Managed Care · PA
Pennsylvania
Saturated · score 50
MA penetration is above average — competition is high, focus on plan-specific wins.
State MA penetration
54.6%
National rank #16 · National avg 47.8%
+6.85 pp vs national
1,636,871
MA beneficiaries (rolled up)
2,995,154
Medicare eligibles
67
Counties indexed
657
SNFs in state
MA beneficiaries · 2016–2022
YoY change: +35.1%
SNF utilization rate (MA enrollees)
Share of MA beneficiaries with a SNF stay each year (CMS MA GV PUF).
Most saturated counties
- 76.4%Cambria29,200 of 38,203 eligibles
- 76.4%Indiana15,857 of 20,751 eligibles
- 76.4%Armstrong13,998 of 18,327 eligibles
- 72.6%Lawrence17,150 of 23,619 eligibles
- 71.8%Greene6,253 of 8,708 eligibles
- 71.5%Westmoreland72,799 of 101,757 eligibles
- 71.2%Beaver32,558 of 45,714 eligibles
- 70.8%Somerset14,712 of 20,794 eligibles
- 69.7%Butler34,929 of 50,117 eligibles
- 69.1%Allegheny194,023 of 280,622 eligibles
Highest opportunity counties
- 33.3%Chester111,941 eligibles · 37,216 enrolled
- 34.8%Pike16,595 eligibles · 5,772 enrolled
- 37.0%Wayne15,077 eligibles · 5,580 enrolled
- 37.2%Montgomery188,690 eligibles · 70,247 enrolled
- 41.3%Bucks157,378 eligibles · 65,028 enrolled
- 41.5%Delaware119,008 eligibles · 49,370 enrolled
- 42.5%Carbon17,565 eligibles · 7,469 enrolled
- 43.4%Lackawanna55,434 eligibles · 24,066 enrolled
- 43.7%Adams28,500 eligibles · 12,464 enrolled
- 44.0%Franklin38,731 eligibles · 17,034 enrolled
Top MA payers in Pennsylvania
1,654,645 total MA enrolled- 1AETNA LIFE INSURANCE COMPANY248,49815.0%
- 2HIGHMARK SENIOR HEALTH COMPANY199,71312.1%
- 3AETNA HEALTH INC. (PA)197,44511.9%
- 4UPMC HEALTH PLAN, INC.129,5607.8%
- 5KEYSTONE HEALTH PLAN EAST, INC.91,3175.5%
- 6HIGHMARK CHOICE COMPANY81,7484.9%
- 7GEISINGER HEALTH PLAN72,1394.4%
- 8UPMC HEALTH NETWORK, INC.58,0153.5%
- 9HUMANA BENEFIT PLAN OF ILLINOIS, INC.45,4292.8%
- 10CAPITAL ADVANTAGE INSURANCE COMPANY42,3062.6%
- 11GATEWAY HEALTH PLAN, INC.41,5672.5%
- 12CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.39,7652.4%
- 13UPMC FOR YOU, INC37,3572.3%
- 14UNITEDHEALTHCARE OF WISCONSIN, INC.35,6072.1%
- 15SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.35,4232.1%
Top-rated SNFs in Pennsylvania
657 total- RIVERTON REHABILITATION AND HEALTHCARE CENTERALLENTOWN, PA · Lehigh County · 111 beds5★
- SIMPSON HOUSE INCPHILADELPHIA, PA · Philadelphia County · 142 beds5★
- BUCKINGHAM VALLEY REHABILITATION AND NURSINGCENTERBUCKINGHAM, PA · Bucks County · 130 beds5★
- Ambler Extended Care CenterAMBLER, PA · Montgomery County · 100 beds5★
- BERKS COUNTY HOME- BERKS HEIMLEESPORT, PA · Berks County · 420 beds5★
- CORNWALL MANORCORNWALL, PA · Lebanon County · 96 beds5★
- SARAH REED SENIOR LIVINGERIE, PA · Erie County · 106 beds5★
- BROOMALL MANORBROOMALL, PA · Delaware County · 114 beds5★
- LUTHERAN HOME AT TOPTON, THETOPTON, PA · Berks County · 194 beds5★
- ROSEWOOD GARDENS REHABILITATION AND NURSING CENTERBROOMALL, PA · Delaware County · 146 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.