Managed Care · TX
Texas
Saturated · score 50
MA penetration is above average — competition is high, focus on plan-specific wins.
State MA penetration
54.7%
National rank #14 · National avg 47.8%
+6.88 pp vs national
2,671,182
MA beneficiaries (rolled up)
4,884,970
Medicare eligibles
254
Counties indexed
1,176
SNFs in state
MA beneficiaries · 2016–2022
YoY change: +78.4%
SNF utilization rate (MA enrollees)
Share of MA beneficiaries with a SNF stay each year (CMS MA GV PUF).
Most saturated counties
- 82.7%Starr8,540 of 10,328 eligibles
- 77.6%Willacy2,868 of 3,698 eligibles
- 77.0%Hidalgo94,202 of 122,295 eligibles
- 75.0%Maverick8,495 of 11,324 eligibles
- 74.2%El Paso111,797 of 150,596 eligibles
- 74.0%Zavala1,549 of 2,094 eligibles
- 73.6%Cameron52,997 of 71,988 eligibles
- 72.4%Zapata1,554 of 2,146 eligibles
- 70.1%Jim Wells6,038 of 8,618 eligibles
- 69.3%Kleberg3,696 of 5,332 eligibles
Highest opportunity counties
- 19.8%Glasscock232 eligibles · 46 enrolled
- 20.8%Borden130 eligibles · 27 enrolled
- 24.1%Ochiltree1,405 eligibles · 338 enrolled
- 24.3%Hemphill678 eligibles · 165 enrolled
- 25.2%Stonewall401 eligibles · 101 enrolled
- 26.0%Hansford897 eligibles · 233 enrolled
- 26.4%Parmer1,514 eligibles · 399 enrolled
- 26.4%Collingsworth660 eligibles · 174 enrolled
- 26.7%Wheeler1,147 eligibles · 306 enrolled
- 26.9%Sherman394 eligibles · 106 enrolled
Top MA payers in Texas
2,738,281 total MA enrolled- 1UnitedHealthcare Benefits of Texas, Inc.373,64813.7%
- 2SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.325,60711.9%
- 3HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.227,4798.3%
- 4CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.210,2547.7%
- 5HUMANA INSURANCE COMPANY201,6467.4%
- 6PHYSICIANS HEALTH CHOICE OF TEXAS, LLC196,3047.2%
- 7UNITEDHEALTHCARE COMMUNITY PLAN OF TEXAS, L.L.C.154,3755.6%
- 8CHA HMO, INC.139,1415.1%
- 9EMPHESYS INSURANCE COMPANY95,0233.5%
- 10CARITEN HEALTH PLAN INC.94,1853.4%
- 11AETNA LIFE INSURANCE COMPANY69,2122.5%
- 12HEALTH CARE SERVICE CORPORATION60,3922.2%
- 13WELLCARE OF TEXAS, INC.55,6512.0%
- 14WELLPOINT INSURANCE COMPANY54,0962.0%
- 15KS PLAN ADMINISTRATORS, LLC52,9331.9%
Top-rated SNFs in Texas
1,176 total- Avir at GrahamGRAHAM, TX · Young County · 116 beds5★
- RIVERSIDE OAKSVICTORIA, TX · Victoria County · 108 beds5★
- Pearsall Nursing and Rehabilitation CenterPearsall, TX · Frio County · 150 beds5★
- MISSION NURSING & REHABILITATION CENTERMISSION, TX · Hidalgo County · 170 beds5★
- Grand Terrace Rehabilitation and HealthcareMcAllen, TX · Hidalgo County · 93 beds5★
- OAK BEND MEDICAL CENTERRICHMOND, TX · Fort Bend County · 36 beds5★
- ADVANCED REHABILITATION AND HEALTHCARE OF BOWIEBOWIE, TX · Montague County · 180 beds5★
- WINDSOR NURSING AND REHABILITATION CENTER OF HARLIHARLINGEN, TX · Cameron County · 154 beds5★
- HENDRICK SKILLED NURSING FACILITYABILENE, TX · Taylor County · 20 beds5★
- BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL SKILTEMPLE, TX · Bell County · 23 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.