Managed Care · SD
South Dakota
Moderate opportunity · score 58
MA penetration is near the national average — selective contracting opportunities.
State MA penetration
37.3%
National rank #38 · National avg 47.8%
-10.5 pp vs national
75,665
MA beneficiaries (rolled up)
202,861
Medicare eligibles
66
Counties indexed
96
SNFs in state
MA beneficiaries · 2016–2022
YoY change: +67.4%
SNF utilization rate (MA enrollees)
Share of MA beneficiaries with a SNF stay each year (CMS MA GV PUF).
Most saturated counties
- 54.6%Codington3,627 of 6,644 eligibles
- 53.6%Grant1,103 of 2,057 eligibles
- 53.0%Clark475 of 896 eligibles
- 50.6%Turner1,042 of 2,061 eligibles
- 50.2%Butte1,290 of 2,571 eligibles
- 48.7%Hamlin603 of 1,239 eligibles
- 47.8%Lincoln5,415 of 11,329 eligibles
- 45.4%Brookings2,655 of 5,855 eligibles
- 44.7%McCook609 of 1,363 eligibles
- 43.6%Deuel506 of 1,160 eligibles
Highest opportunity counties
- 4.3%Oglala Lakota1,431 eligibles · 62 enrolled
- 5.9%Todd1,078 eligibles · 64 enrolled
- 7.6%Buffalo236 eligibles · 18 enrolled
- 11.3%Bennett502 eligibles · 57 enrolled
- 13.8%Sully434 eligibles · 60 enrolled
- 14.8%Potter708 eligibles · 105 enrolled
- 14.9%Hand891 eligibles · 133 enrolled
- 15.1%Jones259 eligibles · 39 enrolled
- 15.2%Mellette374 eligibles · 57 enrolled
- 15.5%Dewey873 eligibles · 135 enrolled
Top MA payers in South Dakota
71,657 total MA enrolled- 1MEDICA INSURANCE COMPANY24,35034.0%
- 2MEDICA HEALTH PLANS17,78924.8%
- 3WELLMARK ADVANTAGE HEALTH PLAN, INC.10,55114.7%
- 4SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.8,01411.2%
- 5COVENTRY HEALTH AND LIFE INSURANCE COMPANY5,2047.3%
- 6SANFORD HEALTH PLAN4,8046.7%
- 7AETNA LIFE INSURANCE COMPANY6020.8%
- 8HUMANA INSURANCE COMPANY1000.1%
- 9ANTHEM INSURANCE COMPANIES, INC.960.1%
- 10BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY600.1%
- 11EMPHESYS INSURANCE COMPANY400.1%
- 12HEALTH CARE SERVICE CORPORATION130.0%
- 13BCBSM, Inc.120.0%
- 14CALIFORNIA PHYSICIANS' SERVICE110.0%
- 15KAISER FOUNDATION HP, INC.110.0%
Top-rated SNFs in South Dakota
96 total- CLARKSON HEALTH CARERAPID CITY, SD · Pennington County · 49 beds5★
- AVERA SISTER JAMES CARE CENTERYANKTON, SD · Yankton County · 194 beds5★
- Bethesda HomeWEBSTER, SD · Day County · 50 beds5★
- AVERA BRADY HEALTH AND REHABMITCHELL, SD · Davison County · 84 beds5★
- AVERA MARYHOUSE LONG TERM CAREPIERRE, SD · Hughes County · 80 beds5★
- Alcester Care And Rehab Center, IncALCESTER, SD · Union County · 44 beds5★
- THE NEIGHBORHOODS AT BROOKVIEWBROOKINGS, SD · Brookings County · 79 beds5★
- GOOD SAMARITAN SOCIETY HOWARDHOWARD, SD · Miner County · 45 beds5★
- AVANTARA LAKE NORDENLAKE NORDEN, SD · Hamlin County · 50 beds5★
- PRAIRIE HEIGHTS HEALTHCAREABERDEEN, SD · Brown County · 99 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.