Managed Care · SC

South Carolina

Moderate opportunity · score 52

MA penetration is near the national average — selective contracting opportunities.

State MA penetration
46.6%
National rank #31 · National avg 47.8%
-1.21 pp vs national
584,952
MA beneficiaries (rolled up)
1,255,610
Medicare eligibles
46
Counties indexed
187
SNFs in state
MA beneficiaries · 2016–2022
2016201720182019202020212022470,206228,585
YoY change: +105.7%
SNF utilization rate (MA enrollees)
20162017201820192020202120220.03830.0291
Share of MA beneficiaries with a SNF stay each year (CMS MA GV PUF).

Most saturated counties

  • Allendale
    1,329 of 2,132 eligibles
    62.3%
  • Williamsburg
    5,150 of 8,564 eligibles
    60.1%
  • Union
    4,561 of 7,650 eligibles
    59.6%
  • Marlboro
    3,896 of 6,536 eligibles
    59.6%
  • Bamberg
    2,086 of 3,533 eligibles
    59.0%
  • Orangeburg
    12,804 of 21,735 eligibles
    58.9%
  • Dillon
    4,059 of 6,892 eligibles
    58.9%
  • Barnwell
    2,843 of 4,869 eligibles
    58.4%
  • Hampton
    2,683 of 4,644 eligibles
    57.8%
  • Marion
    4,683 of 8,153 eligibles
    57.4%

Highest opportunity counties

  • Beaufort
    60,984 eligibles · 20,214 enrolled
    33.1%
  • Charleston
    85,518 eligibles · 30,987 enrolled
    36.2%
  • Saluda
    4,884 eligibles · 1,829 enrolled
    37.5%
  • Jasper
    11,108 eligibles · 4,368 enrolled
    39.3%
  • Lexington
    64,644 eligibles · 27,135 enrolled
    42.0%
  • Georgetown
    23,066 eligibles · 9,682 enrolled
    42.0%
  • Richland
    77,947 eligibles · 32,923 enrolled
    42.2%
  • Dorchester
    33,226 eligibles · 14,267 enrolled
    42.9%
  • Aiken
    44,945 eligibles · 19,533 enrolled
    43.5%
  • Berkeley
    46,778 eligibles · 20,698 enrolled
    44.3%

Top MA payers in South Carolina

597,193 total MA enrolled

Top-rated SNFs in South Carolina

187 total
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.

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