Centers for Medicare and Medicaid Services (CMS)

The Centers for Medicare and Medicaid Services (CMS) is a federal entity dedicated to health insurance for Americans. It runs Medicare, and collaborates with state governments for Medicaid and the Children's Health Insurance Program (CHIP). CMS manages the administration of HIPAA, oversees quality standards in long-term care facilities, and administers HealthCare.gov.

CMS plays a vital role in the U.S. healthcare system by setting and enforcing health and safety standards in hospitals and various healthcare facilities throughout the country. As a key payor entity, CMS reimburses care facilities for the services provided to Medicare patients. Besides handling regular care costs, CMS enacts penalties for facilities that fall short of its clinical and quality benchmarks, typically through fines or reduced reimbursement rates. Conversely, CMS rewards high-performing facilities with bonuses to encourage proper care practices and reduced overall care expenses.

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