Medicare Advantage in Providence County, Rhode Island
86,849 people in Providence County, Rhode Island were enrolled in Medicare Advantage in October 2026, 64.5% of 134,711 eligible beneficiaries (−0.6 pts since October 2025). Blue Cross & Blue Shield of Rhode Island is the largest parent organization with 48% of reported enrollment; 8 parent organizations have 11 or more members and the HHI is 3,440 (highly concentrated). For 2027, 217 members here are in plans that terminate or leave the county, and CareSource leaves. MA plans offered go from 14 to 13.
Parent organizations in Providence County
| Parent organization | Members | Change since October 2025 | Share |
|---|---|---|---|
| Blue Cross & Blue Shield of Rhode Island | 41,131 | −1,049 | 47.5% |
| UnitedHealth Group, Inc. | 26,830 | −3,672 | 31.0% |
| CVS Health Corporation | 9,973 | +6,102 | 11.5% |
| NEIGHBORHOOD HEALTH PLAN OF RHODE ISLAND | 8,182 | −392 | 9.5% |
| PACE Organization of Rhode Island | 302 | +23 | 0.3% |
| Humana Inc. | 71 | +31 | under 0.1% |
| Elevance Health, Inc. | 58 | −15 | under 0.1% |
| CareSource | 18 | new | under 0.1% |
CMS suppresses county and contract counts of 10 or fewer; shares are of reported enrollment.
Value-based care alongside MA
In PY 2024, 16,690 beneficiaries in Providence County were assigned to 123 Medicare Shared Savings Program ACOs, 58.5% 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.