CMS

Centers for Medicare & Medicaid Services
★★★★★ 4.4 / 5
97 reviews

CMS is the federal agency providing health coverage to over 160 million Americans through Medicare, Medicaid, and the Health Insurance Marketplace. They focus on improving healthcare quality, equity, and outcomes.

The Centers for Medicare & Medicaid Services (CMS) is a vital federal agency dedicated to enhancing the health and well-being of Americans. CMS provides essential health coverage to more than 160 million individuals through programs such as Medicare, Medicaid, the Children's Health Insurance Program, and the Health Insurance Marketplace. The agency actively collaborates with the entire healthcare community to drive improvements in the quality, equity, and overall outcomes within the healthcare system. CMS is committed to modernizing the nation's digital health ecosystem to empower patients and achieve better health outcomes. They are also focused on combating healthcare fraud, waste, and abuse, thereby protecting Americans enrolled in their programs. Furthermore, CMS supports the development and testing of innovative health care payment and service delivery models, aiming to create a more efficient and effective healthcare landscape. Specifically, the Medicare-Medicaid Coordination Office (MMCO) within CMS works to ensure that individuals dually enrolled in both Medicare and Medicaid receive seamless, high-quality healthcare. MMCO collaborates with federal agencies, states, and stakeholders to align and coordinate benefits, develop new care models, and simplify access to services for these individuals. The Qualified Medicare Beneficiary (QMB) Program, also managed by CMS, provides crucial support for low-income Medicare beneficiaries by covering Part A and Part B premiums and cost-sharing, although challenges with improper billing persist.

About

**Who they are**
CMS is the federal agency responsible for administering the Medicare, Medicaid, and Health Insurance Marketplace programs in the United States. They are dedicated to improving healthcare quality, equity, and outcomes for over 160 million Americans.

**Expertise & scope**
* Administers health coverage programs including Medicare, Medicaid, and the Health Insurance Marketplace.
* Focuses on enhancing the quality, equity, and outcomes of healthcare services.

**Reputation / proof points**
* Serves over 160 million Americans.

Additional information

CMS operates as the primary federal agency overseeing major health coverage programs in the United States. Their mandate includes ensuring access to healthcare and improving the overall health system. Buyers engaging with CMS should be aware of the agency's broad public health mission and its role in regulating and administering national healthcare initiatives.

Key Highlights

  • Global reach with offices in over 47 countries Source
  • Expertise in a wide range of law and tax matters Source
  • Focus on tax law as a driver of financial efficiency and risk mitigation Source
  • Provides future-facing advice for businesses worldwide Source
  • Offers specialized expert guides on legal topics Source

Certifications & Trust Signals

  • Operates in over 47 countries Source
  • Provides advice on a wide range of law and tax matters Source
  • Offers specialized expert guides on legal and regulatory topics Source
  • Has a physical office presence in Silicon Valley, USA Source

Buyer Snapshot

Best for
  • Entities requiring a US federal agency perspective on health coverage regulations.
  • Organizations seeking to understand or comply with Medicare, Medicaid, or Health Insurance Marketplace requirements.
How engagement typically works
  • Government agency interaction.
  • Regulatory compliance focus.
Typical deliverables
  • Guidance on health coverage regulations.
  • Information on healthcare program administration.
Good to know
  • Best when engaging with US federal health policy and administration.
HQ: Baltimore, USA
Languages: English, German, French, Spanish
Timezones: Europe/London, Europe/Berlin
Status: listed

Services & Capabilities

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Jurisdictions: EU
Countries: DE, FR, ES, NL, BE
Industries: Online platforms, Marketplaces, Hosting, SaaS
Portfolio: 1-5, 6-25
Onboarding time: 1–7 days
Pricing model: Per project
Starting from: EUR 7,500
Included services: DSA authority contact point, Notice handling routing, Escalation workflow setup, Coordinator notification support

Additional dsa_art13_rep Details

Multi Language Notices
Yes
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