Managed Care · MA
Massachusetts
Moderate opportunity · score 58
MA penetration is near the national average — selective contracting opportunities.
State MA penetration
36.3%
National rank #39 · National avg 47.8%
-11.52 pp vs national
538,032
MA beneficiaries (rolled up)
1,483,203
Medicare eligibles
14
Counties indexed
341
SNFs in state
MA beneficiaries · 2016–2022
YoY change: +66.1%
SNF utilization rate (MA enrollees)
Share of MA beneficiaries with a SNF stay each year (CMS MA GV PUF).
Most saturated counties
- 45.7%Hampden49,943 of 109,217 eligibles
- 44.9%Worcester80,120 of 178,305 eligibles
- 43.1%Suffolk48,867 of 113,250 eligibles
- 39.5%Bristol52,490 of 132,828 eligibles
- 35.9%Essex63,850 of 178,001 eligibles
- 34.9%Middlesex104,874 of 300,668 eligibles
- 33.2%Franklin6,971 of 21,005 eligibles
- 32.7%Norfolk48,740 of 149,003 eligibles
- 32.2%Plymouth41,627 of 129,437 eligibles
- 30.8%Hampshire12,077 of 39,273 eligibles
Highest opportunity counties
- 6.0%Nantucket2,334 eligibles · 139 enrolled
- 8.2%Dukes5,676 eligibles · 467 enrolled
- 16.3%Berkshire37,758 eligibles · 6,167 enrolled
- 25.1%Barnstable86,448 eligibles · 21,700 enrolled
- 30.8%Hampshire39,273 eligibles · 12,077 enrolled
- 32.2%Plymouth129,437 eligibles · 41,627 enrolled
- 32.7%Norfolk149,003 eligibles · 48,740 enrolled
- 33.2%Franklin21,005 eligibles · 6,971 enrolled
- 34.9%Middlesex300,668 eligibles · 104,874 enrolled
- 35.9%Essex178,001 eligibles · 63,850 enrolled
Top MA payers in Massachusetts
540,370 total MA enrolled- 1TUFTS ASSOCIATED HEALTH MAINTENANCE ORGANIZATION118,30821.9%
- 2BCBS OF MASSACHUSETTS HMO BLUE, INC.86,05815.9%
- 3AETNA LIFE INSURANCE COMPANY59,21511.0%
- 4COMMONWEALTH CARE ALLIANCE, INC.44,9878.3%
- 5UNITEDHEALTHCARE OF WISCONSIN, INC.41,5587.7%
- 6UnitedHealthcare of New England, Inc.28,7605.3%
- 7CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.23,7714.4%
- 8FALLON COMMUNITY HEALTH PLAN23,1994.3%
- 9Mass General Brigham Health Plan, Inc.20,2423.8%
- 10SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.18,2843.4%
- 11HEALTH NEW ENGLAND, INC.14,6562.7%
- 12SENIOR WHOLE HEALTH, LLC10,5521.9%
- 13AETNA HEALTH INC. (CT)10,4451.9%
- 14HUMANA INSURANCE COMPANY9,7151.8%
- 15CENTRAL MASS HEALTH, LLC7,4741.4%
Top-rated SNFs in Massachusetts
341 total- JOHN SCOTT HOUSE NURSING & REHABILITATION CENTERBRAINTREE, MA · Norfolk County · 138 beds5★
- Jewish Healthcare CenterWORCESTER, MA · Worcester County · 141 beds5★
- RIVER TERRACE REHABILITATION AND HEALTHCARE CTRLANCASTER, MA · Worcester County · 82 beds5★
- Knollwood Nursing CenterWORCESTER, MA · Worcester County · 82 beds5★
- RIVERCREST LONG TERM CAREW CONCORD, MA · Middlesex County · 151 beds5★
- WEBSTER PARK REHABILITATION AND HEALTHCARE CENTERROCKLAND, MA · Plymouth County · 110 beds5★
- QUEEN ANNE NURSING HOME, INCHINGHAM, MA · Plymouth County · 106 beds5★
- CARE ONE AT HOLYOKEHOLYOKE, MA · Hampden County · 164 beds5★
- M I NURSING & RESTORATIVE CENTERLAWRENCE, MA · Essex County · 250 beds5★
- SPAULDING NURSING AND THERAPY CENTER - BRIGHTONBOSTON, MA · Suffolk County · 123 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.