CMS is the federal agency that provides health coverage to more than 160 million through Medicare, Medicaid, the Children's Health Insurance Program, and the Health Insurance …

Healthcare.gov Information for people who need health insurance and want to apply or enroll in the Marketplace or Medicaid.

Physician Center For a one-stop resource focused on Medicare Fee-for-Service (FFS) physicians, visit the Physician Center webpage.

Jun 19, 2025 · The PFS Look-Up Tool gives Medicare payment information on more than 10,000 services, including pricing, associated relative value units, and payment policies.

For CMS Innovation Center updates, subscribe to the CMS Innovation Center listserv. Visit our Innovation Model webpage for information about all CMS Innovation Center model tests.

For an example of how to publicly report prior authorization metrics, see the Prior Authorization Metrics Report - Overview & Template (PDF), for another example, see the Medicare FFS …

Apr 21, 2025 · Overview: The HCAHPS Survey is a national, standardized, publicly-reported survey of patients' perspectives of hospital care. The 32-item instrument and data collection …

Upon receipt of this information, CMS checks whether the injured party associated with the claim report is a Medicare beneficiary, and determines if the other insurance is primary to Medicare.

This performance category assesses the quality of the care you deliver, based on performance measures created by CMS, as well as medical professional groups, specialty societies and …

QPP gave CMS the ability to reward high-value, high-quality Medicare clinicians with payment increases – while at the same time reducing payments to those clinicians who weren’t meeting …