Medicare Advantage in Swain County, North Carolina
1,856 people in Swain County, North Carolina were enrolled in Medicare Advantage in October 2026, 43.5% of 4,271 eligible beneficiaries (+0.5 pts since October 2025). Humana Inc. is the largest parent organization with 48% of reported enrollment; 6 parent organizations have 11 or more members and the HHI is 3,124 (highly concentrated). HRSA classifies the county as fully rural. For 2027, 173 members here are in plans that terminate or leave the county. MA plans offered go from 37 to 35.
Parent organizations in Swain County
| Parent organization | Members | Change since October 2025 | Share |
|---|---|---|---|
| Humana Inc. | 867 | +3 | 47.8% |
| UnitedHealth Group, Inc. | 462 | −63 | 25.5% |
| CVS Health Corporation | 151 | +3 | 8.3% |
| CuraCor Solutions Corp. | 143 | −3 | 7.9% |
| Devoted Health, Inc. | 110 | +77 | 6.1% |
| Centene Corporation | 80 | +20 | 4.4% |
CMS suppresses county and contract counts of 10 or fewer; shares are of reported enrollment.
Value-based care alongside MA
In PY 2024, 959 beneficiaries in Swain County were assigned to 27 Medicare Shared Savings Program ACOs, 52.8% of assignable Original Medicare beneficiaries. Together, roughly 73% of all Medicare beneficiaries in the county are in Medicare Advantage or an MSSP ACO. See the ACOs in the MSSP Explorer.