What does the abbreviation CMS stand for in the context of risk adjustment?

The abbreviation CMS stands for "Centers for Medicare Services." This agency, part of the U.S. Department of Health and Human Services, plays a crucial role in the administration of major healthcare programs, including Medicare and Medicaid. In the context of risk adjustment, CMS is responsible for overseeing the methodologies and regulations that govern how healthcare data is collected, assessed, and utilized for risk adjustment purposes. It ensures that health plans accurately report their data, which is essential for determining appropriate funding and resource allocation for patient care based on their risk profiles. Understanding the role of CMS is vital for anyone involved in risk adjustment processes, as it directly impacts how healthcare organizations manage and report their patient data.