Medicare Advantage in Hughes County, South Dakota
808 people in Hughes County, South Dakota were enrolled in Medicare Advantage in October 2026, 21.5% of 3,759 eligible beneficiaries (+1.5 pts since October 2025). Medica Holding Company is the largest parent organization with 92% of reported enrollment; 2 parent organizations have 11 or more members and the HHI is 8,500 (highly concentrated). HRSA classifies the county as fully rural. For 2027, 19 members here are in plans that terminate or leave the county. MA plans offered go from 8 to 6.
Parent organizations in Hughes County
| Parent organization | Members | Change since October 2025 | Share |
|---|---|---|---|
| Medica Holding Company | 731 | +89 | 91.8% |
| UnitedHealth Group, Inc. | 65 | +15 | 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, 1,401 beneficiaries in Hughes County were assigned to 15 Medicare Shared Savings Program ACOs, 63.1% of assignable Original Medicare beneficiaries. Together, roughly 71% of all Medicare beneficiaries in the county are in Medicare Advantage or an MSSP ACO. See the ACOs in the MSSP Explorer.