Medicare Advantage in Clallam County, Washington
6,953 people in Clallam County, Washington were enrolled in Medicare Advantage in October 2026, 23.3% of 29,805 eligible beneficiaries (+0.6 pts since October 2025). UnitedHealth Group, Inc. is the largest parent organization with 77% of reported enrollment; 11 parent organizations have 11 or more members and the HHI is 6,003 (highly concentrated). HRSA classifies the county as partly rural. For 2027, 4,412 members here are in plans that terminate or leave the county, and Elevance Health, Inc. leaves. MA plans offered go from 9 to 1.
Parent organizations in Clallam County
| Parent organization | Members | Change since October 2025 | Share |
|---|---|---|---|
| UnitedHealth Group, Inc. | 5,273 | +382 | 76.8% |
| Centene Corporation | 471 | −189 | 6.9% |
| CVS Health Corporation | 380 | −1 | 5.5% |
| Humana Inc. | 341 | +26 | 5.0% |
| Elevance Health, Inc. | 154 | +8 | 2.2% |
| Molina Healthcare, Inc. | 122 | +68 | 1.8% |
| Community Health Plan of Washington | 54 | −13 | 0.8% |
| California Physicians' Service | 25 | +1 | 0.4% |
| Cambia Health Solutions, Inc. | 23 | −2 | 0.3% |
| Blue Cross Blue Shield of Michigan Mutual Ins. Co. | 15 | −2 | 0.2% |
| Health Care Service Corporation | 12 | −3 | 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, 4,887 beneficiaries in Clallam County were assigned to 80 Medicare Shared Savings Program ACOs, 27.2% of assignable Original Medicare beneficiaries. Together, roughly 44% of all Medicare beneficiaries in the county are in Medicare Advantage or an MSSP ACO. See the ACOs in the MSSP Explorer.