Medicare Advantage in Schuylkill County, Pennsylvania
18,036 people in Schuylkill County, Pennsylvania were enrolled in Medicare Advantage in October 2026, 47.6% of 37,886 eligible beneficiaries (+0.4 pts since October 2025). Risant Health, Inc. is the largest parent organization with 25% of reported enrollment; 12 parent organizations have 11 or more members and the HHI is 1,716 (moderately concentrated). HRSA classifies the county as fully rural. For 2027, 1,726 members here are in plans that terminate or leave the county. MA plans offered go from 62 to 59.
Parent organizations in Schuylkill County
| Parent organization | Members | Change since October 2025 | Share |
|---|---|---|---|
| Risant Health, Inc. | 4,516 | −680 | 25.1% |
| CVS Health Corporation | 4,255 | +23 | 23.7% |
| CAPITAL BLUE CROSS | 2,857 | +1,930 | 15.9% |
| UnitedHealth Group, Inc. | 1,760 | +10 | 9.8% |
| Highmark Health | 1,721 | −1,774 | 9.6% |
| Humana Inc. | 1,550 | +343 | 8.6% |
| Thomas Jefferson University | 417 | +363 | 2.3% |
| Independence Health Group, Inc. | 265 | +56 | 1.5% |
| Devoted Health, Inc. | 220 | new | 1.2% |
| Centene Corporation | 198 | −42 | 1.1% |
| Elevance Health, Inc. | 141 | −12 | 0.8% |
| UPMC Health System | 80 | +18 | 0.4% |
CMS suppresses county and contract counts of 10 or fewer; shares are of reported enrollment.
Value-based care alongside MA
In PY 2024, 8,723 beneficiaries in Schuylkill County were assigned to 65 Medicare Shared Savings Program ACOs, 54.3% of assignable Original Medicare beneficiaries. Together, roughly 76% of all Medicare beneficiaries in the county are in Medicare Advantage or an MSSP ACO. See the ACOs in the MSSP Explorer.