Centers for Medicare & Medicaid Services (CMS)
★ MemberAdministers 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.
CMS procurement is large-scale and long-cycle. SPARC ($25B) is in its final ordering year: CMS states the ordering period runs February 21, 2017 to February 20, 2027, no new task orders follow it, existing task orders run to their own end dates, and there is no plan to replace the vehicle. 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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