Medicare Advantage in Luzerne County, Pennsylvania
35,984 people in Luzerne County, Pennsylvania were enrolled in Medicare Advantage in October 2026, 45.8% of 78,565 eligible beneficiaries (+0.6 pts since October 2025). Risant Health, Inc. is the largest parent organization with 44% of reported enrollment; 13 parent organizations have 11 or more members and the HHI is 2,669 (highly concentrated). HRSA classifies the county as partly rural. For 2027, 17 members here are in plans that terminate or leave the county. MA plans offered go from 57 to 54.
Parent organizations in Luzerne County
| Parent organization | Members | Change since October 2025 | Share |
|---|---|---|---|
| Risant Health, Inc. | 15,789 | +489 | 44.0% |
| CVS Health Corporation | 7,032 | +11 | 19.6% |
| Highmark Health | 4,586 | −540 | 12.8% |
| UnitedHealth Group, Inc. | 3,851 | −11 | 10.7% |
| Humana Inc. | 2,924 | +483 | 8.1% |
| Devoted Health, Inc. | 513 | +326 | 1.4% |
| Independence Health Group, Inc. | 481 | +149 | 1.3% |
| Centene Corporation | 369 | −149 | 1.0% |
| UPMC Health System | 195 | +68 | 0.5% |
| Elevance Health, Inc. | 105 | +2 | 0.3% |
| Blue Cross Blue Shield of Michigan Mutual Ins. Co. | 20 | 0 | under 0.1% |
| Healthfirst, Inc. | 15 | +4 | under 0.1% |
| Health Care Service Corporation | 11 | 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, 19,679 beneficiaries in Luzerne County were assigned to 116 Medicare Shared Savings Program ACOs, 58.8% 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.