Medicare Advantage in Fayette County, Pennsylvania
24,329 people in Fayette County, Pennsylvania were enrolled in Medicare Advantage in October 2026, 67.6% of 36,002 eligible beneficiaries (+0.2 pts since October 2025). CVS Health Corporation is the largest parent organization with 34% of reported enrollment; 13 parent organizations have 11 or more members and the HHI is 2,382 (highly concentrated). HRSA classifies the county as fully rural. For 2027, 1,096 members here are in plans that terminate or leave the county. MA plans offered go from 56 to 52.
Parent organizations in Fayette County
| Parent organization | Members | Change since October 2025 | Share |
|---|---|---|---|
| CVS Health Corporation | 8,255 | +184 | 34.0% |
| UPMC Health System | 7,221 | −104 | 29.8% |
| Highmark Health | 3,567 | −274 | 14.7% |
| UnitedHealth Group, Inc. | 2,204 | +128 | 9.1% |
| Humana Inc. | 1,062 | +166 | 4.4% |
| UMWA Health and Retirement Funds | 1,055 | −43 | 4.3% |
| West Virginia United Health System, Inc. | 278 | new | 1.1% |
| SeniorLife Washington, Inc. | 254 | +21 | 1.0% |
| Centene Corporation | 187 | −50 | 0.8% |
| Independence Health Group, Inc. | 78 | −11 | 0.3% |
| Rifkin Managed Care Holding, LLC | 69 | +7 | 0.3% |
| Elevance Health, Inc. | 26 | +13 | 0.1% |
| Mitchell Family Office | 15 | 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, 3,438 beneficiaries in Fayette County were assigned to 43 Medicare Shared Savings Program ACOs, 39.1% of assignable Original Medicare beneficiaries. Together, roughly 80% of all Medicare beneficiaries in the county are in Medicare Advantage or an MSSP ACO. See the ACOs in the MSSP Explorer.