Managed Care · VT
Vermont
High opportunity · score 63
MA penetration is well below average — strong room for managed-care contracts.
State MA penetration
30.8%
National rank #45 · National avg 47.8%
-17 pp vs national
51,700
MA beneficiaries (rolled up)
167,834
Medicare eligibles
14
Counties indexed
34
SNFs in state
MA beneficiaries · 2016–2022
YoY change: +312.1%
SNF utilization rate (MA enrollees)
Share of MA beneficiaries with a SNF stay each year (CMS MA GV PUF).
Most saturated counties
- 38.0%Grand Isle928 of 2,444 eligibles
- 34.9%Chittenden12,486 of 35,783 eligibles
- 34.8%Addison3,402 of 9,765 eligibles
- 32.9%Franklin3,802 of 11,542 eligibles
- 32.6%Orleans2,664 of 8,162 eligibles
- 31.6%Caledonia2,627 of 8,301 eligibles
- 31.4%Essex659 of 2,098 eligibles
- 30.0%Rutland5,577 of 18,590 eligibles
- 29.2%Lamoille1,786 of 6,112 eligibles
- 29.1%Bennington3,156 of 10,858 eligibles
Highest opportunity counties
- 23.8%Washington15,567 eligibles · 3,700 enrolled
- 27.7%Orange8,149 eligibles · 2,256 enrolled
- 27.8%Windham13,113 eligibles · 3,639 enrolled
- 28.9%Windsor17,350 eligibles · 5,018 enrolled
- 29.1%Bennington10,858 eligibles · 3,156 enrolled
- 29.2%Lamoille6,112 eligibles · 1,786 enrolled
- 30.0%Rutland18,590 eligibles · 5,577 enrolled
- 31.4%Essex2,098 eligibles · 659 enrolled
- 31.6%Caledonia8,301 eligibles · 2,627 enrolled
- 32.6%Orleans8,162 eligibles · 2,664 enrolled
Top MA payers in Vermont
20,374 total MA enrolled- 1HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.6,28630.9%
- 2HUMANA INSURANCE COMPANY5,09525.0%
- 3SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.4,10120.1%
- 4EMPHESYS INSURANCE COMPANY3,00514.8%
- 5AETNA LIFE INSURANCE COMPANY1,5397.5%
- 6ANTHEM INSURANCE COMPANIES, INC.3321.6%
- 7HIGHMARK SENIOR HEALTH COMPANY160.1%
Top-rated SNFs in Vermont
34 total- Pine Heights at Brattleboro Center for Nursing & RBrattleboro, VT · Windham County · 80 beds5★
- Franklin County Rehab Center, LLCSt. Albans, VT · Franklin County · 64 beds5★
- Wake Robin-Linden Nursing HomeShelburne, VT · Chittenden County · 33 beds5★
- Gill Odd Fellows Home of VermontLudlow, VT · Windsor County · 46 beds5★
- Helen Porter Healthcare & RehabMiddlebury, VT · Addison County · 98 beds4★
- Greensboro Nursing HomeGreensboro, VT · Orleans County · 30 beds4★
- Cedar Hill Health Care CenterWindsor, VT · Windsor County · 39 beds4★
- The Pines at Rutland Center for Nursing & RehabiliRutland, VT · Rutland County · 125 beds4★
- Rutland Healthcare & Rehabilitation CenterRutland, VT · Rutland County · 103 beds4★
- Mountain View Center Genesis HealthcareRutland, VT · Rutland County · 158 beds4★
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.