Medicare Advantage in Smith County, Texas
26,609 people in Smith County, Texas were enrolled in Medicare Advantage in October 2026, 50.0% of 53,166 eligible beneficiaries (+0.9 pts since October 2025). UnitedHealth Group, Inc. is the largest parent organization with 37% of reported enrollment; 12 parent organizations have 11 or more members and the HHI is 2,454 (highly concentrated). HRSA classifies the county as partly rural. For 2027, 5,192 members here are in plans that terminate or leave the county, and CHRISTUS Health leaves. MA plans offered go from 33 to 25.
Parent organizations in Smith County
| Parent organization | Members | Change since October 2025 | Share |
|---|---|---|---|
| UnitedHealth Group, Inc. | 9,731 | −496 | 36.7% |
| Humana Inc. | 6,825 | +833 | 25.7% |
| Health Care Service Corporation | 4,618 | +365 | 17.4% |
| CHRISTUS Health | 2,706 | +286 | 10.2% |
| CVS Health Corporation | 1,452 | −5 | 5.5% |
| Highmark Health | 530 | −21 | 2.0% |
| Elevance Health, Inc. | 426 | +191 | 1.6% |
| Molina Healthcare, Inc. | 78 | +11 | 0.3% |
| Centene Corporation | 70 | −92 | 0.3% |
| Rifkin Managed Care Holding, LLC | 40 | −13 | 0.2% |
| Louisiana Health Service & Indemnity Company | 28 | +15 | 0.1% |
| California Physicians' Service | 11 | new | under 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, 14,791 beneficiaries in Smith County were assigned to 110 Medicare Shared Savings Program ACOs, 74.0% of assignable Original Medicare beneficiaries. Together, roughly 87% of all Medicare beneficiaries in the county are in Medicare Advantage or an MSSP ACO. See the ACOs in the MSSP Explorer.