Medicare Advantage in Carbon County, Pennsylvania
7,763 people in Carbon County, Pennsylvania were enrolled in Medicare Advantage in October 2026, 43.4% of 17,892 eligible beneficiaries (+0.7 pts since October 2025). CVS Health Corporation is the largest parent organization with 26% of reported enrollment; 12 parent organizations have 11 or more members and the HHI is 1,778 (moderately concentrated). HRSA classifies the county as partly rural. For 2027, 209 members here are in plans that terminate or leave the county. MA plans offered go from 67 to 61.
Parent organizations in Carbon County
| Parent organization | Members | Change since October 2025 | Share |
|---|---|---|---|
| CVS Health Corporation | 2,043 | +81 | 26.4% |
| Highmark Health | 1,804 | −314 | 23.4% |
| Risant Health, Inc. | 1,023 | −85 | 13.2% |
| UnitedHealth Group, Inc. | 1,000 | −40 | 12.9% |
| Humana Inc. | 1,000 | +295 | 12.9% |
| Thomas Jefferson University | 198 | +156 | 2.6% |
| Independence Health Group, Inc. | 192 | +53 | 2.5% |
| Devoted Health, Inc. | 140 | +89 | 1.8% |
| Elevance Health, Inc. | 140 | −11 | 1.8% |
| UPMC Health System | 121 | +65 | 1.6% |
| Centene Corporation | 50 | −29 | 0.6% |
| CAPITAL BLUE CROSS | 14 | +2 | 0.2% |
CMS suppresses county and contract counts of 10 or fewer; shares are of reported enrollment.
Value-based care alongside MA
In PY 2024, 5,203 beneficiaries in Carbon County were assigned to 57 Medicare Shared Savings Program ACOs, 62.6% of assignable Original Medicare beneficiaries. Together, roughly 79% of all Medicare beneficiaries in the county are in Medicare Advantage or an MSSP ACO. See the ACOs in the MSSP Explorer.