Medicare Advantage in Gaston County, North Carolina
31,921 people in Gaston County, North Carolina were enrolled in Medicare Advantage in October 2026, 63.4% of 50,321 eligible beneficiaries (+0.2 pts since October 2025). Humana Inc. is the largest parent organization with 30% of reported enrollment; 13 parent organizations have 11 or more members and the HHI is 2,063 (highly concentrated). HRSA classifies the county as partly rural. For 2027, 282 members here are in plans that terminate or leave the county. MA plans offered go from 47 to 47.
Parent organizations in Gaston County
| Parent organization | Members | Change since October 2025 | Share |
|---|---|---|---|
| Humana Inc. | 9,440 | +820 | 29.7% |
| UnitedHealth Group, Inc. | 8,425 | −800 | 26.5% |
| CVS Health Corporation | 5,465 | −412 | 17.2% |
| CuraCor Solutions Corp. | 3,232 | +227 | 10.2% |
| Devoted Health, Inc. | 2,470 | +2,202 | 7.8% |
| Health Care Service Corporation | 1,272 | −1,185 | 4.0% |
| Blue Cross Blue Shield of Michigan Mutual Ins. Co. | 901 | +40 | 2.8% |
| CaroMont Health, Inc. | 266 | +25 | 0.8% |
| Centene Corporation | 258 | +67 | 0.8% |
| Elevance Health, Inc. | 34 | +2 | 0.1% |
| Highmark Health | 31 | +8 | under 0.1% |
| Risant Health, Inc. | 25 | +6 | under 0.1% |
| Rifkin Managed Care Holding, LLC | 16 | −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, 9,542 beneficiaries in Gaston County were assigned to 98 Medicare Shared Savings Program ACOs, 72.4% of assignable Original Medicare beneficiaries. Together, roughly 90% of all Medicare beneficiaries in the county are in Medicare Advantage or an MSSP ACO. See the ACOs in the MSSP Explorer.