CMS Releases Medicare Advantage Inpatient Hospital Utilization Data

The Centers for Medicare & Medicaid Services (CMS) released two products developed using Medicare Advantage (MA) encounter data.

1. CMS added several tables to the CMS Program Statistics (CPS) that present inpatient hospital utilization data for beneficiaries enrolled in MA. The data presented in these tables covers calendar years 2016 through 2019.  The MA Inpatient Hospital tables include utilization by inpatient hospital type and utilization for short-stay hospitals by beneficiary demographic characteristics and geography. Data presented in these tables includes utilization reported in the MA encounter data for all Medicare beneficiaries who had any MA enrollment in the year. Available at:  https://data.cms.gov/summary-statistics-on-use-and-payments/medicare-service-type-reports/cms-program-statistics-medicare-advantage-inpatient-hospital.
2. CMS released the Medicare Advantage Geographic Variation PUF (MA GV PUF), which includes metrics on inpatient hospital utilization and beneficiary demographic characteristics for beneficiaries enrolled in MA and covers calendar years 2016-2019.  The MA GV PUF only includes data for Medicare beneficiaries who were enrolled in MA for the full year.  Available at: https://data.cms.gov/summary-statistics-on-use-and-payments/medicare-geographic-comparisons/medicare-advantage-geographic-variation-national-state.