Medicare Advantage in Macon County, North Carolina
5,893 people in Macon County, North Carolina were enrolled in Medicare Advantage in October 2026, 45.6% of 12,933 eligible beneficiaries (+0.2 pts since October 2025). Humana Inc. is the largest parent organization with 34% of reported enrollment; 6 parent organizations have 11 or more members and the HHI is 2,571 (highly concentrated). HRSA classifies the county as fully rural. For 2027, 136 members here are in plans that terminate or leave the county. MA plans offered go from 31 to 30.
Parent organizations in Macon County
| Parent organization | Members | Change since October 2025 | Share |
|---|---|---|---|
| Humana Inc. | 1,960 | +112 | 33.5% |
| CVS Health Corporation | 1,527 | +42 | 26.1% |
| UnitedHealth Group, Inc. | 1,481 | −177 | 25.3% |
| CuraCor Solutions Corp. | 607 | +56 | 10.4% |
| Centene Corporation | 203 | +51 | 3.5% |
| Elevance Health, Inc. | 66 | +5 | 1.1% |
CMS suppresses county and contract counts of 10 or fewer; shares are of reported enrollment.
Value-based care alongside MA
In PY 2024, 4,372 beneficiaries in Macon County were assigned to 73 Medicare Shared Savings Program ACOs, 76.5% of assignable Original Medicare beneficiaries. Together, roughly 87% of all Medicare beneficiaries in the county are in Medicare Advantage or an MSSP ACO. See the ACOs in the MSSP Explorer.