Medicare Advantage in Winchester City, Virginia
2,053 people in Winchester City, Virginia were enrolled in Medicare Advantage in October 2026, 35.5% of 5,788 eligible beneficiaries (+0.2 pts since October 2025). Humana Inc. is the largest parent organization with 43% of reported enrollment; 6 parent organizations have 11 or more members and the HHI is 3,095 (highly concentrated). For 2027, 110 members here are in plans that terminate or leave the county. MA plans offered go from 27 to 25.
Parent organizations in Winchester City
| Parent organization | Members | Change since October 2025 | Share |
|---|---|---|---|
| Humana Inc. | 867 | +245 | 43.3% |
| UnitedHealth Group, Inc. | 591 | −63 | 29.5% |
| Elevance Health, Inc. | 350 | −24 | 17.5% |
| CVS Health Corporation | 132 | −76 | 6.6% |
| Blue Ridge Hospice, Inc. | 32 | +12 | 1.6% |
| Sentara Health Care (SHC) | 32 | −25 | 1.6% |
CMS suppresses county and contract counts of 10 or fewer; shares are of reported enrollment.
Value-based care alongside MA
In PY 2024, 1,956 beneficiaries in Winchester City were assigned to 35 Medicare Shared Savings Program ACOs, 70.2% of assignable Original Medicare beneficiaries. Together, roughly 81% of all Medicare beneficiaries in the county are in Medicare Advantage or an MSSP ACO. See the ACOs in the MSSP Explorer.
