Medicare Advantage in San German, Puerto Rico
6,823 people in San German, Puerto Rico were enrolled in Medicare Advantage in October 2026, 88.6% of 7,700 eligible beneficiaries (+1.3 pts since October 2025). MHH Healthcare, L.P. is the largest parent organization with 64% of reported enrollment; 3 parent organizations have 11 or more members and the HHI is 4,910 (highly concentrated). 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 San German
| Parent organization | Members | Change since October 2025 | Share |
|---|---|---|---|
| MHH Healthcare, L.P. | 4,333 | +488 | 63.6% |
| Elevance Health, Inc. | 1,919 | −249 | 28.2% |
| Guidewell Mutual Holding Corporation | 558 | +37 | 8.2% |
CMS suppresses county and contract counts of 10 or fewer; shares are of reported enrollment.
Value-based care alongside MA
In PY 2024, 6 beneficiaries in San German were assigned to 3 Medicare Shared Savings Program ACOs, 3.8% of assignable Original Medicare beneficiaries. Together, roughly 89% of all Medicare beneficiaries in the county are in Medicare Advantage or an MSSP ACO. See the ACOs in the MSSP Explorer.