Medicare Advantage in Philadelphia County, Pennsylvania
162,402 people in Philadelphia County, Pennsylvania were enrolled in Medicare Advantage in October 2026, 60.0% of 270,773 eligible beneficiaries (−0.1 pts since October 2025). Independence Health Group, Inc. is the largest parent organization with 26% of reported enrollment; 18 parent organizations have 11 or more members and the HHI is 1,680 (moderately concentrated). For 2027, 1,711 members here are in plans that terminate or leave the county. MA plans offered go from 66 to 63.
Parent organizations in Philadelphia County
| Parent organization | Members | Change since October 2025 | Share |
|---|---|---|---|
| Independence Health Group, Inc. | 42,410 | −3,805 | 26.2% |
| CVS Health Corporation | 38,131 | −1,378 | 23.5% |
| Health Care Service Corporation | 20,469 | −2,116 | 12.6% |
| Thomas Jefferson University | 17,189 | +4,527 | 10.6% |
| Humana Inc. | 15,731 | +3,450 | 9.7% |
| UnitedHealth Group, Inc. | 12,122 | −778 | 7.5% |
| Devoted Health, Inc. | 4,220 | +2,254 | 2.6% |
| Centene Corporation | 4,162 | −224 | 2.6% |
| Highmark Health | 2,616 | +90 | 1.6% |
| Elevance Health, Inc. | 2,211 | −91 | 1.4% |
| UPMC Health System | 1,131 | +107 | 0.7% |
| Total Community Options, Inc. | 473 | −42 | 0.3% |
| Trinity Health Corporation | 374 | −17 | 0.2% |
| Clover Health Holdings, Inc. | 348 | +66 | 0.2% |
| Rifkin Managed Care Holding, LLC | 325 | −6 | 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, 34,003 beneficiaries in Philadelphia County were assigned to 192 Medicare Shared Savings Program ACOs, 48.9% of assignable Original Medicare beneficiaries. Together, roughly 80% of all Medicare beneficiaries in the county are in Medicare Advantage or an MSSP ACO. See the ACOs in the MSSP Explorer.