Managed Care · MO
Missouri
Saturated · score 51
MA penetration is above average — competition is high, focus on plan-specific wins.
State MA penetration
54.3%
National rank #18 · National avg 47.8%
+6.47 pp vs national
733,621
MA beneficiaries (rolled up)
1,351,757
Medicare eligibles
115
Counties indexed
487
SNFs in state
MA beneficiaries · 2016–2022
YoY change: +77%
SNF utilization rate (MA enrollees)
Share of MA beneficiaries with a SNF stay each year (CMS MA GV PUF).
Most saturated counties
- 74.0%Franklin19,610 of 26,482 eligibles
- 72.4%Dallas3,305 of 4,567 eligibles
- 70.4%Polk4,983 of 7,082 eligibles
- 69.2%Warren6,072 of 8,781 eligibles
- 67.5%Laclede6,067 of 8,993 eligibles
- 67.2%Washington3,790 of 5,639 eligibles
- 65.9%Webster5,918 of 8,985 eligibles
- 65.8%Wright3,484 of 5,292 eligibles
- 65.6%Jefferson33,218 of 50,629 eligibles
- 65.4%Dade1,426 of 2,180 eligibles
Highest opportunity counties
- 20.0%Scotland969 eligibles · 194 enrolled
- 20.0%Nodaway4,306 eligibles · 863 enrolled
- 20.3%Atchison1,426 eligibles · 289 enrolled
- 22.5%Gentry1,632 eligibles · 367 enrolled
- 22.8%Knox992 eligibles · 226 enrolled
- 24.8%Clark1,561 eligibles · 387 enrolled
- 25.9%Holt1,211 eligibles · 313 enrolled
- 27.0%Worth570 eligibles · 154 enrolled
- 27.2%Adair5,046 eligibles · 1,371 enrolled
- 27.3%Putnam1,235 eligibles · 337 enrolled
Top MA payers in Missouri
745,143 total MA enrolled- 1UNITEDHEALTHCARE OF THE MIDLANDS, INC.119,12516.0%
- 2SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.99,49413.3%
- 3COVENTRY HEALTH CARE OF MISSOURI, INC.75,97110.2%
- 4CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.62,7818.4%
- 5UNITEDHEALTHCARE OF WISCONSIN, INC.53,1797.1%
- 6EMPHESYS INSURANCE COMPANY49,0306.6%
- 7HUMANA INSURANCE COMPANY39,6625.3%
- 8ESSENCE HEALTHCARE, INC.38,1635.1%
- 9CARITEN HEALTH PLAN INC.34,5554.6%
- 10CHA HMO, INC.30,4454.1%
- 11DEVOTED HEALTH PLAN OF MISSOURI INC25,7423.5%
- 12HEALTHKEEPERS, INC.24,2043.3%
- 13COVENTRY HEALTH AND LIFE INSURANCE COMPANY17,3312.3%
- 14COVENTRY HEALTH CARE OF KANSAS, INC.15,4262.1%
- 15AETNA LIFE INSURANCE COMPANY11,7781.6%
Top-rated SNFs in Missouri
487 total- FRIENDSHIP VILLAGE CHESTERFIELDCHESTERFIELD, MO · St. Louis County · 98 beds5★
- WILSON'S CREEK NURSING & REHABSPRINGFIELD, MO · Greene County · 172 beds5★
- NHC HEALTHCARE, KENNETTKENNETT, MO · Dunklin County · 170 beds5★
- WEST VUE NURSING AND REHABILITATION CENTERWEST PLAINS, MO · Howell County · 130 beds5★
- KABUL NURSING HOMES INCCABOOL, MO · Texas County · 99 beds5★
- NHC HEALTHCARE, ST CHARLESSAINT CHARLES, MO · St. Charles County · 120 beds5★
- NEW MADRID LIVING CENTERNEW MADRID, MO · New Madrid County · 112 beds5★
- CHRISTIAN EXTENDED CARE & REHABILITATIONSAINT LOUIS, MO · St. Louis County · 60 beds5★
- NHC HEALTHCARE, WEST PLAINSWEST PLAINS, MO · Howell County · 114 beds5★
- MASON POINTE CARE CENTERCHESTERFIELD, MO · St. Louis County · 63 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.