CMS101: Introduction to CMS

The Centers for Medicare & Medicaid Services (CMS) is one of the most powerful forces shaping healthcare in the United States — influencing policies, programs, payments, quality, and innovation. Yet, most healthcare professionals, especially newbies — whether clinical, administrative, operational, strategic, or technical — are left to "figure out CMS" without any structured introduction to the agency, their work and navigating it.

This course provides a practical, accessible survey of CMS’s history, organization, key websites, and functional areas, giving you the foundation to navigate CMS resources more effectively and understand how CMS impacts your work, your clients, your patients, and your organization.

In just two hours, you’ll build the clarity and confidence to stop feeling lost with CMS - and start understanding and navigating it for your work.

Impacting National Healthcare System at CMS

Dr. Prince's leadership and expertise continued to grow in his career with the Centers for Medicare & Medicaid Services (CMS). From 2012 – 2022, Dr. Prince Baawuah led key components of the Medicare Advantage Encounter Data Project at the Centers for Medicare & Medicaid Services (CMS), safeguarding the accuracy of more than $250 billion in annual MA payments and turning encounter data into measurable gains in care quality, efficiency, and equity. His impact earned CMS’s highest recognitions—including the 2020 CMS Honors Award, 2020 Unleashing Innovation Award, 2020 CMS Employee of the Month, the 2018 FedHealthIT Innovation Award for creating the Encounter Data Dashboard & Analytics (EDDA), and three Red Carpet Awards (2016 for outstanding service and two in 2017 for innovative solutions).

Today, Dr. Prince channels this decade of CMS expertise into practical learning experiences that demystify Medicare Advantage for every corner of healthcare—clinical, administrative, operational, strategic, and technical. Guided by his 7Es philosophy—Educate, Enlighten, Empower, Enable, Engage, Execute, Excel—he turns complex regulations and operations into actionable insights that help professionals to keep up and adapt to policies and operational changes with ease.

Whether you are new to healthcare or a seasoned leader looking to sharpen your health system savviness, Dr. Prince’s clear, engaging teaching style and deep knowledge will give you the tools to navigate CMS with confidence, to elevate the impact of your work.

Prince Baawuah, DrPH, MPH, CSM

CEO / Chief Tutor at HEALS Academy; Builder at Mimilabs; Head of MA Solutions at Falcon Health.
https://www.linkedin.com/in/prince-baawuah/

This course is designed for any healthcare professional, including:

Clinical staff: Nurses, Physicians, Case Managers, Social Workers
Administrative staff: Patient services, billing, compliance, care coordination
Operational professionals: Risk adjustment, quality improvement, health plan operations
Strategy professionals: Business development, health policy analysts
Systems professionals: IT, EHR management, data analysts, reporting teams
Healthcare consultants: Supporting provider organizations, health plans, or government contracts

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