Medicare Advantage in Wake County, North Carolina
100,219 people in Wake County, North Carolina were enrolled in Medicare Advantage in October 2026, 52.7% of 190,079 eligible beneficiaries (−0.3 pts since October 2025). Humana Inc. is the largest parent organization with 29% of reported enrollment; 18 parent organizations have 11 or more members and the HHI is 2,228 (highly concentrated). HRSA classifies the county as partly rural. For 2027, 2,405 members here are in plans that terminate or leave the county, and Health Care Service Corporation leaves. MA plans offered go from 47 to 35.
Parent organizations in Wake County
| Parent organization | Members | Change since October 2025 | Share |
|---|---|---|---|
| Humana Inc. | 29,370 | −1,912 | 29.4% |
| UnitedHealth Group, Inc. | 27,957 | −961 | 28.0% |
| CuraCor Solutions Corp. | 19,717 | +2,757 | 19.7% |
| CVS Health Corporation | 10,856 | −346 | 10.9% |
| Alignment Healthcare USA, LLC | 8,575 | +4,331 | 8.6% |
| Health Care Service Corporation | 1,700 | −12 | 1.7% |
| Centene Corporation | 880 | +145 | 0.9% |
| Blue Cross Blue Shield of Michigan Mutual Ins. Co. | 230 | −13 | 0.2% |
| Elevance Health, Inc. | 228 | −9 | 0.2% |
| Liberty Healthcare Insurance | 159 | −24 | 0.2% |
| Highmark Health | 104 | +1 | 0.1% |
| Volunteers of America National Services | 88 | 0 | under 0.1% |
| Lifetime Healthcare, Inc. | 31 | +1 | under 0.1% |
| UNICO Services, Inc. | 25 | −10 | under 0.1% |
| California Physicians' Service | 23 | −2 | 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, 38,611 beneficiaries in Wake County were assigned to 256 Medicare Shared Savings Program ACOs, 63.4% of assignable Original Medicare beneficiaries. Together, roughly 83% of all Medicare beneficiaries in the county are in Medicare Advantage or an MSSP ACO. See the ACOs in the MSSP Explorer.