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Ensuring the Financial Integrity of HHS Programs

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HHS is the largest civilian agency in the Federal government, with $2.8 trillion in budgetary resources. HHSís Medicare program is the Nationís largest health insurer by expenditures and handles more than 1 billion claims per year. Medicaid is the largest health insurer in terms of lives covered, with 81 million Medicaid beneficiaries and Childrenís Health Insurance Program (CHIP) enrolled individuals. Medicare and Medicaid are the Departmentís largest programs; funding for these programs (including State funding) represents 41 cents of every dollar spent on health care annually in the United States. CMSís Office of the Actuary estimates that Medicare expenditures totaled $915.4 billion and Medicaid expenditures totaled $682.7 billion in 2020.52, Almost 140 million beneficiaries, or more than 40 percent of Americans, rely on these programs for their health insurance including senior citizens, individuals with disabilities, low-income families and individuals, and patients with end-stage renal disease. CMS bears the responsibility at HHS for administering these programs. As many providers faced fiscal uncertainty due to COVID-19, CMS took steps to provide increased flexibility and advance payments to mitigate the financial effects of the pandemic.

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