Medicare Advantage in Meade County, South Dakota
2,116 people in Meade County, South Dakota were enrolled in Medicare Advantage in October 2026, 28.9% of 7,319 eligible beneficiaries (−5.0 pts since October 2025). Medica Holding Company is the largest parent organization with 65% of reported enrollment; 4 parent organizations have 11 or more members and the HHI is 4,808 (highly concentrated). HRSA classifies the county as partly rural. For 2027, 592 members here are in plans that terminate or leave the county, and Blue Cross Blue Shield of Michigan Mutual Ins. Co. leaves. MA plans offered go from 8 to 5.
Parent organizations in Meade County
| Parent organization | Members | Change since October 2025 | Share |
|---|---|---|---|
| Medica Holding Company | 1,350 | +383 | 64.7% |
| Blue Cross Blue Shield of Michigan Mutual Ins. Co. | 439 | −141 | 21.1% |
| UnitedHealth Group, Inc. | 273 | −220 | 13.1% |
| CVS Health Corporation | 23 | +1 | 1.1% |
CMS suppresses county and contract counts of 10 or fewer; shares are of reported enrollment.
Value-based care alongside MA
In PY 2024, 1,861 beneficiaries in Meade County were assigned to 30 Medicare Shared Savings Program ACOs, 69.9% 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.