Medicare Advantage in Sullivan County, Pennsylvania
1,130 people in Sullivan County, Pennsylvania were enrolled in Medicare Advantage in October 2026, 51.7% of 2,186 eligible beneficiaries (+0.8 pts since October 2025). Risant Health, Inc. is the largest parent organization with 36% of reported enrollment; 6 parent organizations have 11 or more members and the HHI is 2,413 (highly concentrated). HRSA classifies the county as fully rural. For 2027, 0 members here are in plans that terminate or leave the county. MA plans offered go from 55 to 53.
Parent organizations in Sullivan County
| Parent organization | Members | Change since October 2025 | Share |
|---|---|---|---|
| Risant Health, Inc. | 385 | +49 | 36.5% |
| CVS Health Corporation | 258 | +11 | 24.5% |
| Highmark Health | 141 | −3 | 13.4% |
| UnitedHealth Group, Inc. | 140 | +34 | 13.3% |
| Humana Inc. | 119 | +9 | 11.3% |
| Centene Corporation | 12 | −2 | 1.1% |
CMS suppresses county and contract counts of 10 or fewer; shares are of reported enrollment.
Value-based care alongside MA
In PY 2024, 282 beneficiaries in Sullivan County were assigned to 15 Medicare Shared Savings Program ACOs, 34.4% of assignable Original Medicare beneficiaries. Together, roughly 68% of all Medicare beneficiaries in the county are in Medicare Advantage or an MSSP ACO. See the ACOs in the MSSP Explorer.
