Medicare Advantage in Elk County, Pennsylvania
4,163 people in Elk County, Pennsylvania were enrolled in Medicare Advantage in October 2026, 46.2% of 9,010 eligible beneficiaries (+0.1 pts since October 2025). Highmark Health is the largest parent organization with 35% of reported enrollment; 8 parent organizations have 11 or more members and the HHI is 2,551 (highly concentrated). HRSA classifies the county as fully rural. For 2027, 129 members here are in plans that terminate or leave the county. MA plans offered go from 48 to 42.
Parent organizations in Elk County
| Parent organization | Members | Change since October 2025 | Share |
|---|---|---|---|
| Highmark Health | 1,455 | +432 | 35.3% |
| CVS Health Corporation | 1,296 | +479 | 31.5% |
| UPMC Health System | 501 | −1,185 | 12.2% |
| UnitedHealth Group, Inc. | 389 | +145 | 9.4% |
| Humana Inc. | 348 | +177 | 8.4% |
| Devoted Health, Inc. | 73 | +52 | 1.8% |
| Centene Corporation | 46 | +9 | 1.1% |
| Independence Health Group, Inc. | 11 | −2 | 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, 239 beneficiaries in Elk County were assigned to 21 Medicare Shared Savings Program ACOs, 6.4% of assignable Original Medicare beneficiaries. Together, roughly 50% of all Medicare beneficiaries in the county are in Medicare Advantage or an MSSP ACO. See the ACOs in the MSSP Explorer.