Healthcare Insights

Which hospitals had the most Medicare Advantage inpatient days?

Around 29.1 million people are enrolled in Medicare Advantage Plans, which are expanded Medicare offerings that combine Medicare Part A (hospital insurance) and Part B (medical insurance).

Americans age 65 years and older are eligible to purchase Medicare Advantage through private payors who in turn provide service with approval from the Centers for Medicare and Medicaid Services (CMS).

According to data in the Definitive Healthcare HospitalView product, patients using Medicare Advantage spent 34.2 million inpatient days in the hospital in 2021. Using HospitalView data on more than 7,300 active facilities, we’ve compiled a list of U.S. hospitals with the most Medicare Advantage inpatient days in 2021.

Top U.S. hospitals by Medicare Advantage inpatient days in 2021

RankHospital nameDefinitive IDCityStateMedicare Advantage daysExplore dataset
1AdventHealth Orlando (FKA Florida Hospital Orlando)873OrlandoFL181,263Explore
2NewYork-Presbyterian Weill Cornell Medical Center541974New YorkNY135,833Explore
3Montefiore Hospital - Moses Campus273024BronxNY132,636Explore
4UPMC Presbyterian3439PittsburghPA112,966Explore
5Memorial Hermann Southwest Hospital274147HoustonTX104,313Explore
6Methodist Hospital3862San AntonioTX98,942Explore
7Orlando Health Orlando Regional Medical Center872OrlandoFL92,068Explore
8Cleveland Clinic Main Campus3120ClevelandOH90,679Explore
9Yale New Haven Hospital731New HavenCT90,338Explore
10Buffalo General Medical Center (FKA Buffalo General Hospital)2781BuffaloNY88,726Explore
11Long Island Jewish Medical Center2828New Hyde ParkNY86,461Explore
12Jackson Memorial Hospital845MiamiFL82,731Explore
13Novant Health Forsyth Medical Center (FKA Forsyth Memorial Hospital)2977Winston SalemNC81,098Explore
14Spectrum Health Butterworth Hospital2035Grand RapidsMI77,541Explore
15Tisch Hospital2843New YorkNY76,372Explore
16Lehigh Valley Hospital - Cedar Crest3525AllentownPA75,327Explore
17Mount Sinai Medical Center (AKA the Mount Sinai Hospital)2837New YorkNY75,130Explore
18Rochester General Hospital2816RochesterNY75,054Explore
19Norton Hospital1678LouisvilleKY74,817Explore
20Barnes-Jewish Hospital2442Saint LouisMO73,760Explore

Fig. 1 Data is from the Definitive Healthcare HospitalView product and sourced from the January 2023 Medicare Cost Report according to the most recent 12-month interval tracked in our database. Data accurate as of April 2023.

Which hospitals had the most inpatient stays from Medicare Advantage patients?

AdventHealth Orlando in Orlando, Florida, tops our list with 181,263 Medicare Advantage inpatient days, or about 9.5% of total Medicare Advantage stays across the top 20 hospitals. AdventHealth Orlando also leads U.S. hospitals by Medicare discharges, suggesting a high rate of service to Medicare patients overall.

New York – Presbyterian Weill Cornell Medical Center in New York City had 135,833 Medicare Advantage inpatient days in 2021, placing the short-term acute care facility in second on our list. This hospital also serves a considerable number of Medicare patients, placing third on our list of hospitals ranked by Medicare discharges.

Rounding out the top three is Montefiore Hospital – Moses Campus, in the Bronx, NYC, with 132,636 Medicare Advantage days. 
Altogether, the hospitals on our list had 1.9 million Medicare Advantage inpatient days in 2021, the period covered by the latest Medicare Cost Report.

How does Medicare Advantage differ from original Medicare?

Medicare Advantage beneficiaries are served by private insurance payors, and specific coverage and out-of-pocket costs vary from payor to payor.

Typically, Medicare Advantage beneficiaries will have a yearly limit on out-of-pocket costs, while original Medicare beneficiaries don’t—unless they elect to receive supplemental coverage.

Medicare Advantage plans cover all medically necessary services covered by original Medicare, but may also cover additional benefits like eye, hearing, and dental services. Original Medicare beneficiaries need to sign up for Medicare Part D to get drug coverage, while many Medicare Advantage plans cover prescription drugs.

Additionally, while original Medicare beneficiaries can go to any doctor or hospital that takes Medicare, Medicare Advantage requires beneficiaries to see providers within the payor’s specific network and service area for non-emergency care.

Learn more

Healthcare Insights are developed with healthcare commercial intelligence from the Definitive Healthcare platform. Want even more insights? Start a free trial now and get access to the latest healthcare commercial intelligence on hospitals, physicians, and other healthcare providers.