Managed Care · IA
Iowa
Moderate opportunity · score 57
MA penetration is near the national average — selective contracting opportunities.
State MA penetration
38.5%
National rank #37 · National avg 47.8%
-9.32 pp vs national
268,415
MA beneficiaries (rolled up)
697,599
Medicare eligibles
99
Counties indexed
390
SNFs in state
MA beneficiaries · 2016–2022
YoY change: +100.2%
SNF utilization rate (MA enrollees)
Share of MA beneficiaries with a SNF stay each year (CMS MA GV PUF).
Most saturated counties
- 60.6%Dubuque13,969 of 23,039 eligibles
- 51.1%Black Hawk14,546 of 28,454 eligibles
- 49.0%Linn23,166 of 47,254 eligibles
- 48.0%Scott17,846 of 37,160 eligibles
- 47.4%Jackson2,492 of 5,262 eligibles
- 46.4%Jones2,340 of 5,044 eligibles
- 46.4%Woodbury9,294 of 20,049 eligibles
- 46.1%Jefferson2,236 of 4,855 eligibles
- 46.0%Pottawattamie9,950 of 21,631 eligibles
- 45.1%Wapello3,535 of 7,836 eligibles
Highest opportunity counties
- 16.4%Sac2,669 eligibles · 438 enrolled
- 16.5%Adams1,084 eligibles · 179 enrolled
- 16.8%Palo Alto2,273 eligibles · 382 enrolled
- 17.5%Taylor1,597 eligibles · 280 enrolled
- 17.9%Sioux6,702 eligibles · 1,203 enrolled
- 18.0%Kossuth4,268 eligibles · 769 enrolled
- 18.0%O'Brien3,500 eligibles · 631 enrolled
- 18.0%Osceola1,519 eligibles · 274 enrolled
- 18.7%Clay4,312 eligibles · 806 enrolled
- 18.8%Audubon1,631 eligibles · 307 enrolled
Top MA payers in Iowa
264,958 total MA enrolled- 1AETNA HEALTH INC. (FL)48,77518.4%
- 2UNITEDHEALTHCARE OF WISCONSIN, INC.44,04516.6%
- 3WELLMARK ADVANTAGE HEALTH PLAN, INC.33,25812.6%
- 4HUMANA INSURANCE COMPANY25,9579.8%
- 5COVENTRY HEALTH AND LIFE INSURANCE COMPANY24,6419.3%
- 6SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.15,1835.7%
- 7WELLCARE OF IOWA, INC.13,7165.2%
- 8MEDICAL ASSOCIATES HEALTH PLAN, INC.12,9704.9%
- 9CHA HMO, INC.9,3343.5%
- 10CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.9,2303.5%
- 11WELLPOINT IOWA, INC.4,1131.6%
- 12MOUNT CARMEL HEALTH INSURANCE COMPANY4,0951.6%
- 13MOUNT CARMEL HEALTH PLAN, INC.4,0341.5%
- 14AETNA HEALTH OF IOWA INC.3,8801.5%
- 15UNITEDHEALTHCARE OF THE MIDLANDS, INC.3,2941.2%
Top-rated SNFs in Iowa
390 total- Friendship Village RetirementWaterloo, IA · Black Hawk County · 72 beds5★
- Briarwood Healthcare CenterIowa City, IA · Johnson County · 62 beds5★
- Good Samaritan - Saint AnsgarSaint Ansgar, IA · Mitchell County · 42 beds5★
- Oaknoll Retirement ResidenceIowa City, IA · Johnson County · 70 beds5★
- Park PlaceMount Pleasant, IA · Henry County · 49 beds5★
- Strawberry Point Lutheran HomeStrawberry Point, IA · Clayton County · 16 beds5★
- Centerville Specialty CareCenterville, IA · Appanoose County · 46 beds5★
- Mount Ayr Health Care CenterMount Ayr, IA · Ringgold County · 46 beds5★
- On With LifeAnkeny, IA · Polk County · 28 beds5★
- Chautauqua Guest Home #2Charles City, IA · Floyd County · 53 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.