Medicare Advantage in Grand Forks County, North Dakota
3,752 people in Grand Forks County, North Dakota were enrolled in Medicare Advantage in October 2026, 29.7% of 12,651 eligible beneficiaries (−1.1 pts since October 2025). Medica Holding Company is the largest parent organization with 43% of reported enrollment; 6 parent organizations have 11 or more members and the HHI is 2,754 (highly concentrated). HRSA classifies the county as partly rural. For 2027, 1,325 members here are in plans that terminate or leave the county, and Blue Cross Blue Shield of Michigan Mutual Ins. Co. leaves. MA plans offered go from 15 to 9.
Parent organizations in Grand Forks County
| Parent organization | Members | Change since October 2025 | Share |
|---|---|---|---|
| Medica Holding Company | 1,611 | +423 | 43.4% |
| UnitedHealth Group, Inc. | 798 | +58 | 21.5% |
| Sanford Health | 460 | +241 | 12.4% |
| Blue Cross Blue Shield of Michigan Mutual Ins. Co. | 452 | −641 | 12.2% |
| CVS Health Corporation | 377 | +156 | 10.2% |
| Humana Inc. | 12 | −303 | 0.3% |
CMS suppresses county and contract counts of 10 or fewer; shares are of reported enrollment.
Value-based care alongside MA
In PY 2024, 4,857 beneficiaries in Grand Forks County were assigned to 38 Medicare Shared Savings Program ACOs, 73.4% of assignable Original Medicare beneficiaries. Together, roughly 81% of all Medicare beneficiaries in the county are in Medicare Advantage or an MSSP ACO. See the ACOs in the MSSP Explorer.