Centers for Medicare & Medicaid Services's contract dollars, traced to the source.
Centers for Medicare & Medicaid Services · Department of Health and Human Services
The Centers for Medicare & Medicaid Services (CMS) is the HHS component that administers Medicare, Medicaid, CHIP, and the ACA marketplaces, covering health coverage for well over a hundred million Americans. Its ~$7.87B in FY2025 contract obligations is dominated not by clinical care but by the outsourced back office of those programs: beneficiary contact-center operations (Maximus, ~$2.78B), Medicare claims-processing and benefit administration under the Medicare Administrative Contractor model (Novitas), and eligibility support (Serco). The next tier is IT and cloud modernization of CMS's claims and enrollment systems (Peraton, GDIT cloud products & tools), making this a portfolio of large program-operations and systems-integration contracts.
Contract obligations (latest complete FY)
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Contract obligations (in progress)
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Signal tier
Live
USAspending contract feed
What this monitor reads — and what it doesn't
This is the contract-signal tier: the live USAspending award feed for the Centers for Medicare and Medicaid Services awarding sub-agency. It shows where CMS's procurement dollars go — obligations over time and the largest awards — not total budget authority, which also includes payroll, grants, and transfers. Figures reflect the contract (procurement) slice from USAspending FY2025 award data, not CMS's total budget authority, which is overwhelmingly benefit outlays rather than contracts. The appropriation-level view lives on the Department of Health and Human Services monitor.