Medicare Advantage in Franklin County, Pennsylvania
17,250 people in Franklin County, Pennsylvania were enrolled in Medicare Advantage in October 2026, 43.6% of 39,579 eligible beneficiaries (−0.3 pts since October 2025). CVS Health Corporation is the largest parent organization with 44% of reported enrollment; 15 parent organizations have 11 or more members and the HHI is 2,786 (highly concentrated). HRSA classifies the county as partly rural. For 2027, 3,452 members here are in plans that terminate or leave the county. MA plans offered go from 57 to 54.
Parent organizations in Franklin County
| Parent organization | Members | Change since October 2025 | Share |
|---|---|---|---|
| CVS Health Corporation | 7,570 | +1,344 | 44.0% |
| CAPITAL BLUE CROSS | 4,079 | +1,356 | 23.7% |
| Highmark Health | 2,650 | −3,170 | 15.4% |
| UnitedHealth Group, Inc. | 890 | +132 | 5.2% |
| Humana Inc. | 427 | −36 | 2.5% |
| Thomas Jefferson University | 416 | +226 | 2.4% |
| Devoted Health, Inc. | 275 | new | 1.6% |
| Risant Health, Inc. | 232 | +53 | 1.3% |
| Independence Health Group, Inc. | 211 | +4 | 1.2% |
| UPMC Health System | 148 | −12 | 0.9% |
| Centene Corporation | 142 | +8 | 0.8% |
| Health Care Service Corporation | 61 | +6 | 0.4% |
| CareFirst, Inc. | 42 | +17 | 0.2% |
| Asbury Communities, Inc. | 35 | +5 | 0.2% |
| Elevance Health, Inc. | 12 | −1 | 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, 9,967 beneficiaries in Franklin County were assigned to 80 Medicare Shared Savings Program ACOs, 60.5% of assignable Original Medicare beneficiaries. Together, roughly 78% of all Medicare beneficiaries in the county are in Medicare Advantage or an MSSP ACO. See the ACOs in the MSSP Explorer.