Managed Care · TN
Tennessee
Saturated · score 51
MA penetration is above average — competition is high, focus on plan-specific wins.
State MA penetration
53.5%
National rank #20 · National avg 47.8%
+5.72 pp vs national
804,540
MA beneficiaries (rolled up)
1,503,226
Medicare eligibles
95
Counties indexed
303
SNFs in state
MA beneficiaries · 2016–2022
YoY change: +54.2%
SNF utilization rate (MA enrollees)
Share of MA beneficiaries with a SNF stay each year (CMS MA GV PUF).
Most saturated counties
- 83.5%Hancock1,219 of 1,459 eligibles
- 72.4%Hawkins12,350 of 17,056 eligibles
- 68.4%Sullivan30,721 of 44,939 eligibles
- 68.1%Grainger4,612 of 6,768 eligibles
- 68.0%Unicoi3,657 of 5,376 eligibles
- 67.9%Claiborne6,131 of 9,030 eligibles
- 67.2%Campbell7,032 of 10,466 eligibles
- 66.7%Carter10,403 of 15,599 eligibles
- 66.2%Cocke7,313 of 11,052 eligibles
- 65.0%Meigs2,293 of 3,529 eligibles
Highest opportunity counties
- 36.8%Fayette12,259 eligibles · 4,513 enrolled
- 40.3%Hardin7,852 eligibles · 3,163 enrolled
- 40.4%Moore1,605 eligibles · 648 enrolled
- 40.9%Pickett1,690 eligibles · 691 enrolled
- 41.0%Stewart3,733 eligibles · 1,530 enrolled
- 41.5%Williamson45,733 eligibles · 18,958 enrolled
- 41.6%Weakley7,517 eligibles · 3,124 enrolled
- 42.6%Crockett3,341 eligibles · 1,423 enrolled
- 42.7%Tipton12,656 eligibles · 5,404 enrolled
- 42.9%Carroll7,680 eligibles · 3,294 enrolled
Top MA payers in Tennessee
816,198 total MA enrolled- 1BLUECROSS BLUESHIELD OF TENNESSEE, INC.182,62422.4%
- 2CARITEN HEALTH PLAN INC.166,76020.4%
- 3UNITEDHEALTHCARE OF WISCONSIN, INC.125,02415.3%
- 4HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.85,95710.5%
- 5UNITEDHEALTHCARE PLAN OF THE RIVER VALLEY, INC.77,2139.5%
- 6HUMANA INSURANCE COMPANY32,0373.9%
- 7VOLUNTEER STATE HEALTH PLAN30,1383.7%
- 8WELLPOINT TENNESSEE, INC.27,7423.4%
- 9SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.26,7703.3%
- 10AETNA LIFE INSURANCE COMPANY16,0652.0%
- 11HARMONY HEALTH PLAN, INC.10,8821.3%
- 12EMPHESYS INSURANCE COMPANY9,6981.2%
- 13DEVOTED HEALTH INSURANCE COMPANY OF TENNESSEE INC7,4150.9%
- 14BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY4,7300.6%
- 15AETNA BETTER HEALTH INC. (GA)2,8150.3%
Top-rated SNFs in Tennessee
303 total- NHC HEALTHCARE, MCMINNVILLEMCMINNVILLE, TN · Warren County · 115 beds5★
- NHC HEALTHCARE, MURFREESBOROMURFREESBORO, TN · Rutherford County · 181 beds5★
- NHC HEALTHCARE, SCOTTLAWRENCEBURG, TN · Lawrence County · 49 beds5★
- NHC HEALTHCARE, COOKEVILLECOOKEVILLE, TN · Putnam County · 104 beds5★
- NHC HEALTHCARE, JOHNSON CITYJOHNSON CITY, TN · Washington County · 167 beds5★
- THE HEALTH CENTER AT STANDIFER PLACECHATTANOOGA, TN · Hamilton County · 444 beds5★
- THE WATERS OF UNION CITY , LLCUNION CITY, TN · Obion County · 80 beds5★
- NHC HEALTHCARE, SOMERVILLESOMERVILLE, TN · Fayette County · 72 beds5★
- NHC HEALTHCARE, DICKSONDICKSON, TN · Dickson County · 191 beds5★
- NHC-MAURY REGIONAL TRANSITIONAL CARE CENTERCOLUMBIA, TN · Maury County · 112 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.