Medicare Advantage in Nacogdoches County, Texas
6,611 people in Nacogdoches County, Texas were enrolled in Medicare Advantage in October 2026, 51.6% of 12,816 eligible beneficiaries (+0.7 pts since October 2025). UnitedHealth Group, Inc. is the largest parent organization with 49% of reported enrollment; 8 parent organizations have 11 or more members and the HHI is 3,415 (highly concentrated). HRSA classifies the county as fully rural. For 2027, 860 members here are in plans that terminate or leave the county, and Mitchell Family Office leaves. MA plans offered go from 26 to 22.
Parent organizations in Nacogdoches County
| Parent organization | Members | Change since October 2025 | Share |
|---|---|---|---|
| UnitedHealth Group, Inc. | 3,213 | −20 | 48.7% |
| Health Care Service Corporation | 1,844 | +16 | 28.0% |
| Humana Inc. | 1,009 | +171 | 15.3% |
| CVS Health Corporation | 324 | −5 | 4.9% |
| Elevance Health, Inc. | 121 | +55 | 1.8% |
| Mitchell Family Office | 35 | −7 | 0.5% |
| Rifkin Managed Care Holding, LLC | 30 | +3 | 0.5% |
| Molina Healthcare, Inc. | 21 | −1 | 0.3% |
CMS suppresses county and contract counts of 10 or fewer; shares are of reported enrollment.
Value-based care alongside MA
In PY 2024, 597 beneficiaries in Nacogdoches County were assigned to 41 Medicare Shared Savings Program ACOs, 13.0% of assignable Original Medicare beneficiaries. Together, roughly 58% of all Medicare beneficiaries in the county are in Medicare Advantage or an MSSP ACO. See the ACOs in the MSSP Explorer.