Medicare Advantage in Marshall County, South Dakota
397 people in Marshall County, South Dakota were enrolled in Medicare Advantage in October 2026, 33.3% of 1,192 eligible beneficiaries (−1.0 pts since October 2025). Medica Holding Company is the largest parent organization with 70% of reported enrollment; 5 parent organizations have 11 or more members and the HHI is 5,144 (highly concentrated). HRSA classifies the county as fully rural. For 2027, 121 members here are in plans that terminate or leave the county, and Blue Cross Blue Shield of Michigan Mutual Ins. Co., CVS Health Corporation leave. MA plans offered go from 12 to 7.
Parent organizations in Marshall County
| Parent organization | Members | Change since October 2025 | Share |
|---|---|---|---|
| Medica Holding Company | 274 | +23 | 69.7% |
| UnitedHealth Group, Inc. | 54 | −16 | 13.7% |
| Sanford Health | 26 | +8 | 6.6% |
| CVS Health Corporation | 22 | −7 | 5.6% |
| Blue Cross Blue Shield of Michigan Mutual Ins. Co. | 17 | −7 | 4.3% |
CMS suppresses county and contract counts of 10 or fewer; shares are of reported enrollment.
Value-based care alongside MA
In PY 2024, 409 beneficiaries in Marshall County were assigned to 8 Medicare Shared Savings Program ACOs, 67.8% of assignable Original Medicare beneficiaries. Together, roughly 79% of all Medicare beneficiaries in the county are in Medicare Advantage or an MSSP ACO. See the ACOs in the MSSP Explorer.