Medicare Advantage in Franklin County, Texas
1,261 people in Franklin County, Texas were enrolled in Medicare Advantage in October 2026, 44.8% of 2,813 eligible beneficiaries (+0.5 pts since October 2025). UnitedHealth Group, Inc. is the largest parent organization with 52% of reported enrollment; 6 parent organizations have 11 or more members and the HHI is 3,924 (highly concentrated). HRSA classifies the county as fully rural. For 2027, 180 members here are in plans that terminate or leave the county, and CHRISTUS Health leaves. MA plans offered go from 17 to 14.
Parent organizations in Franklin County
| Parent organization | Members | Change since October 2025 | Share |
|---|---|---|---|
| UnitedHealth Group, Inc. | 630 | +10 | 51.6% |
| Humana Inc. | 426 | +23 | 34.9% |
| CHRISTUS Health | 61 | +6 | 5.0% |
| Health Care Service Corporation | 46 | 0 | 3.8% |
| CVS Health Corporation | 31 | +1 | 2.5% |
| Elevance Health, Inc. | 28 | +17 | 2.3% |
CMS suppresses county and contract counts of 10 or fewer; shares are of reported enrollment.
Value-based care alongside MA
In PY 2024, 420 beneficiaries in Franklin County were assigned to 26 Medicare Shared Savings Program ACOs, 33.7% of assignable Original Medicare beneficiaries. Together, roughly 63% of all Medicare beneficiaries in the county are in Medicare Advantage or an MSSP ACO. See the ACOs in the MSSP Explorer.