Medicare Advantage in Wayne County, Pennsylvania
5,702 people in Wayne County, Pennsylvania were enrolled in Medicare Advantage in October 2026, 37.0% of 15,402 eligible beneficiaries (−0.2 pts since October 2025). CVS Health Corporation is the largest parent organization with 34% of reported enrollment; 10 parent organizations have 11 or more members and the HHI is 2,182 (highly concentrated). HRSA classifies the county as fully rural. For 2027, 26 members here are in plans that terminate or leave the county. MA plans offered go from 61 to 59.
Parent organizations in Wayne County
| Parent organization | Members | Change since October 2025 | Share |
|---|---|---|---|
| CVS Health Corporation | 1,934 | +99 | 34.4% |
| Risant Health, Inc. | 1,249 | −50 | 22.2% |
| Highmark Health | 862 | −129 | 15.3% |
| Humana Inc. | 677 | +78 | 12.0% |
| UnitedHealth Group, Inc. | 615 | +20 | 10.9% |
| Centene Corporation | 87 | −17 | 1.5% |
| Elevance Health, Inc. | 58 | +1 | 1.0% |
| UPMC Health System | 56 | +23 | 1.0% |
| Independence Health Group, Inc. | 50 | +5 | 0.9% |
| Devoted Health, Inc. | 35 | new | 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, 5,934 beneficiaries in Wayne County were assigned to 92 Medicare Shared Savings Program ACOs, 77.8% of assignable Original Medicare beneficiaries. Together, roughly 86% of all Medicare beneficiaries in the county are in Medicare Advantage or an MSSP ACO. See the ACOs in the MSSP Explorer.