Medicare Advantage in Fayette County, Texas
2,786 people in Fayette County, Texas were enrolled in Medicare Advantage in October 2026, 34.6% of 8,042 eligible beneficiaries (−0.1 pts since October 2025). Humana Inc. is the largest parent organization with 42% of reported enrollment; 7 parent organizations have 11 or more members and the HHI is 3,343 (highly concentrated). HRSA classifies the county as fully rural. For 2027, 223 members here are in plans that terminate or leave the county, and Health Care Service Corporation leaves. MA plans offered go from 24 to 24.
Parent organizations in Fayette County
| Parent organization | Members | Change since October 2025 | Share |
|---|---|---|---|
| Humana Inc. | 1,157 | +172 | 41.9% |
| UnitedHealth Group, Inc. | 1,040 | −77 | 37.7% |
| CVS Health Corporation | 324 | −7 | 11.7% |
| Health Care Service Corporation | 137 | −27 | 5.0% |
| Baylor Scott & White Health | 74 | +3 | 2.7% |
| Regency ISNP Holdings LLC | 19 | +2 | 0.7% |
| Centene Corporation | 11 | −20 | 0.4% |
CMS suppresses county and contract counts of 10 or fewer; shares are of reported enrollment.
Value-based care alongside MA
In PY 2024, 2,495 beneficiaries in Fayette County were assigned to 44 Medicare Shared Savings Program ACOs, 59.4% of assignable Original Medicare beneficiaries. Together, roughly 73% of all Medicare beneficiaries in the county are in Medicare Advantage or an MSSP ACO. See the ACOs in the MSSP Explorer.