Medicare Advantage in Madison County, North Carolina
3,652 people in Madison County, North Carolina were enrolled in Medicare Advantage in October 2026, 57.3% of 6,379 eligible beneficiaries (+1.1 pts since October 2025). Humana Inc. is the largest parent organization with 43% of reported enrollment; 8 parent organizations have 11 or more members and the HHI is 2,901 (highly concentrated). HRSA classifies the county as fully rural. For 2027, 37 members here are in plans that terminate or leave the county, and Health Care Service Corporation leaves. MA plans offered go from 47 to 42.
Parent organizations in Madison County
| Parent organization | Members | Change since October 2025 | Share |
|---|---|---|---|
| Humana Inc. | 1,550 | +131 | 43.0% |
| UnitedHealth Group, Inc. | 1,055 | −106 | 29.3% |
| CuraCor Solutions Corp. | 399 | −15 | 11.1% |
| CVS Health Corporation | 219 | −26 | 6.1% |
| Alignment Healthcare USA, LLC | 157 | +25 | 4.4% |
| Centene Corporation | 106 | +10 | 2.9% |
| Devoted Health, Inc. | 95 | +77 | 2.6% |
| Health Care Service Corporation | 23 | +4 | 0.6% |
CMS suppresses county and contract counts of 10 or fewer; shares are of reported enrollment.
Value-based care alongside MA
In PY 2024, 863 beneficiaries in Madison County were assigned to 26 Medicare Shared Savings Program ACOs, 40.6% of assignable Original Medicare beneficiaries. Together, roughly 75% of all Medicare beneficiaries in the county are in Medicare Advantage or an MSSP ACO. See the ACOs in the MSSP Explorer.