Medicare Advantage in Potter County, Pennsylvania
2,695 people in Potter County, Pennsylvania were enrolled in Medicare Advantage in October 2026, 54.1% of 4,978 eligible beneficiaries (+0.6 pts since October 2025). CVS Health Corporation is the largest parent organization with 30% of reported enrollment; 9 parent organizations have 11 or more members and the HHI is 1,954 (highly concentrated). HRSA classifies the county as fully rural. For 2027, 452 members here are in plans that terminate or leave the county. MA plans offered go from 58 to 51.
Parent organizations in Potter County
| Parent organization | Members | Change since October 2025 | Share |
|---|---|---|---|
| CVS Health Corporation | 780 | +204 | 29.5% |
| UPMC Health System | 555 | −12 | 21.0% |
| Highmark Health | 476 | −201 | 18.0% |
| Humana Inc. | 374 | +10 | 14.1% |
| UnitedHealth Group, Inc. | 249 | +43 | 9.4% |
| Risant Health, Inc. | 150 | −16 | 5.7% |
| Centene Corporation | 24 | +1 | 0.9% |
| Mitchell Family Office | 24 | new | 0.9% |
| Independence Health Group, Inc. | 15 | +1 | 0.6% |
CMS suppresses county and contract counts of 10 or fewer; shares are of reported enrollment.
Value-based care alongside MA
In PY 2024, 141 beneficiaries in Potter County were assigned to 29 Medicare Shared Savings Program ACOs, 7.7% of assignable Original Medicare beneficiaries. Together, roughly 58% of all Medicare beneficiaries in the county are in Medicare Advantage or an MSSP ACO. See the ACOs in the MSSP Explorer.