Medicare Advantage in Guadalupe County, Texas
16,835 people in Guadalupe County, Texas were enrolled in Medicare Advantage in October 2026, 46.8% of 35,975 eligible beneficiaries (+0.2 pts since October 2025). UnitedHealth Group, Inc. is the largest parent organization with 47% of reported enrollment; 11 parent organizations have 11 or more members and the HHI is 3,456 (highly concentrated). HRSA classifies the county as partly rural. For 2027, 2,612 members here are in plans that terminate or leave the county, and CHRISTUS Health leaves. MA plans offered go from 49 to 40.
Parent organizations in Guadalupe County
| Parent organization | Members | Change since October 2025 | Share |
|---|---|---|---|
| UnitedHealth Group, Inc. | 7,809 | −452 | 46.7% |
| Humana Inc. | 5,728 | +1,046 | 34.3% |
| CVS Health Corporation | 1,262 | −42 | 7.5% |
| Health Care Service Corporation | 987 | +103 | 5.9% |
| Devoted Health, Inc. | 408 | +215 | 2.4% |
| Centene Corporation | 235 | −57 | 1.4% |
| Regency ISNP Holdings LLC | 110 | −7 | 0.7% |
| Elevance Health, Inc. | 107 | +14 | 0.6% |
| Blue Cross Blue Shield of Michigan Mutual Ins. Co. | 26 | +1 | 0.2% |
| Clover Health Holdings, Inc. | 26 | +10 | 0.2% |
| CHRISTUS Health | 22 | +7 | 0.1% |
CMS suppresses county and contract counts of 10 or fewer; shares are of reported enrollment.
Value-based care alongside MA
In PY 2024, 4,382 beneficiaries in Guadalupe County were assigned to 96 Medicare Shared Savings Program ACOs, 36.0% of assignable Original Medicare beneficiaries. Together, roughly 66% of all Medicare beneficiaries in the county are in Medicare Advantage or an MSSP ACO. See the ACOs in the MSSP Explorer.