Medicare Advantage in Real County, Texas
519 people in Real County, Texas were enrolled in Medicare Advantage in October 2026, 38.6% of 1,344 eligible beneficiaries (−0.1 pts since October 2025). Humana Inc. is the largest parent organization with 51% of reported enrollment; 6 parent organizations have 11 or more members and the HHI is 3,550 (highly concentrated). HRSA classifies the county as fully rural. For 2027, 187 members here are in plans that terminate or leave the county. MA plans offered go from 21 to 20.
Parent organizations in Real County
| Parent organization | Members | Change since October 2025 | Share |
|---|---|---|---|
| Humana Inc. | 249 | +5 | 50.6% |
| UnitedHealth Group, Inc. | 147 | −7 | 29.9% |
| CVS Health Corporation | 28 | −6 | 5.7% |
| Devoted Health, Inc. | 25 | new | 5.1% |
| Centene Corporation | 22 | −6 | 4.5% |
| Health Care Service Corporation | 21 | −2 | 4.3% |
CMS suppresses county and contract counts of 10 or fewer; shares are of reported enrollment.
Value-based care alongside MA
In PY 2024, 142 beneficiaries in Real County were assigned to 23 Medicare Shared Savings Program ACOs, 24.3% of assignable Original Medicare beneficiaries. Together, roughly 54% of all Medicare beneficiaries in the county are in Medicare Advantage or an MSSP ACO. See the ACOs in the MSSP Explorer.