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 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 […]


CMS announces extension of 2016 reporting deadline and intends to modify 2017 requirements for reporting eCQM data under the Inpatient Quality Reporting and EHR Incentive Programs for Hospitals

January 17 by CMS By Kate Goodrich, MDDirector, CMS Center for Clinical Standards and Quality & CMS Chief Medical Officer Today, I am pleased to announce that the Centers for Medicare & Medicaid Services (CMS) is notifying eligible hospitals and critical access hospitals participating in the Hospital Inpatient Quality Reporting […]


Building The Value-Based Health Care System Of The Future Depends On Meeting Clinicians’ Data Needs

January 17 by CMS Dr. Vindell Washington, National Coordinator for Health Information Technology (ONC) and Andy Slavitt, Acting Administrator, Centers for Medicare & Medicaid Services (CMS) Data is the lifeblood of the value-based payment environment. Every time a doctor takes care of a patient, we have an opportunity to use […]


Addressing the Opioid Epidemic: Keeping Medicare and Medicaid Beneficiaries Healthy

January 5 by CMS By Shantanu Agrawal, MD, Director, Center for Program Integrity andKate Goodrich, MD, MHS, Director, Center for Clinical Standards and Quality “The opioid epidemic is one of the most pressing public health issues in the United States today.”– Health and Human Services (HHS) Secretary Sylvia Mathews Burwell […]


Transforming Health Care Delivery through the CMS Innovation Center: Better Care, Healthier People, and Smarter Spending

January 5 by CMS By Dr. Patrick Conway, Acting Principal Deputy Administrator Transforming Health Care Delivery through the CMS Innovation Center: Better Care, Healthier People, and Smarter Spending We have made great progress in recent years on reforming our system into one that delivers better quality of care for patients […]