Medicare Advantage in Humacao, Puerto Rico
12,710 people in Humacao, Puerto Rico were enrolled in Medicare Advantage in October 2026, 82.8% of 15,346 eligible beneficiaries (+1.1 pts since October 2025). MHH Healthcare, L.P. is the largest parent organization with 75% of reported enrollment; 3 parent organizations have 11 or more members and the HHI is 5,920 (highly concentrated). For 2027, 0 members here are in plans that terminate or leave the county. MA plans offered go from 21 to 22.
Parent organizations in Humacao
| Parent organization | Members | Change since October 2025 | Share |
|---|---|---|---|
| MHH Healthcare, L.P. | 9,484 | +1,483 | 74.7% |
| Guidewell Mutual Holding Corporation | 1,951 | +503 | 15.4% |
| Elevance Health, Inc. | 1,254 | −107 | 9.9% |
CMS suppresses county and contract counts of 10 or fewer; shares are of reported enrollment.
Value-based care alongside MA
In PY 2024, 45 beneficiaries in Humacao were assigned to 21 Medicare Shared Savings Program ACOs, 15.4% 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.