Medicare Advantage in Raleigh County, West Virginia
10,414 people in Raleigh County, West Virginia were enrolled in Medicare Advantage in October 2026, 52.6% of 19,786 eligible beneficiaries (+0.7 pts since October 2025). Humana Inc. is the largest parent organization with 38% of reported enrollment; 8 parent organizations have 11 or more members and the HHI is 2,729 (highly concentrated). For 2027, 0 members here are in plans that terminate or leave the county. MA plans offered go from 34 to 34.
Parent organizations in Raleigh County
| Parent organization | Members | Change since October 2025 | Share |
|---|---|---|---|
| Humana Inc. | 3,947 | +135 | 38.0% |
| CVS Health Corporation | 3,165 | +150 | 30.5% |
| UMWA Health and Retirement Funds | 1,573 | −75 | 15.2% |
| UnitedHealth Group, Inc. | 1,074 | −43 | 10.3% |
| Highmark Health | 407 | −50 | 3.9% |
| The Health Plan of West Virginia, Inc. | 137 | +22 | 1.3% |
| SNP Holdings, LLC | 59 | +5 | 0.6% |
| C & O Employees' Hospital Association | 20 | −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, 1,150 beneficiaries in Raleigh County were assigned to 41 Medicare Shared Savings Program ACOs, 14.3% of assignable Original Medicare beneficiaries. Together, roughly 59% of all Medicare beneficiaries in the county are in Medicare Advantage or an MSSP ACO. See the ACOs in the MSSP Explorer.