Medicare Advantage in Wayne County, West Virginia
6,214 people in Wayne County, West Virginia were enrolled in Medicare Advantage in October 2026, 62.6% of 9,922 eligible beneficiaries (+0.2 pts since October 2025). Humana Inc. is the largest parent organization with 47% of reported enrollment; 10 parent organizations have 11 or more members and the HHI is 2,910 (highly concentrated). HRSA classifies the county as partly rural. For 2027, 0 members here are in plans that terminate or leave the county. MA plans offered go from 38 to 38.
Parent organizations in Wayne County
| Parent organization | Members | Change since October 2025 | Share |
|---|---|---|---|
| Humana Inc. | 2,889 | +51 | 46.7% |
| CVS Health Corporation | 1,312 | −3 | 21.2% |
| UnitedHealth Group, Inc. | 802 | −196 | 13.0% |
| Highmark Health | 525 | −169 | 8.5% |
| West Virginia United Health System, Inc. | 364 | +267 | 5.9% |
| UMWA Health and Retirement Funds | 100 | +2 | 1.6% |
| Elevance Health, Inc. | 87 | +26 | 1.4% |
| The Health Plan of West Virginia, Inc. | 55 | −11 | 0.9% |
| SNP Holdings, LLC | 28 | −2 | 0.5% |
| C & O Employees' Hospital Association | 25 | −1 | 0.4% |
CMS suppresses county and contract counts of 10 or fewer; shares are of reported enrollment.
Value-based care alongside MA
In PY 2024, 2,276 beneficiaries in Wayne County were assigned to 27 Medicare Shared Savings Program ACOs, 73.0% of assignable Original Medicare beneficiaries. Together, roughly 90% of all Medicare beneficiaries in the county are in Medicare Advantage or an MSSP ACO. See the ACOs in the MSSP Explorer.