Medicare Advantage in Orange County, North Carolina
14,627 people in Orange County, North Carolina were enrolled in Medicare Advantage in October 2026, 52.0% of 28,138 eligible beneficiaries (−0.4 pts since October 2025). Humana Inc. is the largest parent organization with 39% of reported enrollment; 12 parent organizations have 11 or more members and the HHI is 2,498 (highly concentrated). For 2027, 76 members here are in plans that terminate or leave the county, and UNICO Services, Inc. leaves. MA plans offered go from 54 to 48.
Parent organizations in Orange County
| Parent organization | Members | Change since October 2025 | Share |
|---|---|---|---|
| Humana Inc. | 5,649 | −474 | 38.8% |
| UnitedHealth Group, Inc. | 3,273 | +368 | 22.5% |
| CuraCor Solutions Corp. | 2,333 | +140 | 16.0% |
| CVS Health Corporation | 1,948 | −207 | 13.4% |
| Alignment Healthcare USA, LLC | 987 | +503 | 6.8% |
| Health Care Service Corporation | 145 | −47 | 1.0% |
| Risant Health, Inc. | 65 | +38 | 0.4% |
| Centene Corporation | 47 | −59 | 0.3% |
| PIEDMONT HEALTH SERVICES, INC. | 38 | −1 | 0.3% |
| Elevance Health, Inc. | 31 | +3 | 0.2% |
| Blue Cross Blue Shield of Michigan Mutual Ins. Co. | 20 | 0 | 0.1% |
| UNICO Services, Inc. | 12 | 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, 6,718 beneficiaries in Orange County were assigned to 84 Medicare Shared Savings Program ACOs, 71.0% of assignable Original Medicare beneficiaries. Together, roughly 86% of all Medicare beneficiaries in the county are in Medicare Advantage or an MSSP ACO. See the ACOs in the MSSP Explorer.