Medicare Advantage in Hill County, Texas
5,532 people in Hill County, Texas were enrolled in Medicare Advantage in October 2026, 55.6% of 9,952 eligible beneficiaries (+0.3 pts since October 2025). UnitedHealth Group, Inc. is the largest parent organization with 61% of reported enrollment; 6 parent organizations have 11 or more members and the HHI is 4,241 (highly concentrated). HRSA classifies the county as fully rural. For 2027, 636 members here are in plans that terminate or leave the county, and Health Care Service Corporation leaves. MA plans offered go from 31 to 25.
Parent organizations in Hill County
| Parent organization | Members | Change since October 2025 | Share |
|---|---|---|---|
| UnitedHealth Group, Inc. | 3,336 | −145 | 60.7% |
| Humana Inc. | 1,107 | +204 | 20.1% |
| Baylor Scott & White Health | 529 | +133 | 9.6% |
| CVS Health Corporation | 400 | +45 | 7.3% |
| Health Care Service Corporation | 71 | −5 | 1.3% |
| Centene Corporation | 51 | −93 | 0.9% |
CMS suppresses county and contract counts of 10 or fewer; shares are of reported enrollment.
Value-based care alongside MA
In PY 2024, 1,882 beneficiaries in Hill County were assigned to 35 Medicare Shared Savings Program ACOs, 59.7% of assignable Original Medicare beneficiaries. Together, roughly 82% of all Medicare beneficiaries in the county are in Medicare Advantage or an MSSP ACO. See the ACOs in the MSSP Explorer.
