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

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Rank	Hospital name	Definitive ID	City	State	Medicare Advantage days	Explore dataset
1	AdventHealth Orlando (FKA Florida Hospital Orlando)	873	Orlando	FL	181,263	Explore
2	NewYork-Presbyterian Weill Cornell Medical Center	541974	New York	NY	135,833	Explore
3	Montefiore Hospital - Moses Campus	273024	Bronx	NY	132,636	Explore
4	UPMC Presbyterian	3439	Pittsburgh	PA	112,966	Explore
5	Memorial Hermann Southwest Hospital	274147	Houston	TX	104,313	Explore
6	Methodist Hospital	3862	San Antonio	TX	98,942	Explore
7	Orlando Health Orlando Regional Medical Center	872	Orlando	FL	92,068	Explore
8	Cleveland Clinic Main Campus	3120	Cleveland	OH	90,679	Explore
9	Yale New Haven Hospital	731	New Haven	CT	90,338	Explore
10	Buffalo General Medical Center (FKA Buffalo General Hospital)	2781	Buffalo	NY	88,726	Explore
11	Long Island Jewish Medical Center	2828	New Hyde Park	NY	86,461	Explore
12	Jackson Memorial Hospital	845	Miami	FL	82,731	Explore
13	Novant Health Forsyth Medical Center (FKA Forsyth Memorial Hospital)	2977	Winston Salem	NC	81,098	Explore
14	Spectrum Health Butterworth Hospital	2035	Grand Rapids	MI	77,541	Explore
15	Tisch Hospital	2843	New York	NY	76,372	Explore
16	Lehigh Valley Hospital - Cedar Crest	3525	Allentown	PA	75,327	Explore
17	Mount Sinai Medical Center (AKA the Mount Sinai Hospital)	2837	New York	NY	75,130	Explore
18	Rochester General Hospital	2816	Rochester	NY	75,054	Explore
19	Norton Hospital	1678	Louisville	KY	74,817	Explore
20	Barnes-Jewish Hospital	2442	Saint Louis	MO	73,760	Explore

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.

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