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.
|Medicare Advantage days
|AdventHealth Orlando (FKA Florida Hospital Orlando)
|NewYork-Presbyterian Weill Cornell Medical Center
|Montefiore Hospital - Moses Campus
|Memorial Hermann Southwest Hospital
|Orlando Health Orlando Regional Medical Center
|Cleveland Clinic Main Campus
|Yale New Haven Hospital
|Buffalo General Medical Center (FKA Buffalo General Hospital)
|Long Island Jewish Medical Center
|New Hyde Park
|Jackson Memorial Hospital
|Novant Health Forsyth Medical Center (FKA Forsyth Memorial Hospital)
|Spectrum Health Butterworth Hospital
|Lehigh Valley Hospital - Cedar Crest
|Mount Sinai Medical Center (AKA the Mount Sinai Hospital)
|Rochester General Hospital
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.
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