Medicare Advantage in Freestone County, Texas
2,440 people in Freestone County, Texas were enrolled in Medicare Advantage in October 2026, 49.9% of 4,891 eligible beneficiaries (+1.2 pts since October 2025). UnitedHealth Group, Inc. is the largest parent organization with 52% of reported enrollment; 7 parent organizations have 11 or more members and the HHI is 3,965 (highly concentrated). HRSA classifies the county as fully rural. For 2027, 232 members here are in plans that terminate or leave the county. MA plans offered go from 24 to 23.
Parent organizations in Freestone County
| Parent organization | Members | Change since October 2025 | Share |
|---|---|---|---|
| UnitedHealth Group, Inc. | 1,260 | +26 | 52.4% |
| Humana Inc. | 822 | +106 | 34.2% |
| Baylor Scott & White Health | 121 | +25 | 5.0% |
| Health Care Service Corporation | 118 | −52 | 4.9% |
| CVS Health Corporation | 51 | −5 | 2.1% |
| Rifkin Managed Care Holding, LLC | 18 | +1 | 0.7% |
| Centene Corporation | 16 | −7 | 0.7% |
CMS suppresses county and contract counts of 10 or fewer; shares are of reported enrollment.
Value-based care alongside MA
In PY 2024, 381 beneficiaries in Freestone County were assigned to 29 Medicare Shared Savings Program ACOs, 19.6% of assignable Original Medicare beneficiaries. Together, roughly 60% of all Medicare beneficiaries in the county are in Medicare Advantage or an MSSP ACO. See the ACOs in the MSSP Explorer.