Healthcare Financing Administration (HFCA)

The Health Care Financing Administration (HCFA) was created as a principal operating component of the Department by the Secretary on March 8, 1977, to combine under one administration the oversight of the Medicare program, the Federal portion of the Medicaid program, and related quality assurance activities. Today, HCFA serves 67 million people, or one in four elderly, disabled, and poor Americans through Medicare and Medicaid. In fiscal year 1993, HCFA will spend an estimated $230 billion to provide health care services.