Medicare Advantage in Hand County, South Dakota
138 people in Hand County, South Dakota were enrolled in Medicare Advantage in October 2026, 15.4% of 894 eligible beneficiaries (+0.5 pts since October 2025). Medica Holding Company is the largest parent organization with 89% of reported enrollment; 2 parent organizations have 11 or more members and the HHI is 8,104 (highly concentrated). HRSA classifies the county as fully rural. For 2027, 0 members here are in plans that terminate or leave the county. MA plans offered go from 8 to 6.
Parent organizations in Hand County
| Parent organization | Members | Change since October 2025 | Share |
|---|---|---|---|
| Medica Holding Company | 118 | +11 | 89.4% |
| Sanford Health | 14 | 0 | 10.6% |
CMS suppresses county and contract counts of 10 or fewer; shares are of reported enrollment.
Value-based care alongside MA
In PY 2024, 365 beneficiaries in Hand County were assigned to 15 Medicare Shared Savings Program ACOs, 72.7% of assignable Original Medicare beneficiaries. Together, roughly 77% of all Medicare beneficiaries in the county are in Medicare Advantage or an MSSP ACO. See the ACOs in the MSSP Explorer.