Managed Care · NC
North Carolina
Saturated · score 48
MA penetration is above average — competition is high, focus on plan-specific wins.
State MA penetration
57.4%
National rank #7 · National avg 47.8%
+9.61 pp vs national
1,304,578
MA beneficiaries (rolled up)
2,272,222
Medicare eligibles
100
Counties indexed
418
SNFs in state
MA beneficiaries · 2016–2022
YoY change: +83.8%
SNF utilization rate (MA enrollees)
Share of MA beneficiaries with a SNF stay each year (CMS MA GV PUF).
Most saturated counties
- 76.2%Rockingham19,130 of 25,101 eligibles
- 74.8%Surry13,390 of 17,914 eligibles
- 74.5%Yadkin7,103 of 9,531 eligibles
- 74.0%Robeson19,222 of 25,992 eligibles
- 71.8%Randolph24,409 of 33,980 eligibles
- 71.8%Guilford76,874 of 107,078 eligibles
- 71.2%Alamance26,892 of 37,756 eligibles
- 70.8%Davidson29,053 of 41,017 eligibles
- 70.3%Stokes9,120 of 12,964 eligibles
- 69.2%Forsyth56,471 of 81,562 eligibles
Highest opportunity counties
- 25.9%Dare11,125 eligibles · 2,887 enrolled
- 31.9%Camden2,421 eligibles · 771 enrolled
- 32.3%Currituck6,903 eligibles · 2,226 enrolled
- 39.3%Carteret22,177 eligibles · 8,710 enrolled
- 40.1%Craven27,764 eligibles · 11,140 enrolled
- 41.3%Pamlico4,654 eligibles · 1,924 enrolled
- 41.4%Polk7,191 eligibles · 2,980 enrolled
- 42.6%Swain4,182 eligibles · 1,783 enrolled
- 42.7%Gates2,793 eligibles · 1,192 enrolled
- 42.7%Perquimans4,358 eligibles · 1,862 enrolled
Top MA payers in North Carolina
1,340,452 total MA enrolled- 1UNITEDHEALTHCARE OF WISCONSIN, INC.335,93125.1%
- 2HUMANA MEDICAL PLAN, INC.192,34614.3%
- 3HUMANA INSURANCE COMPANY182,29113.6%
- 4BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA181,65213.6%
- 5AETNA LIFE INSURANCE COMPANY110,3428.2%
- 6HUMANA BENEFIT PLAN OF ILLINOIS, INC.64,3604.8%
- 7SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.52,4473.9%
- 8CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.40,0903.0%
- 9DEVOTED HEALTH PLAN OF NORTH CAROLINA INC34,5982.6%
- 10AETNA BETTER HEALTH INC. (GA)34,3522.6%
- 11BRAVO HEALTH PENNSYLVANIA, INC.30,1922.3%
- 12CARE N' CARE INSURANCE COMPANY OF NORTH CAROLINA22,5481.7%
- 13ALIGNMENT HEALTH PLAN OF NORTH CAROLINA, INC.14,6731.1%
- 14HUMANA WI HEALTH ORGANIZATION INSURANCE CORP9,1950.7%
- 15WELLCARE HEALTH INSURANCE OF NORTH CAROLINA, INC.6,4400.5%
Top-rated SNFs in North Carolina
418 total- Hillcrest Convalescent CenterDurham, NC · Durham County · 86 beds5★
- Jacob's Creek Nursing and Rehabilitation CenterMadison, NC · Rockingham County · 170 beds5★
- Carolina Rivers Nursing and Rehabilitation CenterJacksonville, NC · Onslow County · 120 beds5★
- Silas Creek Rehabilitation CenterWinston Salem, NC · Forsyth County · 90 beds5★
- Cypress Pointe Rehabilitation CenterWilmington, NC · New Hanover County · 90 beds5★
- Clapps Nursing Center IncPleasant Garden, NC · Guilford County · 118 beds5★
- Edgewood Place at the Village at BrookwoodBurlington, NC · Alamance County · 51 beds5★
- Trinity GlenWinston-Salem, NC · Forsyth County · 117 beds5★
- Anson Health and RehabilitationWadesboro, NC · Anson County · 95 beds5★
- Saint Joseph of the Pines Health CenterPinehurst, NC · Moore County · 176 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.