Managed Care · VA
Virginia
Moderate opportunity · score 56
MA penetration is near the national average — selective contracting opportunities.
State MA penetration
39.4%
National rank #36 · National avg 47.8%
-8.39 pp vs national
678,282
MA beneficiaries (rolled up)
1,721,233
Medicare eligibles
133
Counties indexed
289
SNFs in state
MA beneficiaries · 2016–2022
YoY change: +112.6%
SNF utilization rate (MA enrollees)
Share of MA beneficiaries with a SNF stay each year (CMS MA GV PUF).
Most saturated counties
- 75.0%Martinsville City2,928 of 3,905 eligibles
- 72.1%Scott4,720 of 6,543 eligibles
- 72.1%Dickenson3,329 of 4,617 eligibles
- 71.5%Petersburg City5,311 of 7,430 eligibles
- 69.9%Lee4,466 of 6,390 eligibles
- 69.2%Wise7,311 of 10,562 eligibles
- 65.6%Russell5,157 of 7,864 eligibles
- 64.4%Buchanan4,207 of 6,530 eligibles
- 62.4%Norton City765 of 1,226 eligibles
- 61.7%Bristol City2,763 of 4,478 eligibles
Highest opportunity counties
- 22.3%Albemarle25,523 eligibles · 5,699 enrolled
- 24.3%Rappahannock2,352 eligibles · 572 enrolled
- 24.9%Poquoson City2,914 eligibles · 725 enrolled
- 25.5%York15,127 eligibles · 3,859 enrolled
- 26.1%Bath1,366 eligibles · 357 enrolled
- 26.4%Williamsburg City2,968 eligibles · 785 enrolled
- 27.1%Goochland9,099 eligibles · 2,462 enrolled
- 27.4%Fauquier15,073 eligibles · 4,133 enrolled
- 27.9%Highland949 eligibles · 265 enrolled
- 29.1%Falls Church City2,528 eligibles · 737 enrolled
Top MA payers in Virginia
688,559 total MA enrolled- 1HEALTHKEEPERS, INC.118,49217.2%
- 2HUMANA INSURANCE COMPANY80,07711.6%
- 3UNITEDHEALTHCARE OF WISCONSIN, INC.77,44911.3%
- 4HUMANA WI HEALTH ORGANIZATION INSURANCE CORP61,6218.9%
- 5SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.55,9328.1%
- 6UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.41,7246.1%
- 7EMPHESYS INSURANCE COMPANY39,8505.8%
- 8AETNA LIFE INSURANCE COMPANY36,3165.3%
- 9KAISER FDTN HLTH PLAN OF THE MID-ATLANTIC STATES33,4614.9%
- 10ARCADIAN HEALTH PLAN, INC.30,0094.4%
- 11AETNA HEALTH INC. (PA)24,5713.6%
- 12HUMANA MEDICAL PLAN, INC.23,5893.4%
- 13ANTHEM INSURANCE COMPANIES, INC.17,6262.6%
- 14CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.12,3471.8%
- 15COVENTRY HEALTH CARE OF VIRGINIA, INC.11,4591.7%
Top-rated SNFs in Virginia
289 total- WESTMINSTER-CANTERBURY OF RICHMONDRICHMOND, VA · Henrico County · 158 beds5★
- HIRAM W DAVIS MEDICAL CTRPETERSBURG, VA · Petersburg City County · 90 beds5★
- NHC HEALTHCARE, BRISTOLBRISTOL, VA · Bristol City County · 120 beds5★
- WOODBINE REHABILITATION & HEALTHCARE CENTERALEXANDRIA, VA · Alexandria City County · 307 beds5★
- GOODWIN HOUSE ALEXANDRIAALEXANDRIA, VA · Alexandria City County · 80 beds5★
- WESTMINSTER-CANTERBURY ON CHESAPEAKE BAYVIRGINIA BEACH, VA · Virginia Beach City County · 108 beds5★
- SOUTHAMPTON MEMORIAL HOSPFRANKLIN, VA · Franklin City County · 129 beds5★
- LIFE CARE CENTER OF NEW MARKETNEW MARKET, VA · Shenandoah County · 118 beds5★
- Waddell Nursing And Rehab CenterGALAX, VA · Galax City County · 135 beds5★
- WESTMINSTER-CANTERBURY OF LYNCHBURG INCLYNCHBURG, VA · Lynchburg City County · 80 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.