Medicare Advantage in Caguas, Puerto Rico
26,954 people in Caguas, Puerto Rico were enrolled in Medicare Advantage in October 2026, 84.3% of 31,964 eligible beneficiaries (−0.7 pts since October 2025). MHH Healthcare, L.P. is the largest parent organization with 58% of reported enrollment; 3 parent organizations have 11 or more members and the HHI is 4,251 (highly concentrated). For 2027, 14 members here are in plans that terminate or leave the county. MA plans offered go from 20 to 21.
Parent organizations in Caguas
| Parent organization | Members | Change since October 2025 | Share |
|---|---|---|---|
| MHH Healthcare, L.P. | 15,630 | +797 | 58.0% |
| Elevance Health, Inc. | 5,898 | −465 | 21.9% |
| Guidewell Mutual Holding Corporation | 5,402 | +878 | 20.1% |
CMS suppresses county and contract counts of 10 or fewer; shares are of reported enrollment.
Value-based care alongside MA
In PY 2024, 34 beneficiaries in Caguas were assigned to 16 Medicare Shared Savings Program ACOs, 4.1% of assignable Original Medicare beneficiaries. Together, roughly 85% of all Medicare beneficiaries in the county are in Medicare Advantage or an MSSP ACO. See the ACOs in the MSSP Explorer.