Managed Care · RI
Rhode Island
Saturated · score 45
MA penetration is above average — competition is high, focus on plan-specific wins.
State MA penetration
60.5%
National rank #4 · National avg 47.8%
+12.67 pp vs national
149,916
MA beneficiaries (rolled up)
247,925
Medicare eligibles
5
Counties indexed
73
SNFs in state
MA beneficiaries · 2016–2022
YoY change: +68.7%
SNF utilization rate (MA enrollees)
Share of MA beneficiaries with a SNF stay each year (CMS MA GV PUF).
Most saturated counties
- 65.1%Providence85,654 of 131,487 eligibles
- 61.5%Kent27,129 of 44,105 eligibles
- 55.9%Bristol7,291 of 13,052 eligibles
- 52.6%Washington19,394 of 36,843 eligibles
- 46.6%Newport10,448 of 22,438 eligibles
Highest opportunity counties
- 46.6%Newport22,438 eligibles · 10,448 enrolled
- 52.6%Washington36,843 eligibles · 19,394 enrolled
- 55.9%Bristol13,052 eligibles · 7,291 enrolled
- 61.5%Kent44,105 eligibles · 27,129 enrolled
- 65.1%Providence131,487 eligibles · 85,654 enrolled
Top MA payers in Rhode Island
150,875 total MA enrolled- 1BLUE CROSS & BLUE SHIELD OF RHODE ISLAND75,31049.9%
- 2UNITEDHEALTHCARE OF WISCONSIN, INC.24,52216.3%
- 3AETNA LIFE INSURANCE COMPANY15,80910.5%
- 4UNITEDHEALTHCARE OF NEW ENGLAND, INC.12,0258.0%
- 5NEIGHBORHOOD HEALTH PLAN OF RHODE ISLAND11,1697.4%
- 6CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.4,1682.8%
- 7OXFORD HEALTH PLANS (NJ), INC.2,5971.7%
- 8SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.2,2921.5%
- 9AETNA HEALTH INC. (CT)1,7261.1%
- 10ANTHEM INSURANCE COMPANIES, INC.4710.3%
- 11PACE ORGANIZATION OF RHODE ISLAND4410.3%
- 12EMPHESYS INSURANCE COMPANY1680.1%
- 13HUMANA INSURANCE COMPANY1040.1%
- 14Humana Insurance Co. & Humana Insurance Co. of NY530.0%
- 15COMMONWEALTH CARE ALLIANCE, INC.200.0%
Top-rated SNFs in Rhode Island
73 total- Royal of Westerly Nursing CenterWesterly, RI · Washington County · 66 beds5★
- Avalon Nursing Home INCWarwick, RI · Kent County · 31 beds5★
- Village House Nursing & Rehabilitation CenterNewport, RI · Newport County · 95 beds5★
- Morgan Health CenterJohnston, RI · Providence County · 120 beds5★
- Briarcliffe ManorJohnston, RI · Providence County · 122 beds5★
- Jeanne Jugan ResidencePawtucket, RI · Providence County · 49 beds5★
- Roberts Health Centre IncNorth Kingstown, RI · Washington County · 66 beds5★
- Eastgate Nursing & Rehabilitation CenterEast Providence, RI · Providence County · 60 beds5★
- Cherry Hill ManorJohnston, RI · Providence County · 171 beds5★
- Cedar Crest Nursing Centre IncCranston, RI · Providence County · 156 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.