Medicare Advantage in Lawrence County, Pennsylvania
17,345 people in Lawrence County, Pennsylvania were enrolled in Medicare Advantage in October 2026, 72.7% of 23,873 eligible beneficiaries (+0.1 pts since October 2025). CVS Health Corporation is the largest parent organization with 37% of reported enrollment; 12 parent organizations have 11 or more members and the HHI is 2,653 (highly concentrated). HRSA classifies the county as fully rural. For 2027, 669 members here are in plans that terminate or leave the county. MA plans offered go from 62 to 59.
Parent organizations in Lawrence County
| Parent organization | Members | Change since October 2025 | Share |
|---|---|---|---|
| CVS Health Corporation | 6,424 | −138 | 37.2% |
| UPMC Health System | 4,385 | −29 | 25.4% |
| Highmark Health | 4,092 | +228 | 23.7% |
| UnitedHealth Group, Inc. | 1,340 | +41 | 7.8% |
| Humana Inc. | 471 | +58 | 2.7% |
| Lutheran SeniorLife | 133 | −1 | 0.8% |
| Devoted Health, Inc. | 129 | +54 | 0.7% |
| Centene Corporation | 95 | −33 | 0.5% |
| Health Care Service Corporation | 90 | +27 | 0.5% |
| Rifkin Managed Care Holding, LLC | 62 | +2 | 0.4% |
| Independence Health Group, Inc. | 39 | −18 | 0.2% |
| Elevance Health, Inc. | 29 | −2 | 0.2% |
CMS suppresses county and contract counts of 10 or fewer; shares are of reported enrollment.
Value-based care alongside MA
In PY 2024, 2,336 beneficiaries in Lawrence County were assigned to 37 Medicare Shared Savings Program ACOs, 48.2% of assignable Original Medicare beneficiaries. Together, roughly 86% of all Medicare beneficiaries in the county are in Medicare Advantage or an MSSP ACO. See the ACOs in the MSSP Explorer.