Managed Care · NJ
New Jersey
Moderate opportunity · score 55
MA penetration is near the national average — selective contracting opportunities.
State MA penetration
41.2%
National rank #35 · National avg 47.8%
-6.59 pp vs national
743,868
MA beneficiaries (rolled up)
1,805,243
Medicare eligibles
21
Counties indexed
348
SNFs in state
MA beneficiaries · 2016–2022
YoY change: +150.8%
SNF utilization rate (MA enrollees)
Share of MA beneficiaries with a SNF stay each year (CMS MA GV PUF).
Most saturated counties
- 54.4%Hudson47,655 of 87,689 eligibles
- 53.9%Cumberland16,190 of 30,059 eligibles
- 49.5%Essex63,210 of 127,770 eligibles
- 47.9%Passaic44,509 of 92,966 eligibles
- 46.8%Union44,290 of 94,654 eligibles
- 45.6%Camden47,590 of 104,310 eligibles
- 45.6%Mercer32,506 of 71,334 eligibles
- 43.1%Atlantic28,349 of 65,715 eligibles
- 42.8%Gloucester27,597 of 64,515 eligibles
- 42.2%Burlington42,805 of 101,373 eligibles
Highest opportunity counties
- 31.1%Monmouth144,359 eligibles · 44,961 enrolled
- 33.2%Cape May31,025 eligibles · 10,297 enrolled
- 33.3%Morris103,751 eligibles · 34,538 enrolled
- 34.3%Sussex34,192 eligibles · 11,722 enrolled
- 35.3%Somerset66,552 eligibles · 23,505 enrolled
- 35.4%Hunterdon31,144 eligibles · 11,015 enrolled
- 36.3%Bergen190,725 eligibles · 69,276 enrolled
- 37.8%Warren26,024 eligibles · 9,826 enrolled
- 38.5%Ocean166,940 eligibles · 64,340 enrolled
- 40.9%Middlesex154,913 eligibles · 63,379 enrolled
Top MA payers in New Jersey
760,450 total MA enrolled- 1AETNA LIFE INSURANCE COMPANY194,35725.6%
- 2CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.132,06517.4%
- 3CLOVER INSURANCE COMPANY125,86516.6%
- 4HEALTHIER NEW JERSEY INSURANCE COMPANY48,1926.3%
- 5OXFORD HEALTH PLANS (NJ), INC.43,7735.8%
- 6SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.41,6935.5%
- 7AETNA HEALTH INC. (NJ)29,9883.9%
- 8HORIZON HEALTHCARE OF NEW JERSEY, INC.26,5113.5%
- 9HUMANA INSURANCE COMPANY21,9632.9%
- 10EMPHESYS INSURANCE COMPANY19,3522.5%
- 11WELLPOINT NEW JERSEY, INC.14,3021.9%
- 12WELLCARE HEALTH PLANS OF NEW JERSEY, INC.13,3171.8%
- 13HUMANA WI HEALTH ORGANIZATION INSURANCE CORP12,7781.7%
- 14AMERIHEALTH INSURANCE COMPANY OF NEW JERSEY7,5611.0%
- 15AETNA BETTER HEALTH INC. (NJ)7,0360.9%
Top-rated SNFs in New Jersey
348 total- RUNNELLS CENTER FOR REHABILITATION & HEALTHCAREBERKELEY HEIGHTS, NJ · Union County · 300 beds5★
- MERRY HEART NURSING HOMESUCCASUNNA, NJ · Morris County · 113 beds5★
- Heath VillageHACKETTSTOWN, NJ · Morris County · 108 beds5★
- LAUREL MANOR HEALTHCARE AND REHABILITATION CENTERSTRATFORD, NJ · Camden County · 106 beds5★
- ELMORA HILLS HEALTH & REHABILITATION CENTERELIZABETH, NJ · Union County · 200 beds5★
- TOWER LODGE CARE CENTERWALL, NJ · Monmouth County · 60 beds5★
- ACCLAIM REHABILITATION AND NURSING CENTERJERSEY CITY, NJ · Hudson County · 183 beds5★
- WILLOWBROOKE COURT SKILLED CARE AT EVERGREENSMOORESTOWN, NJ · Burlington County · 17 beds5★
- PINE ACRES REHABILITATION AND HEALTHCAREMADISON, NJ · Morris County · 102 beds5★
- BERGEN NEW BRIDGE MEDICAL CENTERPARAMUS, NJ · Bergen County · 574 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.