Top VA direct health and medical insurance carriers contractors
In the 12 months ending Oct 5, 2026, the Department of Veterans Affairs obligated $30.6B in net prime contract dollars under NAICS 524114, down 4.3% from $32.0B in the preceding 12 months. 4 prime contractors received positive obligations, and 2 of them accounted for 80% of that spend.
Prime contracts funded by the Department of Veterans Affairs. 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 VA 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 | Optum Public Sector Solutions, Inc. | $19.9B | $22.5B | 65.0% | — |
| 2 | Triwest Healthcare Alliance Corp | $10.7B | $9.5B | 35.0% | — |
| 3 | Palisade-Heritage JV LLC | $303K | $72K | 0.0% | ▲ 1 |
| 4 | Palisade-Heritage Joint Venture II, LLC | $265K | $324K | 0.0% | ▼ 1 |
What changed in the last 12 months
Contractors with the largest change in reported obligations versus the preceding 12 months.
Largest gains
- Triwest Healthcare Alliance Corp$9.5B → $10.7B (+$1.2B) · now #2
- Palisade-Heritage JV LLC$72K → $303K (+$231K) · now #3
Largest declines
- Optum Public Sector Solutions, Inc.$22.5B → $19.9B (−$2.6B) · now #1
- Palisade-Heritage Joint Venture II, LLC$324K → $265K (−$59K) · now #4
Where the money comes from
Funding sub-agencies within the Department of Veterans Affairs, 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 |
|---|---|---|---|
| Department of Veterans Affairs | $30.6B | $32.0B | Down $1.4B (4.3%) |
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 |
|---|---|---|---|
| 36C10X22P0051 | Palisade-Heritage JV LLC PHARMACY BENEFITS MANAGEMENT | $1.4M | Apr 23, 2027 |
Common questions
Who are the top VA contractors for NAICS 524114?
In the latest 12 months, Optum Public Sector Solutions, Inc. ($19.9B), Triwest Healthcare Alliance Corp ($10.7B), Palisade-Heritage JV LLC ($303K) received the most VA obligations for direct health and medical insurance carriers.
How concentrated is this market?
The eight largest primes held 100.0% of positive obligations, and Optum Public Sector Solutions, Inc. alone held 65.0%. 0 contractors won their first obligations in this market during the latest 12 months.
Are any large VA NAICS 524114 contracts ending soon?
1 of the largest awards in this market reach their current end date in the next 18 months. The first is 36C10X22P0051 (Palisade-Heritage JV LLC, $1.4M obligated), ending Apr 23, 2027. An end date is a research lead, not a confirmed recompete: options and extensions often move it.
Related markets
NAICS 524114 across all agencies
DoD · NAICS 524114
$13.5BHHS · NAICS 524114
$1.2BDOJ · NAICS 524114
$114.0MState Department · NAICS 524114
$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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