CMS (Centers for Medicare & Medicaid Services)

The Centers for Medicare & Medicaid Services (CMS) is a federal agency within the United States Department of Health and Human Services (HHS) that administers the nation’s major healthcare programs. CMS is responsible for overseeing Medicare, which provides health coverage for individuals aged 65 and older, as well as certain younger individuals with disabilities. Additionally, CMS manages Medicaid, a joint federal and state program that provides health coverage for low-income individuals and families.

CMS plays a crucial role in ensuring that Americans have access to affordable healthcare services. The agency sets standards for healthcare providers and facilities participating in Medicare and Medicaid, and it also works to improve the quality of care delivered to beneficiaries. CMS is responsible for administering a wide range of healthcare initiatives, including the Affordable Care Act and the Children’s Health Insurance Program (CHIP).

One of CMS’s primary functions is to oversee the payment of healthcare services provided to Medicare and Medicaid beneficiaries. The agency establishes payment rates for healthcare providers, including hospitals, physicians, and other healthcare professionals. CMS also works to combat fraud and abuse within the healthcare system, implementing measures to prevent improper payments and protect taxpayer dollars.

In addition to its payment and oversight responsibilities, CMS plays a key role in promoting healthcare innovation and improving the delivery of care. The agency supports initiatives aimed at advancing value-based care, promoting Interoperability of health information technology, and addressing disparities in healthcare access and outcomes. CMS also works to engage stakeholders across the healthcare industry to drive improvements in quality and efficiency.

Overall, CMS plays a critical role in shAPIng the nation’s healthcare landscape and ensuring that Medicare and Medicaid beneficiaries receive high-quality, affordable care. The agency’s work impacts millions of Americans, helping to improve health outcomes, reduce costs, and promote access to essential healthcare services. By overseeing these vital healthcare programs, CMS plays a central role in advancing the health and well-being of individuals and communities across the United States.