Ensuring the Financial Integrity of HHS Programs

HHS is the largest civilian agency in the Federal government, with $2.9 trillion in budgetary resources. Sound stewardship that ensures the transparency and accountability of HHS funds is paramount to making sure people served by HHS and the American public benefit from this substantial financial investment.

HHS’s Medicare program is the Nation’s 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 nearly 89 million individuals enrolled in Medicaid and the Children’s Health Insurance Program (CHIP) as of May 2022. Spending for the Medicare and Medicaid programs (including State spending) represents 38 cents of every dollar spent on health care annually in the United States. Medicare expenditures totaled $857.1 billion and Medicaid expenditures totaled $521.8 billion in 2021. HHS is the largest grantmaking and second-largest contracting agency in the Federal government. In FY 2021, HHS awarded $236.4 billion in grants (excluding CMS grants) and $38.9 billion in contracts.