Medicare Advantage in Washington County, Rhode Island
19,694 people in Washington County, Rhode Island were enrolled in Medicare Advantage in October 2026, 51.7% of 38,075 eligible beneficiaries (−0.9 pts since October 2025). Blue Cross & Blue Shield of Rhode Island is the largest parent organization with 51% of reported enrollment; 7 parent organizations have 11 or more members and the HHI is 3,685 (highly concentrated). HRSA classifies the county as partly rural. For 2027, 40 members here are in plans that terminate or leave the county. MA plans offered go from 13 to 12.
Parent organizations in Washington County
| Parent organization | Members | Change since October 2025 | Share |
|---|---|---|---|
| Blue Cross & Blue Shield of Rhode Island | 10,047 | −269 | 51.2% |
| UnitedHealth Group, Inc. | 5,691 | −965 | 29.0% |
| CVS Health Corporation | 2,843 | +1,362 | 14.5% |
| NEIGHBORHOOD HEALTH PLAN OF RHODE ISLAND | 576 | −49 | 2.9% |
| Elevance Health, Inc. | 260 | +8 | 1.3% |
| Humana Inc. | 139 | +108 | 0.7% |
| PACE Organization of Rhode Island | 64 | +15 | 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, 7,307 beneficiaries in Washington County were assigned to 106 Medicare Shared Savings Program ACOs, 58.1% of assignable Original Medicare beneficiaries. Together, roughly 80% of all Medicare beneficiaries in the county are in Medicare Advantage or an MSSP ACO. See the ACOs in the MSSP Explorer.