Medicare Advantage in Northampton County, Pennsylvania
35,619 people in Northampton County, Pennsylvania were enrolled in Medicare Advantage in October 2026, 45.3% of 78,667 eligible beneficiaries (+0.3 pts since October 2025). CVS Health Corporation is the largest parent organization with 22% of reported enrollment; 15 parent organizations have 11 or more members and the HHI is 1,605 (moderately concentrated). For 2027, 2,620 members here are in plans that terminate or leave the county. MA plans offered go from 76 to 73.
Parent organizations in Northampton County
| Parent organization | Members | Change since October 2025 | Share |
|---|---|---|---|
| CVS Health Corporation | 7,823 | +242 | 22.0% |
| Highmark Health | 7,438 | −2,732 | 21.0% |
| CAPITAL BLUE CROSS | 6,443 | +3,091 | 18.2% |
| UnitedHealth Group, Inc. | 5,311 | −1,459 | 15.0% |
| Humana Inc. | 3,451 | +733 | 9.7% |
| Risant Health, Inc. | 1,421 | +3 | 4.0% |
| Thomas Jefferson University | 813 | +647 | 2.3% |
| Independence Health Group, Inc. | 650 | +112 | 1.8% |
| Devoted Health, Inc. | 626 | +324 | 1.8% |
| Elevance Health, Inc. | 623 | −38 | 1.8% |
| Health Care Service Corporation | 269 | +130 | 0.8% |
| UPMC Health System | 205 | +17 | 0.6% |
| Centene Corporation | 196 | −44 | 0.6% |
| Senior LIFE Lehigh Valley, Inc. | 184 | −21 | 0.5% |
| Horizon Mutual Holdings, Inc | 41 | +16 | 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, 27,022 beneficiaries in Northampton County were assigned to 112 Medicare Shared Savings Program ACOs, 78.3% of assignable Original Medicare beneficiaries. Together, roughly 88% of all Medicare beneficiaries in the county are in Medicare Advantage or an MSSP ACO. See the ACOs in the MSSP Explorer.