Medicare Advantage in Upshur County, Texas
5,517 people in Upshur County, Texas were enrolled in Medicare Advantage in October 2026, 53.8% of 10,261 eligible beneficiaries (+0.6 pts since October 2025). Humana Inc. is the largest parent organization with 39% of reported enrollment; 8 parent organizations have 11 or more members and the HHI is 2,712 (highly concentrated). HRSA classifies the county as partly rural. For 2027, 702 members here are in plans that terminate or leave the county, and CHRISTUS Health leaves. MA plans offered go from 29 to 24.
Parent organizations in Upshur County
| Parent organization | Members | Change since October 2025 | Share |
|---|---|---|---|
| Humana Inc. | 2,125 | +234 | 38.8% |
| UnitedHealth Group, Inc. | 1,482 | −21 | 27.0% |
| Health Care Service Corporation | 1,060 | −26 | 19.3% |
| CVS Health Corporation | 496 | 0 | 9.1% |
| CHRISTUS Health | 241 | +30 | 4.4% |
| Elevance Health, Inc. | 51 | +18 | 0.9% |
| Rifkin Managed Care Holding, LLC | 13 | −30 | 0.2% |
| Molina Healthcare, Inc. | 11 | new | 0.2% |
CMS suppresses county and contract counts of 10 or fewer; shares are of reported enrollment.
Value-based care alongside MA
In PY 2024, 2,597 beneficiaries in Upshur County were assigned to 32 Medicare Shared Savings Program ACOs, 75.9% of assignable Original Medicare beneficiaries. Together, roughly 89% of all Medicare beneficiaries in the county are in Medicare Advantage or an MSSP ACO. See the ACOs in the MSSP Explorer.