Medicare Advantage in Lackawanna County, Pennsylvania
24,505 people in Lackawanna County, Pennsylvania were enrolled in Medicare Advantage in October 2026, 43.5% of 56,344 eligible beneficiaries (+0.1 pts since October 2025). Risant Health, Inc. is the largest parent organization with 42% of reported enrollment; 11 parent organizations have 11 or more members and the HHI is 2,550 (highly concentrated). For 2027, 14 members here are in plans that terminate or leave the county. MA plans offered go from 55 to 52.
Parent organizations in Lackawanna County
| Parent organization | Members | Change since October 2025 | Share |
|---|---|---|---|
| Risant Health, Inc. | 10,162 | +320 | 41.6% |
| CVS Health Corporation | 5,178 | −55 | 21.2% |
| Highmark Health | 3,183 | −582 | 13.0% |
| UnitedHealth Group, Inc. | 2,752 | +54 | 11.3% |
| Humana Inc. | 1,938 | +293 | 7.9% |
| Devoted Health, Inc. | 380 | +249 | 1.6% |
| Independence Health Group, Inc. | 323 | +95 | 1.3% |
| Centene Corporation | 263 | −64 | 1.1% |
| UPMC Health System | 150 | +54 | 0.6% |
| Elevance Health, Inc. | 64 | −4 | 0.3% |
| Thomas Jefferson University | 12 | 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, 17,521 beneficiaries in Lackawanna County were assigned to 102 Medicare Shared Savings Program ACOs, 72.0% of assignable Original Medicare beneficiaries. Together, roughly 84% of all Medicare beneficiaries in the county are in Medicare Advantage or an MSSP ACO. See the ACOs in the MSSP Explorer.