Medicare Advantage in Franklin County, Ohio
119,203 people in Franklin County, Ohio were enrolled in Medicare Advantage in October 2026, 56.2% of 211,918 eligible beneficiaries (−1.6 pts since October 2025). CVS Health Corporation is the largest parent organization with 29% of reported enrollment; 17 parent organizations have 11 or more members and the HHI is 1,805 (highly concentrated). For 2027, 15,229 members here are in plans that terminate or leave the county. MA plans offered go from 62 to 55.
Parent organizations in Franklin County
| Parent organization | Members | Change since October 2025 | Share |
|---|---|---|---|
| CVS Health Corporation | 34,419 | +1,416 | 29.0% |
| Humana Inc. | 24,696 | +2,092 | 20.8% |
| UnitedHealth Group, Inc. | 19,770 | +355 | 16.6% |
| Trinity Health Corporation | 13,609 | +1,155 | 11.4% |
| Elevance Health, Inc. | 11,120 | −6,589 | 9.4% |
| Molina Healthcare, Inc. | 5,328 | +1,416 | 4.5% |
| Devoted Health, Inc. | 3,583 | +1,758 | 3.0% |
| MEDICAL MUTUAL OF OHIO | 3,210 | −1,295 | 2.7% |
| CareSource | 1,890 | +1,006 | 1.6% |
| Centene Corporation | 498 | −260 | 0.4% |
| The Health Plan of West Virginia, Inc. | 262 | +116 | 0.2% |
| Perennial Consortium, LLC | 175 | +93 | 0.1% |
| Blue Cross Blue Shield of Michigan Mutual Ins. Co. | 136 | +3 | 0.1% |
| Highmark Health | 81 | +4 | under 0.1% |
| BoldAge PACE, LLC | 48 | 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, 17,473 beneficiaries in Franklin County were assigned to 181 Medicare Shared Savings Program ACOs, 29.1% of assignable Original Medicare beneficiaries. Together, roughly 69% of all Medicare beneficiaries in the county are in Medicare Advantage or an MSSP ACO. See the ACOs in the MSSP Explorer.
