Medicare Advantage in Mellette County, South Dakota
54 people in Mellette County, South Dakota were enrolled in Medicare Advantage in October 2026, 14.4% of 374 eligible beneficiaries (−0.5 pts since October 2025). Medica Holding Company is the largest parent organization with 100% of reported enrollment; 1 parent organizations have 11 or more members and the HHI is 10,000 (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 Mellette County
| Parent organization | Members | Change since October 2025 | Share |
|---|---|---|---|
| Medica Holding Company | 54 | −1 | 100.0% |
CMS suppresses county and contract counts of 10 or fewer; shares are of reported enrollment.
Value-based care alongside MA
In PY 2024, 104 beneficiaries in Mellette County were assigned to 4 Medicare Shared Savings Program ACOs, 50.9% of assignable Original Medicare beneficiaries. Together, roughly 58% of all Medicare beneficiaries in the county are in Medicare Advantage or an MSSP ACO. See the ACOs in the MSSP Explorer.