Medicare Advantage in Howard County, Texas
2,402 people in Howard County, Texas were enrolled in Medicare Advantage in October 2026, 45.1% of 5,328 eligible beneficiaries (+1.6 pts since October 2025). UnitedHealth Group, Inc. is the largest parent organization with 58% of reported enrollment; 7 parent organizations have 11 or more members and the HHI is 4,585 (highly concentrated). HRSA classifies the county as fully rural. For 2027, 55 members here are in plans that terminate or leave the county, and Health Care Service Corporation leaves. MA plans offered go from 22 to 15.
Parent organizations in Howard County
| Parent organization | Members | Change since October 2025 | Share |
|---|---|---|---|
| UnitedHealth Group, Inc. | 1,374 | +19 | 57.6% |
| Humana Inc. | 842 | +78 | 35.3% |
| Elevance Health, Inc. | 79 | +32 | 3.3% |
| Health Care Service Corporation | 46 | −11 | 1.9% |
| Rifkin Managed Care Holding, LLC | 18 | 0 | 0.8% |
| CVS Health Corporation | 14 | −1 | 0.6% |
| Centene Corporation | 11 | new | 0.5% |
CMS suppresses county and contract counts of 10 or fewer; shares are of reported enrollment.
Value-based care alongside MA
In PY 2024, 892 beneficiaries in Howard County were assigned to 24 Medicare Shared Savings Program ACOs, 44.6% of assignable Original Medicare beneficiaries. Together, roughly 70% of all Medicare beneficiaries in the county are in Medicare Advantage or an MSSP ACO. See the ACOs in the MSSP Explorer.