Medicare Advantage in Clarion County, Pennsylvania
6,222 people in Clarion County, Pennsylvania were enrolled in Medicare Advantage in October 2026, 62.1% of 10,014 eligible beneficiaries (+0.6 pts since October 2025). UPMC Health System is the largest parent organization with 39% of reported enrollment; 11 parent organizations have 11 or more members and the HHI is 2,791 (highly concentrated). HRSA classifies the county as fully rural. For 2027, 1,861 members here are in plans that terminate or leave the county. MA plans offered go from 61 to 50.
Parent organizations in Clarion County
| Parent organization | Members | Change since October 2025 | Share |
|---|---|---|---|
| UPMC Health System | 2,398 | +165 | 38.8% |
| Highmark Health | 1,780 | −153 | 28.8% |
| CVS Health Corporation | 1,247 | +8 | 20.2% |
| UnitedHealth Group, Inc. | 358 | +46 | 5.8% |
| Humana Inc. | 161 | +24 | 2.6% |
| One Senior Care, Inc. | 66 | +12 | 1.1% |
| Devoted Health, Inc. | 56 | +32 | 0.9% |
| Centene Corporation | 39 | −17 | 0.6% |
| Health Care Service Corporation | 31 | +5 | 0.5% |
| Independence Health Group, Inc. | 25 | 0 | 0.4% |
| UMWA Health and Retirement Funds | 13 | 0 | 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, 1,701 beneficiaries in Clarion County were assigned to 23 Medicare Shared Savings Program ACOs, 50.5% 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.