Medicare Advantage in Randolph County, West Virginia
4,114 people in Randolph County, West Virginia were enrolled in Medicare Advantage in October 2026, 54.4% of 7,556 eligible beneficiaries (+1.3 pts since October 2025). Humana Inc. is the largest parent organization with 57% of reported enrollment; 7 parent organizations have 11 or more members and the HHI is 3,748 (highly concentrated). HRSA classifies the county as fully rural. For 2027, 435 members here are in plans that terminate or leave the county. MA plans offered go from 32 to 32.
Parent organizations in Randolph County
| Parent organization | Members | Change since October 2025 | Share |
|---|---|---|---|
| Humana Inc. | 2,350 | +195 | 57.4% |
| UnitedHealth Group, Inc. | 648 | −128 | 15.8% |
| CVS Health Corporation | 474 | −25 | 11.6% |
| Highmark Health | 285 | −56 | 7.0% |
| West Virginia United Health System, Inc. | 149 | new | 3.6% |
| UMWA Health and Retirement Funds | 101 | −5 | 2.5% |
| The Health Plan of West Virginia, Inc. | 89 | +11 | 2.2% |
CMS suppresses county and contract counts of 10 or fewer; shares are of reported enrollment.
Value-based care alongside MA
In PY 2024, 2,024 beneficiaries in Randolph County were assigned to 30 Medicare Shared Savings Program ACOs, 71.5% of assignable Original Medicare beneficiaries. Together, roughly 87% of all Medicare beneficiaries in the county are in Medicare Advantage or an MSSP ACO. See the ACOs in the MSSP Explorer.