Medicare Advantage in Caldwell County, North Carolina
14,281 people in Caldwell County, North Carolina were enrolled in Medicare Advantage in October 2026, 68.7% of 20,773 eligible beneficiaries (+0.5 pts since October 2025). UnitedHealth Group, Inc. is the largest parent organization with 34% of reported enrollment; 10 parent organizations have 11 or more members and the HHI is 2,678 (highly concentrated). For 2027, 39 members here are in plans that terminate or leave the county. MA plans offered go from 42 to 42.
Parent organizations in Caldwell County
| Parent organization | Members | Change since October 2025 | Share |
|---|---|---|---|
| UnitedHealth Group, Inc. | 4,912 | +934 | 34.5% |
| CVS Health Corporation | 4,352 | +550 | 30.6% |
| Humana Inc. | 3,056 | −1,752 | 21.5% |
| CuraCor Solutions Corp. | 1,287 | +211 | 9.0% |
| Devoted Health, Inc. | 453 | new | 3.2% |
| Centene Corporation | 90 | −51 | 0.6% |
| PACE @ Home | 45 | 0 | 0.3% |
| Blue Cross Blue Shield of Michigan Mutual Ins. Co. | 17 | +1 | 0.1% |
| Troy Holdings, Inc. | 14 | +3 | under 0.1% |
| Elevance Health, Inc. | 11 | new | 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, 3,544 beneficiaries in Caldwell County were assigned to 38 Medicare Shared Savings Program ACOs, 65.8% of assignable Original Medicare beneficiaries. Together, roughly 89% of all Medicare beneficiaries in the county are in Medicare Advantage or an MSSP ACO. See the ACOs in the MSSP Explorer.