Centers for Medicare & Medicaid Services

The Centers for Medicare & Medicaid Services (CMS), previously known as the Health Care Financing Administration (HCFA), is a federal agency within the United States Department of Health and Human Services (HHS) that administers the Medicare program and works in partnership with state governments to administer Medicaid, the State Children’s Health Insurance Program (SCHIP), and health insurance portability standards. In addition to these programs, CMS has other responsibilities, including the administrative simplification standards from the Health Insurance Portability and Accountability Act of 1996 (HIPAA), quality standards in long-term care facilities (more commonly referred to as nursing homes) through its survey and certification process, clinical laboratory quality standards under the Clinical Laboratory Improvement Amendments, and oversight of HealthCare.gov.


CMS Encourages Eligible Suppliers to Participate in Expanded Medicare Diabetes Prevention Program Model

April 30 by Centers for Medicare & Medicaid Services By CMS Administrator Seema Verma Nationally expanded performance-based payment model now enrolling service suppliers The Centers for Medicare & Medicaid Services (CMS) in April expanded the Medicare Diabetes Prevention Program (MDPP), a national performance-based payment model offering a new approach to […]


Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) Funding Opportunity: Measure Development for the Quality Payment Program

March 2 by CMS CMS Blog https://blog.cms.gov/2018/03/02/medicare-access-and-chip-reauthorization-act-of-2015-macra-funding-opportunity March 2, 2018By Kate Goodrich, MDDirector, CMS Center for Clinical Standards and Quality & CMS Chief Medical Officer Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) Funding Opportunity:Measure Development for the Quality Payment Program CMS is pleased to announce a new funding […]


CMS announces a new user-centered resource to help improve alignment: the CMS Measures Inventory Tool (CMIT)

November 20 by Centers for Medicare & Medicaid Services By Kate Goodrich, MDDirector, CMS Center for Clinical Standards and Quality & CMS Chief Medical Officer CMS is actively working to move the needle on improving quality in healthcare without additional burden to those providers on the frontlines. CMS recently launched […]


National Minority Health Month: Bridging Observance and Action to Achieve Health Equity

April 27 by Centers for Medicare & Medicaid Services By Cara V. James, PhD, Director, CMS Office of Minority Health  Each April we observe National Minority Health Month. This year’s theme is, Bridging Health Equity Across Communities. This theme acknowledges the important role that social determinants of health play in […]


Supporting Comprehensive and Innovative Care for Children: Request for Information on a Potential Pediatric Alternative Payment Model

February 27 by Centers for Medicare & Medicaid Services February 27, 2017 By Patrick Conway, M.D., M.Sc., Acting Administrator, Centers for Medicare & Medicaid Services; Deidre Gifford, M.D., M.P.H., Deputy Director, Center for Medicaid and CHIP Services; Ellen-Marie Whelan, N.P., Ph.D., Chief Population Health Officer, Center for Medicaid and CHIP […]


Data Brief: Sharp reduction in avoidable hospitalizations among long-term care facility residents

January 17 by CMS By Niall Brennan, Director of the CMS Office of Enterprise Data and Analytics, and CMS Chief Data Officer; and, Tim Engelhardt, Director of the Federal Coordinated Health Care Office at CMS Data Brief: Sharp reduction in avoidable hospitalizations among long-term care facility residents For long-term care […]