Medicare Advantage in Newport County, Rhode Island
10,484 people in Newport County, Rhode Island were enrolled in Medicare Advantage in October 2026, 45.3% of 23,153 eligible beneficiaries (−0.9 pts since October 2025). Blue Cross & Blue Shield of Rhode Island is the largest parent organization with 52% of reported enrollment; 7 parent organizations have 11 or more members and the HHI is 3,711 (highly concentrated). For 2027, 22 members here are in plans that terminate or leave the county. MA plans offered go from 13 to 12.
Parent organizations in Newport County
| Parent organization | Members | Change since October 2025 | Share |
|---|---|---|---|
| Blue Cross & Blue Shield of Rhode Island | 5,460 | −9 | 52.4% |
| UnitedHealth Group, Inc. | 2,789 | −675 | 26.8% |
| CVS Health Corporation | 1,589 | +753 | 15.2% |
| NEIGHBORHOOD HEALTH PLAN OF RHODE ISLAND | 467 | −68 | 4.5% |
| Humana Inc. | 49 | +33 | 0.5% |
| PACE Organization of Rhode Island | 37 | +11 | 0.4% |
| Elevance Health, Inc. | 35 | 0 | 0.3% |
CMS suppresses county and contract counts of 10 or fewer; shares are of reported enrollment.
Value-based care alongside MA
In PY 2024, 6,505 beneficiaries in Newport County were assigned to 77 Medicare Shared Savings Program ACOs, 74.2% 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.