Managed Care · AL
Alabama
Saturated · score 44
MA penetration is above average — competition is high, focus on plan-specific wins.
State MA penetration
60.9%
National rank #2 · National avg 47.8%
+13.11 pp vs national
688,044
MA beneficiaries (rolled up)
1,129,650
Medicare eligibles
67
Counties indexed
224
SNFs in state
MA beneficiaries · 2016–2022
YoY change: +127%
SNF utilization rate (MA enrollees)
Share of MA beneficiaries with a SNF stay each year (CMS MA GV PUF).
Most saturated counties
- 82.5%Bullock1,689 of 2,046 eligibles
- 74.7%Lowndes2,305 of 3,087 eligibles
- 73.8%Coosa2,038 of 2,763 eligibles
- 72.8%Chilton7,348 of 10,089 eligibles
- 72.7%Perry1,810 of 2,489 eligibles
- 71.7%Greene1,674 of 2,336 eligibles
- 70.4%Dallas7,056 of 10,017 eligibles
- 70.3%Mobile63,156 of 89,854 eligibles
- 69.2%Bibb3,319 of 4,796 eligibles
- 68.9%Wilcox2,291 of 3,326 eligibles
Highest opportunity counties
- 44.7%Lamar3,811 eligibles · 1,704 enrolled
- 45.6%Madison78,634 eligibles · 35,881 enrolled
- 46.1%Marion7,932 eligibles · 3,659 enrolled
- 51.8%Limestone21,342 eligibles · 11,049 enrolled
- 52.2%Cleburne3,671 eligibles · 1,915 enrolled
- 53.3%Coffee11,744 eligibles · 6,258 enrolled
- 53.8%Franklin6,571 eligibles · 3,534 enrolled
- 53.8%Lauderdale23,485 eligibles · 12,637 enrolled
- 54.0%Morgan27,548 eligibles · 14,867 enrolled
- 55.0%Jackson13,671 eligibles · 7,524 enrolled
Top MA payers in Alabama
700,956 total MA enrolled- 1UNITEDHEALTHCARE OF THE MIDLANDS, INC.124,34517.7%
- 2BLUE CROSS AND BLUE SHIELD OF ALABAMA113,56616.2%
- 3EMPHESYS INSURANCE COMPANY87,94712.6%
- 4HUMANA INSURANCE COMPANY72,28110.3%
- 5VIVA HEALTH, INC.52,2257.5%
- 6HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.51,5237.3%
- 7CARITEN HEALTH PLAN INC.41,0635.9%
- 8ARCADIAN HEALTH PLAN, INC.27,9914.0%
- 9CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.23,8283.4%
- 10AETNA BETTER HEALTH, INC. (LA)22,6013.2%
- 11AETNA LIFE INSURANCE COMPANY20,0522.9%
- 12DEVOTED HEALTH INSURANCE COMPANY OF ALABAMA INC15,0572.1%
- 13SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.14,1302.0%
- 14ANTHEM INSURANCE COMPANIES, INC.10,3971.5%
- 15DEVOTED HEALTH PLAN OF ALABAMA INC9,6691.4%
Top-rated SNFs in Alabama
224 total- WEST GATE VILLAGEBREWTON, AL · Escambia County · 125 beds5★
- COOSA VALLEY HEALTHCARE CENTERSYLACAUGA, AL · Talladega County · 85 beds5★
- COTTAGE OF THE SHOALSTUSCUMBIA, AL · Colbert County · 103 beds5★
- CLEBURNE COUNTY NURSING HOMEHEFLIN, AL · Cleburne County · 82 beds5★
- ATHENS HEALTH AND REHABILITATION LLCATHENS, AL · Limestone County · 149 beds5★
- TERRACE MANOR NURSING & REHABILITATION CENTER, INCRUSSELLVILLE, AL · Franklin County · 63 beds5★
- CROWNE HEALTH CARE OF CITRONELLECITRONELLE, AL · Mobile County · 69 beds5★
- SOUTHLAND NURSING HOMEMARION, AL · Perry County · 91 beds5★
- KELLER LANDINGTUSCUMBIA, AL · Colbert County · 109 beds5★
- HIGHLANDS HEALTH AND REHABSCOTTSBORO, AL · Jackson County · 50 beds5★
Source: CMS MA State/County Penetration (Aug 2025). Secondary metrics from CMS Medicare Advantage Geographic Variation PUF (2016–2022). Penetration is computed by rolling up county-level CMS-published MA enrolled / Medicare eligibles. Trend chart spans 2016–2022.