Medicare Advantage in Tarrant County, Texas
184,016 people in Tarrant County, Texas were enrolled in Medicare Advantage in October 2026, 55.5% of 331,485 eligible beneficiaries (−0.1 pts since October 2025). UnitedHealth Group, Inc. is the largest parent organization with 60% of reported enrollment; 17 parent organizations have 11 or more members and the HHI is 4,171 (highly concentrated). For 2027, 29,415 members here are in plans that terminate or leave the county, and Mitchell Family Office leaves. MA plans offered go from 53 to 40.
Parent organizations in Tarrant County
| Parent organization | Members | Change since October 2025 | Share |
|---|---|---|---|
| UnitedHealth Group, Inc. | 110,846 | −2,808 | 60.4% |
| Humana Inc. | 38,003 | +9,483 | 20.7% |
| Health Care Service Corporation | 14,941 | −1,599 | 8.1% |
| CVS Health Corporation | 8,804 | +206 | 4.8% |
| Elevance Health, Inc. | 5,005 | +1,231 | 2.7% |
| Centene Corporation | 3,555 | −1,578 | 1.9% |
| Baylor Scott & White Health | 1,414 | +510 | 0.8% |
| Molina Healthcare, Inc. | 454 | +83 | 0.2% |
| Rifkin Managed Care Holding, LLC | 148 | −47 | under 0.1% |
| Regency ISNP Holdings LLC | 131 | +36 | under 0.1% |
| Blue Cross Blue Shield of Michigan Mutual Ins. Co. | 120 | −12 | under 0.1% |
| Mitchell Family Office | 84 | −29 | under 0.1% |
| First Sacramento Capital Funding LLC | 72 | −14 | under 0.1% |
| California Physicians' Service | 35 | +11 | under 0.1% |
| Louisiana Health Service & Indemnity Company | 24 | 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, 22,793 beneficiaries in Tarrant County were assigned to 276 Medicare Shared Savings Program ACOs, 25.4% of assignable Original Medicare beneficiaries. Together, roughly 67% of all Medicare beneficiaries in the county are in Medicare Advantage or an MSSP ACO. See the ACOs in the MSSP Explorer.
