Medicare Advantage in Adams County, Pennsylvania
12,647 people in Adams County, Pennsylvania were enrolled in Medicare Advantage in October 2026, 42.9% of 29,496 eligible beneficiaries (−0.8 pts since October 2025). CVS Health Corporation is the largest parent organization with 45% of reported enrollment; 14 parent organizations have 11 or more members and the HHI is 2,821 (highly concentrated). HRSA classifies the county as partly rural. For 2027, 974 members here are in plans that terminate or leave the county. MA plans offered go from 70 to 63.
Parent organizations in Adams County
| Parent organization | Members | Change since October 2025 | Share |
|---|---|---|---|
| CVS Health Corporation | 5,697 | +600 | 45.2% |
| Highmark Health | 3,039 | −493 | 24.1% |
| CAPITAL BLUE CROSS | 1,435 | +162 | 11.4% |
| UnitedHealth Group, Inc. | 771 | +39 | 6.1% |
| Risant Health, Inc. | 486 | −26 | 3.9% |
| Humana Inc. | 451 | +33 | 3.6% |
| UPMC Health System | 179 | −404 | 1.4% |
| Devoted Health, Inc. | 130 | new | 1.0% |
| CareFirst, Inc. | 126 | +81 | 1.0% |
| Health Care Service Corporation | 76 | +15 | 0.6% |
| Centene Corporation | 62 | −9 | 0.5% |
| Thomas Jefferson University | 60 | new | 0.5% |
| Elevance Health, Inc. | 59 | −2 | 0.5% |
| Independence Health Group, Inc. | 40 | −1 | 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, 6,190 beneficiaries in Adams County were assigned to 83 Medicare Shared Savings Program ACOs, 50.7% of assignable Original Medicare beneficiaries. Together, roughly 72% of all Medicare beneficiaries in the county are in Medicare Advantage or an MSSP ACO. See the ACOs in the MSSP Explorer.
