Medicare Advantage in Cumberland County, Pennsylvania
33,685 people in Cumberland County, Pennsylvania were enrolled in Medicare Advantage in October 2026, 53.9% of 62,481 eligible beneficiaries (+0.2 pts since October 2025). CVS Health Corporation is the largest parent organization with 33% of reported enrollment; 14 parent organizations have 11 or more members and the HHI is 2,188 (highly concentrated). HRSA classifies the county as partly rural. For 2027, 2,766 members here are in plans that terminate or leave the county. MA plans offered go from 79 to 71.
Parent organizations in Cumberland County
| Parent organization | Members | Change since October 2025 | Share |
|---|---|---|---|
| CVS Health Corporation | 11,054 | −171 | 32.9% |
| Highmark Health | 9,367 | −317 | 27.9% |
| CAPITAL BLUE CROSS | 3,935 | +855 | 11.7% |
| UPMC Health System | 3,467 | +409 | 10.3% |
| UnitedHealth Group, Inc. | 2,378 | +307 | 7.1% |
| Humana Inc. | 1,846 | +240 | 5.5% |
| Risant Health, Inc. | 751 | −331 | 2.2% |
| Independence Health Group, Inc. | 253 | −56 | 0.8% |
| Centene Corporation | 165 | −34 | 0.5% |
| Elevance Health, Inc. | 143 | −35 | 0.4% |
| Health Care Service Corporation | 101 | +10 | 0.3% |
| Thomas Jefferson University | 99 | +81 | 0.3% |
| Asbury Communities, Inc. | 42 | +5 | 0.1% |
| CareFirst, Inc. | 14 | 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, 6,776 beneficiaries in Cumberland County were assigned to 121 Medicare Shared Savings Program ACOs, 31.8% 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.