CMS Program Statistics

This dataset compiles summarized information on Medicare Advantage and other health plan enrollment and inpatient hospital utilization for Medicare beneficiaries. It integrates details across entitlement types, plan coverage, hospital types, skilled nursing facility use, physician and supplier encounters, and hospice and service visits. The data is segmented by demographic characteristics, including age, gender, and geography, as well as type of facility, level and place of service, and specialty where applicable. It includes records on newly enrolled beneficiaries, deaths, dually eligible Medicare-Medicaid individuals, Part A and Part B usage and payments, and Part D (Prescription Drug) enrollment with Low Income Subsidy status. Coverage breadth encompasses enrollment counts, premium trends, and utilization metrics for both Original Medicare and Medicare Advantage plans, facilitating comprehensive analysis of beneficiary demographics, health care delivery and payment patterns, and cross-category eligibility.