Managed Care · HI
Hawaii
Saturated · score 51
MA penetration is above average — competition is high, focus on plan-specific wins.
State MA penetration
53.9%
National rank #19 · National avg 47.8%
+6.11 pp vs national
168,095
MA beneficiaries (rolled up)
311,826
Medicare eligibles
5
Counties indexed
42
SNFs in state
MA beneficiaries · 2016–2022
YoY change: +33.5%
SNF utilization rate (MA enrollees)
Share of MA beneficiaries with a SNF stay each year (CMS MA GV PUF).
Most saturated counties
- 56.9%Maui20,153 of 35,433 eligibles
- 55.3%Honolulu113,675 of 205,631 eligibles
- 48.9%Kauai8,678 of 17,746 eligibles
- 48.3%Hawaii25,589 of 53,004 eligibles
- —Kalawao— of 12 eligibles
Highest opportunity counties
- 48.3%Hawaii53,004 eligibles · 25,589 enrolled
- 48.9%Kauai17,746 eligibles · 8,678 enrolled
- 55.3%Honolulu205,631 eligibles · 113,675 enrolled
- 56.9%Maui35,433 eligibles · 20,153 enrolled
Top MA payers in Hawaii
168,905 total MA enrolled- 1KAISER FOUNDATION HP, INC.37,20722.0%
- 2HAWAII MEDICAL SERVICE ASSOCIATION36,00821.3%
- 3CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.27,75216.4%
- 4UNITEDHEALTHCARE INSURANCE COMPANY22,47113.3%
- 5HUMANA INSURANCE COMPANY14,6558.7%
- 6DEVOTED HEALTH INSURANCE COMPANY OF HAWAII INC10,4166.2%
- 7CHA HMO, INC.5,2133.1%
- 8HAWAII MEDICAL SERVICE ASSOCIATION (HMSA)3,7202.2%
- 9DEVOTED HEALTH PLAN OF HAWAII, INC.3,0581.8%
- 10ALOHACARE2,4981.5%
- 11WELLCARE HEALTH INSURANCE OF ARIZONA, INC.2,1101.3%
- 12AETNA LIFE INSURANCE COMPANY1,5220.9%
- 13SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.1,1250.7%
- 14EMPHESYS INSURANCE COMPANY3880.2%
- 15ANTHEM INSURANCE COMPANIES, INC.3500.2%
Top-rated SNFs in Hawaii
42 total- ARCADIA RETIREMENT RESIDENCEHONOLULU, HI · Honolulu County · 91 beds5★
- LANAI COMMUNITY HOSPITALLANAI CITY, HI · Maui County · 10 beds5★
- Honoka'a Hospital & Skilled NursingHONOKAA, HI · Hawaii County · 66 beds5★
- MAUNALANI NURSING AND REHABILITATION CENTERHONOLULU, HI · Honolulu County · 100 beds5★
- LEAHI HOSPITALHONOLULU, HI · Honolulu County · 155 beds5★
- SAMUEL MAHELONA MEMORIAL HOSPITALKAPAA, HI · Kauai County · 66 beds5★
- PEARL CITY POST ACUTEPEARL CITY, HI · Honolulu County · 122 beds5★
- HARRY AND JEANETTE WEINBERG CARE CENTERKANEOHE, HI · Honolulu County · 44 beds5★
- MaluhiaHonolulu, HI · Honolulu County · 158 beds5★
- GARDEN ISLE HEALTHCARE AND REHABILITATION CENTERLIHUE, HI · Kauai County · 110 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.