Managed Care · ND
North Dakota
Moderate opportunity · score 59
MA penetration is near the national average — selective contracting opportunities.
State MA penetration
35.6%
National rank #40 · National avg 47.8%
-12.15 pp vs national
53,934
MA beneficiaries (rolled up)
151,295
Medicare eligibles
53
Counties indexed
72
SNFs in state
MA beneficiaries · 2016–2022
YoY change: +64%
SNF utilization rate (MA enrollees)
Share of MA beneficiaries with a SNF stay each year (CMS MA GV PUF).
Most saturated counties
- 55.0%Kidder377 of 685 eligibles
- 51.8%Sargent532 of 1,028 eligibles
- 51.7%Stutsman2,682 of 5,187 eligibles
- 51.3%Ransom702 of 1,369 eligibles
- 50.2%Morton3,452 of 6,881 eligibles
- 50.0%Dickey598 of 1,195 eligibles
- 48.3%Logan262 of 543 eligibles
- 46.1%LaMoure550 of 1,193 eligibles
- 44.9%McIntosh393 of 875 eligibles
- 44.9%Grant320 of 713 eligibles
Highest opportunity counties
- 8.3%Rolette2,316 eligibles · 193 enrolled
- 10.4%McKenzie1,412 eligibles · 147 enrolled
- 11.2%Divide553 eligibles · 62 enrolled
- 13.0%Bottineau1,806 eligibles · 234 enrolled
- 14.3%Burke509 eligibles · 73 enrolled
- 16.3%Golden Valley447 eligibles · 73 enrolled
- 17.8%Mountrail1,585 eligibles · 282 enrolled
- 20.9%Sioux487 eligibles · 102 enrolled
- 21.0%Towner662 eligibles · 139 enrolled
- 21.9%Cavalier1,062 eligibles · 232 enrolled
Top MA payers in North Dakota
53,735 total MA enrolled- 1MEDICA INSURANCE COMPANY21,38739.8%
- 2MEDICA HEALTH PLANS11,28821.0%
- 3NEXTBLUE OF NORTH DAKOTA INSURANCE COMPANY6,66312.4%
- 4SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.6,45112.0%
- 5SANFORD HEALTH PLAN4,5798.5%
- 6COVENTRY HEALTH AND LIFE INSURANCE COMPANY2,1163.9%
- 7FIRST HEALTH LIFE & HEALTH INSURANCE COMPANY6091.1%
- 8AETNA LIFE INSURANCE COMPANY2020.4%
- 9NORTHLAND PACE PROGRAM1900.3%
- 10UNITED MINE WORKERS OF AMERICA HLTH & RETIREMENT1280.2%
- 11BCBSM, Inc.820.1%
- 12HUMANA INSURANCE COMPANY230.0%
- 13HEALTH CARE SERVICE CORPORATION170.0%
Top-rated SNFs in North Dakota
72 total- SMP HEALTH - ST CATHERINE NORTHFARGO, ND · Cass County · 125 beds5★
- HATTON PRAIRIE VILLAGEHATTON, ND · Traill County · 38 beds5★
- WISHEK LIVING CENTERWISHEK, ND · Mcintosh County · 43 beds5★
- GRIGGS COUNTY CARE CENTERCOOPERSTOWN, ND · Griggs County · 40 beds5★
- SMP HEALTH - ST ALOISIUSHARVEY, ND · Wells County · 65 beds5★
- ST LUKES HOMEDICKINSON, ND · Stark County · 88 beds5★
- SMP HEALTH - ST RAPHAELVALLEY CITY, ND · Barnes County · 170 beds5★
- TOWNER COUNTY LIVING CTRCANDO, ND · Towner County · 28 beds5★
- PEMBILIER NURSING CENTERWALHALLA, ND · Pembina County · 31 beds5★
- PRINCE OF PEACE CARE CENTERELLENDALE, ND · Dickey County · 55 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.