Managed Care · NM
New Mexico
Saturated · score 55
MA penetration is above average — competition is high, focus on plan-specific wins.
State MA penetration
50.1%
National rank #28 · National avg 47.8%
+2.32 pp vs national
235,872
MA beneficiaries (rolled up)
470,657
Medicare eligibles
33
Counties indexed
68
SNFs in state
MA beneficiaries · 2016–2022
YoY change: +66.5%
SNF utilization rate (MA enrollees)
Share of MA beneficiaries with a SNF stay each year (CMS MA GV PUF).
Most saturated counties
- 62.6%Torrance2,501 of 3,994 eligibles
- 62.6%Valencia11,252 of 17,968 eligibles
- 61.5%Luna4,175 of 6,787 eligibles
- 59.3%Bernalillo83,786 of 141,279 eligibles
- 57.5%Guadalupe623 of 1,084 eligibles
- 56.3%Sandoval20,649 of 36,679 eligibles
- 54.8%Socorro2,208 of 4,028 eligibles
- 54.6%San Miguel4,032 of 7,384 eligibles
- 53.9%Dona Ana25,973 of 48,201 eligibles
- 52.5%Sierra2,437 of 4,640 eligibles
Highest opportunity counties
- 14.3%Los Alamos3,788 eligibles · 543 enrolled
- 20.7%Union977 eligibles · 202 enrolled
- 26.6%Harding203 eligibles · 54 enrolled
- 31.4%McKinley12,269 eligibles · 3,847 enrolled
- 32.0%Lea9,749 eligibles · 3,119 enrolled
- 32.8%DeBaca540 eligibles · 177 enrolled
- 33.4%Eddy10,023 eligibles · 3,348 enrolled
- 34.4%Curry7,881 eligibles · 2,712 enrolled
- 35.0%San Juan24,638 eligibles · 8,634 enrolled
- 36.8%Roosevelt3,235 eligibles · 1,189 enrolled
Top MA payers in New Mexico
240,732 total MA enrolled- 1PRESBYTERIAN HEALTH PLAN53,82322.4%
- 2CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.38,68016.1%
- 3HUMANA INSURANCE COMPANY33,72714.0%
- 4HEALTH CARE SERVICE CORPORATION33,44613.9%
- 5UNITEDHEALTHCARE INSURANCE COMPANY21,2218.8%
- 6SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.16,9697.0%
- 7CHA HMO, INC.16,3906.8%
- 8HCSC INSURANCE SERVICES COMPANY8,4853.5%
- 9CARITEN HEALTH PLAN INC.4,2251.8%
- 10UNITEDHEALTHCARE OF THE ROCKIES, INC.2,2420.9%
- 11AETNA LIFE INSURANCE COMPANY2,1490.9%
- 12HEALTHSPRING HEALTHCARE OF COLORADO, INC.2,1290.9%
- 13DEVOTED HEALTH PLAN OF NEW MEXICO, INC.1,9730.8%
- 14CHRISTUS HEALTH PLAN1,2020.5%
- 15MOLINA HEALTHCARE OF ARIZONA, INC.1,1020.5%
Top-rated SNFs in New Mexico
68 total- The NM Behavioral Health Institute at Las VegasLas Vegas, NM · San Miguel County · 176 beds5★
- Clayton Nursing and Rehab CenterClayton, NM · Union County · 45 beds5★
- Advanced Health Care of AlbuquerqueAlbuquerque, NM · Bernalillo County · 47 beds5★
- Cedar Ridge InnFarmington, NM · San Juan County · 101 beds5★
- Grants Wellness & Rehabilitation LLCGrants, NM · Cibola County · 80 beds5★
- Gallup Nursing & Rehabilitation LLCGallup, NM · Mckinley County · 62 beds5★
- Miners Colfax Medical CenterRaton, NM · Colfax County · 37 beds5★
- Las Estancias by Pure HealthAlbuquerque, NM · Bernalillo County · 120 beds5★
- San Juan Care CenterFarmington, NM · San Juan County · 93 beds5★
- Retirement Ranches Inc.Clovis, NM · Curry County · 104 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.