Top HHS direct health and medical insurance carriers contractors
In the 12 months ending Oct 5, 2026, the Department of Health and Human Services obligated $1.2B in net prime contract dollars under NAICS 524114, down 3.1% from $1.2B in the preceding 12 months. 10 prime contractors received positive obligations, and 5 of them accounted for 80% of that spend.
Prime contracts funded by the Department of Health and Human Services. Latest 12 months: Oct 6, 2025 to Oct 5, 2026. Source: USAspending.gov.
Obligations by fiscal year
Net prime contract obligations by federal fiscal year (October to September).
Top HHS contractors for NAICS 524114
Ranked by positive obligations in the latest 12 months. Share is of all positive obligations in this market.
| # | Contractor | Latest 12 mo | Prior 12 mo | Share | Rank change |
|---|---|---|---|---|---|
| 1 | Noridian Healthcare Solutions, LLC | $297.7M | $196.5M | 24.6% | ▲ 2 |
| 2 | Palmetto GBA, LLC | $223.3M | $326.2M | 18.5% | ▼ 1 |
| 3 | Wellpoint Federal Solutions, Inc. | $207.7M | $178.0M | 17.2% | ▲ 1 |
| 4 | Novitas Solutions, Inc. | $151.1M | $199.8M | 12.5% | ▼ 2 |
| 5 | CGS Administrators, LLC | $125.0M | $140.8M | 10.3% | — |
| 6 | Wisconsin Physicians Service Insurance Corp. | $106.0M | $112.0M | 8.8% | — |
| 7 | First Coast Service Options, Inc. | $66.2M | $66.1M | 5.5% | — |
| 8 | Managed Care Advisors, Inc. | $31.8M | $25.3M | 2.6% | — |
| 9 | Delta Dental of South Dakota | $327K | $3.1M | 0.0% | — |
| 10 | Lisungi SA | $174K | $163K | 0.0% | — |
What changed in the last 12 months
Contractors with the largest change in reported obligations versus the preceding 12 months.
Largest gains
- Noridian Healthcare Solutions, LLC$196.5M → $297.7M (+$101.3M) · now #1
- Wellpoint Federal Solutions, Inc.$178.0M → $207.7M (+$29.7M) · now #3
- Managed Care Advisors, Inc.$25.3M → $31.8M (+$6.5M) · now #8
Largest declines
- Palmetto GBA, LLC$326.2M → $223.3M (−$102.9M) · now #2
- Novitas Solutions, Inc.$199.8M → $151.1M (−$48.7M) · now #4
- CGS Administrators, LLC$140.8M → $125.0M (−$15.8M) · now #5
Where the money comes from
Funding sub-agencies within the Department of Health and Human Services, latest 12 months. The funding organization can differ from the office that runs the requirement.
| Funding sub-agency | Latest 12 mo | Prior 12 mo | Change |
|---|---|---|---|
| Centers for Medicare and Medicaid Services | $1.2B | $1.2B | Down $42.4M (3.5%) |
| Centers for Disease Control and Prevention | $31.8M | $25.3M | Up $6.5M (25.6%) |
| Indian Health Service | $327K | $3.1M | Down $2.7M (89.3%) |
| Office of Intergovernmental and External Affairs | $174K | $163K | Up $11K (6.6%) |
Potential recompetes
Large awards in this market whose current period of performance ends in the next 18 months. Treat these as research leads: options, extensions, and follow-on vehicles often change the timing.
| Award | Incumbent | Obligated | Current end |
|---|---|---|---|
| 75FCMC19C0002 | Wisconsin Physicians Service Insurance Corp. J8 A/B MAC | $233.9M | Oct 31, 2026 |
| 75FCMC19C0018 | Novitas Solutions, Inc. THE PURPOSE OF THIS CONTRACT IS TO OBTAIN SERVICES FOR THE JURISDICTION H (PART A AND B) MEDICARE ADMINISTRATIVE CONTRACTOR (MAC). THE CONTRACTOR WILL PROVIDE SPECIFIED HEALTH… | $606.2M | Nov 30, 2026 |
| 75FCMC24C0005 | CGS Administrators, LLC JURISDICTION J15 A/B MAC | $209.1M | Dec 31, 2026 |
| 75FCMC22C0018 | First Coast Service Options, Inc. PART A/PART B MEDICARE ADMINISTRATIVE CONTRACTOR (MAC) JURISDICTION N (JN). JURISDICTION N INCLUDES THE FOLLOWING STATES AND AREAS: FLORIDA AND THE U.S. TERRITORIES OF PUERTO… | $319.9M | Apr 30, 2027 |
| 75FCMC21C0019 | Novitas Solutions, Inc. A/B MAC JURISDICTION L | $544.8M | Jul 31, 2027 |
| 75FCMC20C0026 | Wellpoint Federal Solutions, Inc. J6 A/B MAC SERVICES | $487.1M | Jul 31, 2027 |
| 75FCMC22C0003 | Wellpoint Federal Solutions, Inc. PART A/PART B MEDICARE ADMINISTRATIVE CONTRACTOR (MAC) JURISDICTION K (JK) | $483.6M | Aug 31, 2027 |
| 75FCMC19C0043 | Wisconsin Physicians Service Insurance Corp. MEDICARE ADMINISTRATIVE CONTRACTOR JURISDICTION 5 | $299.5M | Aug 31, 2027 |
| 75FCMC20C0025 | CGS Administrators, LLC DURABLE MEDICAL EQUIPMENT (DME) MEDICARE ADMINISTRATIVE CONTRACTOR (MAC) FOR JURISDICTION C (JC) | $224.0M | Aug 31, 2027 |
| 75FCMC25CJ010 | Noridian Healthcare Solutions, LLC THE MEDICARE FEE-FOR-SERVICE (FFS) PROGRAM IS A MANDATORY ENTITLEMENT PROGRAM THAT MUST, BY LAW, BE AVAILABLE TO ELIGIBLE MEDICARE BENEFICIARIES AND THEIR QUALIFIED HEALTH CARE… | $125.1M | Aug 31, 2027 |
Common questions
Who are the top HHS contractors for NAICS 524114?
In the latest 12 months, Noridian Healthcare Solutions, LLC ($297.7M), Palmetto GBA, LLC ($223.3M), Wellpoint Federal Solutions, Inc. ($207.7M) received the most HHS obligations for direct health and medical insurance carriers.
How concentrated is this market?
The eight largest primes held 100.0% of positive obligations, and Noridian Healthcare Solutions, LLC alone held 24.6%. 0 contractors won their first obligations in this market during the latest 12 months.
Are any large HHS NAICS 524114 contracts ending soon?
10 of the largest awards in this market reach their current end date in the next 18 months. The first is 75FCMC19C0002 (Wisconsin Physicians Service Insurance Corp., $233.9M obligated), ending Oct 31, 2026. An end date is a research lead, not a confirmed recompete: options and extensions often move it.
Related markets
NAICS 524114 across all agencies
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$97.8MFigures are net obligations on prime contracts (award types A–D) from USAspending.gov, grouped by funding agency and the NAICS code on each award. Net obligations include deobligations and corrections, so they can differ from positive-obligation totals. See methodology.
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