Medicare Advantage in Cooke County, Texas
4,173 people in Cooke County, Texas were enrolled in Medicare Advantage in October 2026, 41.7% of 10,002 eligible beneficiaries (−0.2 pts since October 2025). UnitedHealth Group, Inc. is the largest parent organization with 68% of reported enrollment; 10 parent organizations have 11 or more members and the HHI is 5,197 (highly concentrated). HRSA classifies the county as fully rural. For 2027, 1,087 members here are in plans that terminate or leave the county. MA plans offered go from 36 to 31.
Parent organizations in Cooke County
| Parent organization | Members | Change since October 2025 | Share |
|---|---|---|---|
| UnitedHealth Group, Inc. | 2,798 | +78 | 67.8% |
| Humana Inc. | 1,003 | +56 | 24.3% |
| Elevance Health, Inc. | 93 | +17 | 2.3% |
| Centene Corporation | 76 | −47 | 1.8% |
| CVS Health Corporation | 68 | −5 | 1.6% |
| Health Care Service Corporation | 34 | −25 | 0.8% |
| First Sacramento Capital Funding LLC | 18 | 0 | 0.4% |
| Universal Health Services, Inc. | 16 | +4 | 0.4% |
| Consolidated Assoc of Railroad Employees HC | 11 | −2 | 0.3% |
| Rifkin Managed Care Holding, LLC | 11 | new | 0.3% |
CMS suppresses county and contract counts of 10 or fewer; shares are of reported enrollment.
Value-based care alongside MA
In PY 2024, 1,370 beneficiaries in Cooke County were assigned to 37 Medicare Shared Savings Program ACOs, 35.4% of assignable Original Medicare beneficiaries. Together, roughly 62% of all Medicare beneficiaries in the county are in Medicare Advantage or an MSSP ACO. See the ACOs in the MSSP Explorer.