Medicare Advantage in Lancaster County, Virginia
1,587 people in Lancaster County, Virginia were enrolled in Medicare Advantage in October 2026, 32.3% of 4,919 eligible beneficiaries (−0.2 pts since October 2025). Humana Inc. is the largest parent organization with 30% of reported enrollment; 6 parent organizations have 11 or more members and the HHI is 2,446 (highly concentrated). HRSA classifies the county as partly rural. For 2027, 170 members here are in plans that terminate or leave the county. MA plans offered go from 21 to 19.
Parent organizations in Lancaster County
| Parent organization | Members | Change since October 2025 | Share |
|---|---|---|---|
| Humana Inc. | 466 | +91 | 30.0% |
| CVS Health Corporation | 365 | +21 | 23.5% |
| UnitedHealth Group, Inc. | 358 | −17 | 23.1% |
| Elevance Health, Inc. | 332 | −9 | 21.4% |
| CareFirst, Inc. | 19 | −3 | 1.2% |
| Sentara Health Care (SHC) | 12 | −63 | 0.8% |
CMS suppresses county and contract counts of 10 or fewer; shares are of reported enrollment.
Value-based care alongside MA
In PY 2024, 592 beneficiaries in Lancaster County were assigned to 43 Medicare Shared Savings Program ACOs, 22.7% of assignable Original Medicare beneficiaries. Together, roughly 48% of all Medicare beneficiaries in the county are in Medicare Advantage or an MSSP ACO. See the ACOs in the MSSP Explorer.