Centers for Medicare & Medicaid Services’ cover photo
Centers for Medicare & Medicaid Services

Centers for Medicare & Medicaid Services

Government Administration

Baltimore, MD 601,009 followers

Transforming the Future of America's Health Care

About us

The Centers for Medicare & Medicaid Services (CMS), a federal agency within the U.S. Department of Health and Human Services, is one of the largest purchasers of health care in the world. Medicare, Medicaid, the Children's Health Insurance Program (CHIP) and the Health Insurance Marketplace provide coverage for more than 160 million Americans. The United States Government does not discriminate in employment on the basis of race, color, religion, sex (including pregnancy and gender identity), national origin, political affiliation, sexual orientation, marital status, disability, genetic information, age, membership in an employee organization, retaliation, parental status, military service, or other non-merit factor. Federal agencies must provide reasonable accommodation to applicants with disabilities where appropriate.

Website
http://www.cms.gov
Industry
Government Administration
Company size
5,001-10,000 employees
Headquarters
Baltimore, MD
Type
Government Agency
Founded
1977
Specialties
Health Care Administration, Health Policy, Health Communication, Information Technology, Medicare and Medicaid, Payment Models, Project Management, Nurse Consultant, Medical Officers, Health Insurance, Actuarial, Financial Knowledge, Fraud, Waste, and Abuse, Data Analytics, Medical Billing and Coding, Public Health, Quantitative and Qualitative Analysis, Business Analyst, Writing/Editing, Quality Measurement, Process Improvement, Program Management, public health, and data science

Locations

Employees at Centers for Medicare & Medicaid Services

Updates

  • Enhancing Oncology Model (EOM) participants are driving value-based cancer care. What’s new: First reconciliation results for the CMS Innovation Center’s Enhancing Oncology Model (EOM) showed cost savings for more than three-quarters of participants; more than half were also rewarded for care quality. Why it matters: EOM – informed by lessons learned from its predecessor, the Oncology Care Model – is showing great promise for achieving major cost savings and improved quality of care for cancer patients. What to expect: In July 2025, the model welcomed its second cohort of participants for a combined total of 3,000 practitioners who will help shape the future of cancer care. Learn more: https://go.cms.gov/3Vjbl08

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  • Centers for Medicare & Medicaid Services reposted this

    Centers for Medicare & Medicaid Services is officially accepting submissions for our fraud-crushing “Chili Cook-Off” challenge! For everyone who has told us they have better tools and techniques to stop fraud: prove it. If you think you’ve got the best recipe, enter your solutions into the contest at http://challenge.gov. For more information, visit http://cms.gov/fraud 🌶️

  • Considering whether #ValueBasedCare might be a good fit for your practice? Education and technology are two factors Dr. Jennifer Brenczewski, of the Illinois Bone and Joint Institute, a participant in the Bundled Payments for Care Improvement Advanced (BPCI Advanced) Model, credits for her team’s success.    Read more advice from her and other providers in the CMS Innovation Center’s Three Things I Wish I Knew series: https://go.cms.gov/4mmHxf3

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  • Got a minute? CMS Innovation Center’s Anna Goldman shares how “episodes of care” are used in models like Transforming Episode Accountability Model (TEAM) to strengthen collaboration in health care delivery. TEAM aims to improve the patient experience from surgery through recovery. CMS recently published new policies for the model to increase patient choice and more easily capture performance measures without increasing administrative burden on participating providers. Learn more: go.cms.gov/TEAM

  • The CMS Innovation Center's Wasteful and Inappropriate Service Reduction (WISeR) Model is one of CMS' key strategies for ensuring beneficiaries receive safe and medically appropriate care for their conditions. Learn about how WISeR is protecting Medicare beneficiaries and taxpayers.

  • Got a minute? CMS Administrator Dr. Oz and CMS Innovation Center Director Abe Sutton share how the Cell and Gene Therapy Access (CGT) Model is increasing access to potentially transformative treatments for people with #SickleCellDisease. CMS just announced that 33 states, the District of Columbia, and Puerto Rico are participating in the model. Together, they represent approximately 84% of Medicaid beneficiaries with sickle cell disease. Learn more about the CGT model: go.cms.gov/cgt

  • #WheresAbe? In July, CMS Innovation Center Director Abe Sutton traveled to Chicago, to connect with CMS staff and model participants as part of our mission to Make America Healthy Again. Highlights: • Abe met with our CMS Chicago Regional Office team to discuss the Innovation Center’s new strategy and how the agency can best work together to reach our shared goal of delivering high-quality, cost-efficient care to Medicare and Medicaid beneficiaries. This team is critical for helping advance Innovation Center priorities. • He also had the opportunity to visit Miles Square Health Center at the University of Illinois - a Federally Qualified Health Center participating in the Medicare Diabetes Prevention Program (MDPP) Model. MDPP aims to slow the progression of Type 2 diabetes by providing evidence-based lifestyle intervention education to Medicare beneficiaries with prediabetes. The goal is to help patients build sustainable habits to better manage their health and prevent the onset of diabetes. The Miles Square team shared real-world challenges they face in patient recruitment and retention and some of the strategies they are using to overcome them. These strategies include: - Home Tech Support: Community health workers visit patients at home to assist with setting up and using technology, - Staff Training: All staff are trained to identify eligible patients and engage them throughout their visit, - Logistics Support: Coordinated efforts to support in-person attendance, including transportation and childcare assistance. What’s ahead: To better support patients in MDPP, the CMS Innovation Center has proposed updates to include a new on-demand online delivery option in MDPP: (URL to Innovation Insight). This virtual, asynchronous approach would give patients the flexibility to complete the program at their own pace, in their own space. This effort furthers our focus on expanding access to evidence-based prevention services – ensuring that more beneficiaries can participate in models that help them stay healthy and avoid disease progression. The Innovation Center looks forward to continued collaboration with model participants and communities across America to find new ways to empower patients to live healthier lives. • Learn more about MDPP: go.cms.gov/3HmzS0W • Explore the CMS Innovation Center strategy: go.cms.gov/strategy

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