Who buys Product and Service Code Q201 (Medical – Managed Healthcare), who wins it, what's open now and which contracts expire next — from FY2026 USAspending awards and live SAM.gov solicitations.
Contract data as of Oct 18, 2026 (USAspending) · recent coverage verified weekly
| Quarter | Awards | Obligated | Change |
|---|---|---|---|
| Q1 FY2026 | 703 | $7.0B | — |
| Q2 FY2026 | 568 | $6.7B | -4% |
| Q3 FY2026 | 588 | $7.0B | +4% |
| Q4 FY2026 | 531 | $2.9B | -59% |
Federal fiscal quarters (Q1 = Oct–Dec). Awards are counted in the quarter they start; obligations are the award's obligated amount.
| # | Contractor | Obligated | Share |
|---|---|---|---|
| 1 | OPTUM PUBLIC SECTOR SOLUTIONS, INC. | $22.5B | 95.3% |
| 2 | NAPHCARE LLC | $162.4M | 0.7% |
| 3 | VALOR HEALTHCARE INC | $149.6M | 0.6% |
| 4 | BOOSTED COMMERCE INC. | $59.1M | 0.3% |
| 5 | SEVEN CORNERS INC | $56.8M | 0.2% |
| 6 | STG INTERNATIONAL, INC. | $54.6M | 0.2% |
| 7 | UNIVERSITY OF MASSACHUSETTS | $50.9M | 0.2% |
| 8 | PRIMARY CARE SOLUTIONS INC | $42.1M | 0.2% |
| 9 | ACCENTURE PLC | $38.8M | 0.2% |
| 10 | THE UNIVERSITY OF NORTH TEXAS HEALTH SCIENCE CENTER AT FORT WORTH | $32.5M | 0.1% |
Registrations are rolled up to their corporate parent (USAspending parent UEI), so a company with several SAM registrations ranks once.
| Agency | Obligated | Share |
|---|---|---|
| Department of Veterans Affairs | $22.9B | 97.2% |
| Department of Justice | $515.9M | 2.2% |
| Department of Health and Human Services | $43.5M | 0.2% |
| Department of Defense | $36.9M | 0.2% |
| Department of Homeland Security | $35.7M | 0.2% |
| Department of State | $12.7M | 0.1% |
| Department of the Interior | $4.0M | 0.0% |
| Department of Transportation | $3.4M | 0.0% |
| Department of Agriculture | $1.4M | 0.0% |
| Department of the Treasury | $715K | 0.0% |
| Start | Contract · recipient | Obligated |
|---|---|---|
| Jul 1, 2026 | EXPRESS REPORT: R3 FY26 4TH QTR JULY OPTUM PUBLIC SECTOR SOLUTIONS, INC. · Department of Veterans Affairs | $1.1B |
| Jul 1, 2026 | EXPRESS REPORT: R2 FY26 4TH QTR JULY OPTUM PUBLIC SECTOR SOLUTIONS, INC. · Department of Veterans Affairs | $770.9M |
| Jul 1, 2026 | EXPRESS REPORT: R1 FY26 4TH QTR JULY OPTUM PUBLIC SECTOR SOLUTIONS, INC. · Department of Veterans Affairs | $729.8M |
| Sep 28, 2026 | COMMUNITY BASED OUTPATIENT CLINIC (CBOC) SERVICES (OPTION 2) VALOR HEALTHCARE INC · Department of Veterans Affairs | $23.2M |
| Sep 30, 2026 | VISN 19 MSA FOR BASE YEAR PLUS 1 ADDITIONAL OPTION YEAR PRIME PHYSICIANS TRI PROVIDERS LLC · Department of Veterans Affairs | $13.6M |
The largest obligations on awards that started in the window’s latest quarter.
| Ends | Contract · recipient | Obligated |
|---|---|---|
| Oct 31, 2026 | EXPRESS REPORT: R1 FY26 1ST QTR OCT OPTUM PUBLIC SECTOR SOLUTIONS, INC. · Department of Veterans Affairs | $723.7M |
| Sep 18, 2027 | HOLISTIC HEALTH AND FITNESS SYSTEM ATHLETIC TRAINERS (H2F) COGNITO SYSTEMS LLC · Department of Defense | $68.1M |
| Mar 25, 2027 | MULTI-DISCIPLINE HEALTHCARE SERVICES TO BE PERFORMED AT USCG CLINICS WJM PROFESSIONAL SERVICES LLC · Department of Homeland Security | $28.1M |
| Nov 30, 2026 | VIRTUALLY INTEGRATED PATIENT READINESS AND REMOTE CARE ENDURING SERVICES AND PHYSICIANS - CRITICAL CARE MEDICINE AND REGISTERED NURSES - INTENSIVE CARE AND TELE-CRITICAL CARE (VIPRR TCC) SPECTRUM SERVICES GROUP INC · Department of Defense | $27.5M |
| Jan 9, 2027 | UPDATE AND CORRECT THE CINS FOR MIPRS MAGELLAN FEDERAL, INC. · Department of Defense | $27.2M |
414 contracts under this code reach their final end date (options included) in the next 12 months.
| Set-aside type | Obligated | Share |
|---|---|---|
| Small business set-aside | $8.4M | 2.8% |
| 8(a) | $6.9M | 2.3% |
| SDVOSB | $5.1M | 1.7% |
| WOSB / EDWOSB | $0 | 0.0% |
| HUBZone | $0 | 0.0% |
| Other (Indian economic enterprise, veteran, …) | $473K | 0.2% |
| No set-aside (full & open) | $282.9M | 93.1% |
Share of obligations on awards whose set-aside type is recorded — 1% of this market's dollars. Most USAspending bulk-archive records leave the field blank, so blank awards are excluded rather than counted as full & open.
Showing the 10 most recently posted of 33. Links open the notice on SAM.gov.
Source: USAspending.gov contract awards (prime awards with a start date from Oct 1, 2025 through Sep 30, 2026), SAM.gov contract opportunities, and SBA size standards. Recompetes are contracts whose final end date — options included — falls in the next 12 months. Figures are recomputed when a new USAspending load lands. See our data sources.