Medicare Advantage in Clay County, West Virginia
1,796 people in Clay County, West Virginia were enrolled in Medicare Advantage in October 2026, 71.5% of 2,512 eligible beneficiaries (+1.4 pts since October 2025). Humana Inc. is the largest parent organization with 45% of reported enrollment; 8 parent organizations have 11 or more members and the HHI is 2,772 (highly concentrated). HRSA classifies the county as fully rural. For 2027, 155 members here are in plans that terminate or leave the county. MA plans offered go from 37 to 30.
Parent organizations in Clay County
| Parent organization | Members | Change since October 2025 | Share |
|---|---|---|---|
| Humana Inc. | 798 | +53 | 44.8% |
| CVS Health Corporation | 388 | −17 | 21.8% |
| UnitedHealth Group, Inc. | 257 | −1 | 14.4% |
| The Health Plan of West Virginia, Inc. | 100 | −20 | 5.6% |
| Highmark Health | 93 | −26 | 5.2% |
| UMWA Health and Retirement Funds | 71 | −9 | 4.0% |
| West Virginia United Health System, Inc. | 52 | new | 2.9% |
| SNP Holdings, LLC | 23 | −4 | 1.3% |
CMS suppresses county and contract counts of 10 or fewer; shares are of reported enrollment.
Value-based care alongside MA
In PY 2024, 532 beneficiaries in Clay County were assigned to 9 Medicare Shared Savings Program ACOs, 78.5% of assignable Original Medicare beneficiaries. Together, roughly 94% of all Medicare beneficiaries in the county are in Medicare Advantage or an MSSP ACO. See the ACOs in the MSSP Explorer.