 0.5% |
| Blue Cross Blue Shield of Michigan Mutual Ins. Co. | 105 | +2 | 0.3% |
| Longevity Health Founders, LLC | 77 | −4 | 0.2% |
| Liberty Healthcare Insurance | 51 | +5 | 0.2% |
| Highmark Health | 26 | −3 | under 0.1% |
| Troy Holdings, Inc. | 13 | −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, 19,212 beneficiaries in Buncombe County were assigned to 137 Medicare Shared Savings Program ACOs, 71.1% 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.