Centers for Medicare & Medicaid Services
The Centers for Medicare & Medicaid Services (CMS) provides health coverage to over 160 million people through various programs and supports innovative healthcare models, quality reporting, and educational resources for providers.
Health Coverage Programs
The Centers for Medicare & Medicaid Services (CMS) provide health coverage to over 160 million people through a variety of programs including Medicare, Medicaid, the Children's Health Insurance Program (CHIP), and the Health Insurance Marketplace. These programs collectively ensure access to healthcare services for diverse populations, from low-income families to senior citizens.
Innovative Health Care Models
CMS supports the development and testing of innovative health care payment and service delivery models through its Innovation Center. The goal is to improve the quality of care while reducing costs for Medicare, Medicaid, and CHIP beneficiaries. These models are designed to encourage better coordination of care and efficient use of resources.
Healthcare Provider Resources
CMS offers a variety of resources and training for healthcare providers through the Medicare Learning Network (MLN). This includes educational materials and online training courses designed to help providers understand and effectively navigate Medicare and Medicaid policies. The CMS National Training Program also provides extensive education and training resources.
Quality and Coordination Programs
CMS operates several programs to ensure quality and coordination of care. The Hospice Quality Reporting Program (HQRP) aims to improve the quality of hospice services. The Medicare-Medicaid Coordination Office works to enhance care for individuals eligible for both Medicare and Medicaid. Additionally, CMS manages the Comprehensive End Stage Renal Disease (ESRD) Care Model to improve outcomes for patients with ESRD.
Transparency and Data Access
CMS is committed to increasing transparency in healthcare spending and outcomes. The agency manages the Medicare Provider Utilization and Payment Data, publishes the CMS Fast Facts for annual program and financial data, and supports the Medicare Geographic Variation project to analyze regional differences in healthcare services. Publicly accessible repositories such as the Medicare Advantage/Part D Contract and Enrollment Data provide valuable information on contracts and plans.