NAICS Code

524114Direct Health and Medical Insurance Carriers

Total tracked spending: $146.5B

Spending Trend

$19.0B

FY2020

$16.4B

FY2021

$23.6B

FY2022

$21.7B

FY2023

$32.0B

FY2024

$32.3B

FY2025

$1.6B

FY2026

Company	Obligations	Contracts	Share
OPTUM PUBLIC SECTOR SOLUTIONS, INC.	$84.1B	141	57.4%
HUMANA GOVERNMENT BUSINESS INC	$71.8B	3	49.0%
HEALTH NET FEDERAL SERVICES, LLC	$42.7B	2	29.2%
TRIWEST HEALTHCARE ALLIANCE CORP	$38.7B	55	26.4%
UNITEDHEALTH MILITARY & VETERANS SERVICES, LLC	$13.2B	1	9.0%
EXPRESS SCRIPTS INC	$6.5B	16	4.4%
THE JOHNS HOPKINS MEDICAL SERVICES CORPORATION	$4.8B	2	3.3%
MARTINS POINT HEALTH CARE INC	$4.2B	2	2.8%
NOVITAS SOLUTIONS, INC.	$3.2B	7	2.2%
UNITED CONCORDIA COMPANIES, INC.	$3.1B	21	2.1%
NATIONAL GOVERNMENT SERVICES, INC.	$2.9B	7	2.0%
PALMETTO GBA, LLC	$2.9B	8	2.0%
NORIDIAN HEALTHCARE SOLUTIONS, LLC	$2.8B	13	1.9%
CGS ADMINISTRATORS, LLC	$2.0B	10	1.3%
PACMED CLINICS	$1.8B	2	1.2%
METROPOLITAN LIFE INSURANCE CO	$1.8B	12	1.2%
BRIGHTON MARINE, INC.	$1.7B	2	1.1%
WISCONSIN PHYSICIANS SERVICE INSURANCE CORP.	$1.6B	5	1.1%
CHRISTUS HEALTH	$1.6B	2	1.1%
FIRST COAST SERVICE OPTIONS, INC.	$1.3B	4	0.9%
SVCMC, INC.	$1.2B	2	0.8%
INTERNATIONAL SOS GOVERNMENT SERVICES LLC	$660.8M	13	0.5%
CAHABA GOVERNMENT BENEFIT ADMINISTRATORS, LLC	$647.5M	3	0.4%
HERITAGE HEALTH SOLUTIONS, INC.	$623.7M	11	0.4%
TRAILBLAZER HEALTH ENTERPRISES LLC	$418.7M	2	0.3%

Agency	Obligations	Contracts
Department of Defense	$155.4B	237
Department of Veterans Affairs	$122.3B	271
Department of Health and Human Services	$18.5B	91
Department of Justice	$662.4M	114
Department of State	$403.9M	2115
Department of the Treasury	$48.7M	2
Securities and Exchange Commission	$48.1M	2
Consumer Financial Protection Bureau	$21.7M	5
Commodity Futures Trading Commission	$4.6M	3
Department of Agriculture	$336K	26
Department of Transportation	$240K	3
Agency for International Development	$164K	1
U.S. Agency for Global Media	$137K	2
Smithsonian Institution	$4K	1