Medicare Advantage in Patillas, Puerto Rico
4,388 people in Patillas, Puerto Rico were enrolled in Medicare Advantage in October 2026, 84.2% of 5,209 eligible beneficiaries (+0.5 pts since October 2025). Elevance Health, Inc. is the largest parent organization with 57% of reported enrollment; 3 parent organizations have 11 or more members and the HHI is 4,357 (highly concentrated). HRSA classifies the county as partly rural. For 2027, 0 members here are in plans that terminate or leave the county. MA plans offered go from 22 to 23.
Parent organizations in Patillas
| Parent organization | Members | Change since October 2025 | Share |
|---|---|---|---|
| Elevance Health, Inc. | 2,472 | −144 | 56.6% |
| MHH Healthcare, L.P. | 1,398 | +270 | 32.0% |
| Guidewell Mutual Holding Corporation | 498 | +99 | 11.4% |
CMS suppresses county and contract counts of 10 or fewer; shares are of reported enrollment.
Value-based care alongside MA
In PY 2024, 4 beneficiaries in Patillas were assigned to 2 Medicare Shared Savings Program ACOs, 13.9% 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.
