Managed Care · NY
New York
Saturated · score 52
MA penetration is above average — competition is high, focus on plan-specific wins.
State MA penetration
53.4%
National rank #21 · National avg 47.8%
+5.64 pp vs national
2,133,778
MA beneficiaries (rolled up)
3,993,090
Medicare eligibles
62
Counties indexed
596
SNFs in state
MA beneficiaries · 2016–2022
YoY change: +43.7%
SNF utilization rate (MA enrollees)
Share of MA beneficiaries with a SNF stay each year (CMS MA GV PUF).
Most saturated counties
- 77.7%Monroe134,509 of 173,126 eligibles
- 74.1%Livingston11,317 of 15,274 eligibles
- 73.0%Wayne17,774 of 24,353 eligibles
- 72.8%Niagara39,620 of 54,383 eligibles
- 72.7%Ontario21,681 of 29,811 eligibles
- 71.8%Orleans7,153 of 9,967 eligibles
- 71.6%Genesee10,395 of 14,521 eligibles
- 71.5%Erie154,010 of 215,327 eligibles
- 71.2%Bronx164,620 of 231,293 eligibles
- 69.8%Yates4,435 of 6,352 eligibles
Highest opportunity counties
- 29.5%Suffolk329,017 eligibles · 97,176 enrolled
- 32.3%Rockland59,647 eligibles · 19,234 enrolled
- 33.0%Nassau298,121 eligibles · 98,400 enrolled
- 36.4%Sullivan18,431 eligibles · 6,713 enrolled
- 36.7%Putnam21,998 eligibles · 8,078 enrolled
- 37.4%Orange71,079 eligibles · 26,567 enrolled
- 38.7%Westchester195,458 eligibles · 75,707 enrolled
- 41.0%Essex10,354 eligibles · 4,244 enrolled
- 41.0%Ulster45,089 eligibles · 18,501 enrolled
- 41.2%Clinton20,591 eligibles · 8,489 enrolled
Top MA payers in New York
2,165,725 total MA enrolled- 1HEALTHFIRST HEALTH PLAN, INC.368,09017.0%
- 2AETNA LIFE INSURANCE COMPANY294,04013.6%
- 3UNITEDHEALTHCARE OF NEW YORK, INC.253,66411.7%
- 4EXCELLUS HEALTH PLAN, INC.253,31211.7%
- 5NEW YORK QUALITY HEALTHCARE CORPORATION110,6855.1%
- 6AETNA HEALTH INC. (NY)102,9254.8%
- 7HUMANA INSURANCE COMPANY OF NEW YORK88,1594.1%
- 8SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.87,7544.0%
- 9CAPITAL DISTRICT PHYSICIANS' HEALTH PLAN, INC.69,1573.2%
- 10VNS CHOICE64,6623.0%
- 11MVP HEALTH PLAN, INC.58,4722.7%
- 12AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY56,7032.6%
- 13CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.56,3462.6%
- 14ANTHEM HP, LLC.44,0322.0%
- 15INDEPENDENT HEALTH ASSOCIATION, INC.41,4821.9%
Top-rated SNFs in New York
596 total- HEBREW HOME FOR THE AGED AT RIVERDALERIVERDALE, NY · Bronx County · 843 beds5★
- MARY MANNING WALSH NURSING HOME CO INCNEW YORK, NY · New York County · 362 beds5★
- ST JOSEPHS HOMEOGDENSBURG, NY · St. Lawrence County · 82 beds5★
- GOLD CREST CARE CENTERBRONX, NY · Bronx County · 175 beds5★
- WEST VILLAGE REHABILITATION AND NURSING CENTERNEW YORK, NY · New York County · 105 beds5★
- BERKSHIRE NURSING & REHABILITATION CENTERWEST BABYLON, NY · Suffolk County · 175 beds5★
- Jewish Home of RochesterRochester, NY · Monroe County · 362 beds5★
- THE HERITAGE REHABILITATION AND HEALTH CARE CENTERBROOKLYN, NY · Kings County · 79 beds5★
- COLER REHABILITATION AND NURSING CARE CENTERROOSEVELT ISLAND, NY · New York County · 815 beds5★
- WYOMING COUNTY COMMUNITY HOSPITAL S N FWARSAW, NY · Wyoming County · 138 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.