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Tom Scully was confirmed by the United States Senate and was sworn in as the administrator of the Centers for Medicare & Medicaid Services (CMS) in May 2001. As the administrator of CMS, Tom served as CEO of the largest health insurance organisation in the world. CMS is responsible for the management of Medicare, Medicaid, the State Childrens Health Insurance Program and additional national healthcare initiatives. CMS has the second-largest budget outlay of the federal government. The organisation is directly responsible for $1 out of every $3 spent on healthcare in United States. The organisation insures approximately 25 percent of the United States population more than 70 million beneficiaries including the elderly, disabled and a few of the lowest income individuals in the country. CMS processes more than 1 billion claims each year and it contracts with approximately 1 million providers. [+]