Medicare Advantage in Falls Church City, Virginia
837 people in Falls Church City, Virginia were enrolled in Medicare Advantage in October 2026, 31.9% of 2,622 eligible beneficiaries (+2.7 pts since October 2025). Kaiser Foundation Health Plan, Inc. is the largest parent organization with 38% of reported enrollment; 5 parent organizations have 11 or more members and the HHI is 2,504 (highly concentrated). For 2027, 20 members here are in plans that terminate or leave the county. MA plans offered go from 31 to 31.
Parent organizations in Falls Church City
| Parent organization | Members | Change since October 2025 | Share |
|---|---|---|---|
| Kaiser Foundation Health Plan, Inc. | 298 | +9 | 37.9% |
| UnitedHealth Group, Inc. | 162 | −19 | 20.6% |
| Humana Inc. | 151 | +86 | 19.2% |
| CVS Health Corporation | 115 | −3 | 14.6% |
| Elevance Health, Inc. | 60 | +1 | 7.6% |
CMS suppresses county and contract counts of 10 or fewer; shares are of reported enrollment.
Value-based care alongside MA
In PY 2024, 545 beneficiaries in Falls Church City were assigned to 39 Medicare Shared Savings Program ACOs, 48.2% of assignable Original Medicare beneficiaries. Together, roughly 65% of all Medicare beneficiaries in the county are in Medicare Advantage or an MSSP ACO. See the ACOs in the MSSP Explorer.