Centers for Medicare & Medicaid Services (CMS)
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Buyer + ecosystem-builder
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HHS Operating Division (largest single payer in US)
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Updated 2026-05-12
Administers Medicare, Medicaid, CHIP, the ACA Marketplace, claims processing systems, and program integrity infrastructure. Largest single payer in the US healthcare system. CMS modernization runs through SPARC and a network of multi-year IDIQs.
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CMS procurement is large-scale and long-cycle. SPARC ($25B, POP through Jun 7 2026) is approaching recompete. Claims modernization, payment integrity, and AI fraud detection are the active growth areas. The Rural Health Transformation program ($50B FY2026-FY2030) is grant funding to states, not a contract.
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Budget posture, open vehicles, recent awards, procurement signals, key program offices.
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