Independent Medicare market intelligence · Public CMS data · April 2026 county file, ingested July 31, 2026

Medicare market answers you can defend in the room.

Built on named CMS datasets for brokers planning AEP, strategy and finance teams sizing markets, and analysts who need the source file. Free to read without an account.

Find your market

Type a state or county to jump straight to it, start from one of the largest markets, or open the explorer for all 3,199 counties. April 2026 CMS county file.

Explore all 3,199 counties →  filter by health plan share, momentum and market size. Weighing more than one? Compare markets side by side →

Browse markets

Largest markets

Medicare beneficiaries, CMS state record, April 2026

  1. California7,218,783
  2. Florida5,319,022
  3. Texas4,999,773
  4. New York4,042,202
  5. Pennsylvania3,030,753

Highest MA & other health plan share

CMS state record, April 2026

  1. Puerto Rico86.7%
  2. Michigan63.6%
  3. Alabama61.4%
  4. Rhode Island59.9%
  5. Maine58.9%

Fastest growing

12-month change in share, counties with 20,000+ beneficiaries

  1. Caddo Parish, LA+4.4 pts
  2. Webb County, TX+3.1 pts
  3. Craven County, NC+2.5 pts
  4. Onslow County, NC+2.5 pts
  5. San Juan County, NM+2.4 pts

Most headroom

Lowest share, counties with 20,000+ beneficiaries

  1. Anchorage Municipality, AK2.8%
  2. Shasta County, CA8.3%
  3. Humboldt County, CA9.0%
  4. Chittenden County, VT11.5%
  5. Butte County, CA12.4%

Browse all states and counties →  the full directory, all 53 jurisdictions and 3,199 counties.

What you can use today

Live capabilities only. Everything in beta or planned is on the roadmap, not in this list.

This cycle's headline numbers

live static extract derived curated modeled Source data, derived metrics and models — what these labels mean →

What share of Medicare beneficiaries are enrolled in Medicare Advantage or another Medicare health plan?
live
51.1%
April 2026 CMS national record · 36,012,033 of 70,408,037 beneficiaries in MA or another Medicare health plan · summing county rows gives 51.6%, see the reconciliation
See the trend →
Which counties are gaining health plan share fastest?
live
+7.2 pts
De Soto, LA → 56.1% · April 2026 CMS Medicare Monthly Enrollment
Explore counties →
Which carriers are losing stars?
static extract
3.4★
Humana, -0.4 since 2023 · 2026 Star Ratings (published Oct 2025)
See star movement →
How far are negotiated prices below the CMS list price?
static extract
−$9,141
Stelara (ustekinumab): CY2026 negotiated price vs CMS comparison list price, standardized 30-day supply · effective Jan 2026
See the drug list →
New in the data CMS Medicare Monthly Enrollment — April 2026 county file, ingested July 31, 2026, covering all 3,199 US counties. Notable: the MA-and-other health plan share is 51.1% on the CMS national record. Puerto Rico leads all 53 jurisdictions at 86.7% on its CMS state record. Read the release briefing →

Start from your task

Jump straight to the answer set that matches the work in front of you.

Marketing & GrowthI’m building a Medicare growth planMarket opportunity, D-SNP landscape, competitive context, policy timing Strategy & corp devI'm evaluating a market entryCounty momentum + market headroom, CSV-ready Payer strategyI'm benchmarking plansStar trajectories, measure erosion, exit signals Market accessI'm sizing drug-spend impactIRA negotiated prices and the OOP-cap shift Finance & diligenceI'm prepping a board deckThe citable national picture with basis notes Brokers & field salesI'm planning AEP territoriesContestable members, market headroom, battlecards, CSV-ready AnalystsI need the underlying tablesVersioned CSV downloads with the same vintages as the charts

What is free, and what a free account adds

Nothing is charged for while MedicareInsights is in beta, and no card is taken. Every published figure is readable without an account; an account changes what you can do with the data, never what you can see.

Free, no account

  • Every state, jurisdiction, county, methodology and policy page, in full
  • Every chart, its provenance panel, its data table and its ready-made citation
  • Copy any chart as a PNG
  • The published CSV files on Data downloads, complete and unfiltered
  • The weekly market brief and the monthly data-release briefing

A free beta account adds

  • County drill-downs with full history, advanced filters and the full chart library
  • Complete filtered CSV exports from the county and SNP explorers — without an account a filtered export returns a 50-row sample, labelled as capped inside the file
  • The full Market and Marketing Opportunity Score tables (the top 25 rows without)
  • Comparison of up to 5 markets instead of 2, and higher save limits (50 markets, 50 analyses, 25 alert rules, against 3, 2 and 1)

The beta account is an email address kept in this browser, not a paid tier and not a login: there is no password and no cross-device sync yet. Team access, API access and custom geographies are not built. Plans and access → · Open the beta workspace →

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Built to be cited

Most Medicare stats you'll find online are undated and unsourced. Every figure here names its source, its vintage and which of the three kinds of number it is.

Named sources & vintages

Every figure names its CMS file and states its data vintage — Monthly Enrollment, CPSC, Star Ratings, Part D parameters. No undated charts, anywhere.

Provenance on every chart

An expandable panel under each figure: method, basis notes, limitations, and a link to the exact CMS source file.

Source, derived or modeled

Source data, metrics derived from it by a published formula, and modeled or forecast values are labeled apart — so you know exactly what kind of number you're quoting.

So what / Now what

Each answer ends with what the number means and the concrete next moves — pre-formatted citation included, ready for your deck.

Where the line is. MedicareInsights supports research, market analysis, strategy development and presentation work. It is not a regulatory, compliance, actuarial or filing source: validate any figure against the named CMS file before using it in a filing, a bid, a rate submission or a compliance process, and never cite a modeled figure as CMS data. This matches the Terms of use, which exclude legal, actuarial, investment, compliance and medical advice.

Monthly enrollment ingests · annual stars (Oct) and Part D parameters (Apr) · Methodology, source registry & limitations · About MedicareInsights →

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