A system (120) and method (150) manage medical body area network (MBAN) channels to provide differentiated quality of service (QoS) based on patient acuity level. An available set of channels to be used by a plurality of MBAN systems (52) is identified (154). Channel access rules describing a set of channels for each of a plurality of MBAN priorities are generated (156). The plurality of MBAN priorities are based on patient acuity level. The channel access rules are communicated (158) to the plurality of MBAN systems (52). An MBAN system (52) of the plurality of MBAN systems (52) uses a channel from the set of channels corresponding to an MBAN priority assigned to the MBAN system (52). A hub device (60) configured to use the system (120) and method (150) is also provided.