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Cloud Computing  Aug 19  Comment 
MAXIMUS (NYSE:MMS), a leading provider of government services worldwide, announced today that it has released a new set of solutions, called DecisionPointTM, to help states navigate the complexities of Medicaid Expansion. The ...
MedPage Today  Aug 18  Comment 
WASHINGTON (MedPage Today) -- The Centers for Medicare and Medicaid Services has announced that Medicare will cover care coordination services for chronically ill patients starting next year, but one physician group says the proposed payment is...
DailyFinance  Aug 18  Comment 
CoventryCares of Nebraska, a State-contracted local Medicaid managed health care organization, is changing its name to Aetna Better Health of Nebraska, effective August 25. The name change follows the acquisition of Coventry...
Jutia Group  Aug 18  Comment 
[Business Wire] - CoventryCares of Nebraska, a State-contracted local Medicaid managed health care organization, is changing its name to Aetna Better Health of Nebraska, effective August 25. The name change follows the acquisition of Coventry...
Cloud Computing  Aug 18  Comment 
EngagePoint, a software and services company that provides states with solutions for IT modernization, announced its entry into the Medicaid Management Information Systems (MMIS) industry. Partnering with Aldera ...
Forbes  Aug 17  Comment 
Political pressures and a threat to financial coffers from rising numbers of uninsured have Texas lawmakers thinking about ways to expand the state Medicaid insurance program for the poor, including a deal with the Obama administration.
Motley Fool  Aug 17  Comment 
For-profit hospital operators are doing well thanks to the Affordable Care Act; but they could be doing even better if half the states in the U.S. would take the federal boon of Medicaid dollars, and expand this health insurance for poor Americans.
Motley Fool  Aug 16  Comment 
According to this study, more than 6.7 million people and $423 billion in federal funding are being left out in the cold by states choosing not to expand their Medicaid program. See which states are leaving the most on the table and which insurers...
MedPage Today  Aug 15  Comment 
(MedPage Today) -- NPs and PAs who bill Medicaid as independent practitioners are more likely to bill for a dermatology visit than for any other office-based service -- so much so that in 2012, 55% of their Medicaid billings were for derm codes,...




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Medicaid is the U.S. health care program for people with limited resources, and it serves low income parents, children, people with disabilities, and low income seniors. It is jointly funded by the states and the federal government and managed by the states. Medicaid is distinctly different from Medicare, which is an entitlement program funded entirely at the federal level and provides health insurance to people aged 65 and older. Medicaid is not an entitlement program, but is instead a needs-based social welfare program in which eligibility is determined by income. It covers a wider range of health services than Medicare and is funded by states as well as the federal government. It is possible to be eligible for both Medicaid and Medicare, and approximately 8.8 million Americans are enrolled in both programs.[1]

The Pharmaceutical Industry depends on Medicare and Medicaid funding for a significant percentage of its revenues. Of the two, however, Medicare's impact on the business of Health Care in America is much greater. The senior citizens of all income levels served by Medicare make up the major target population for most of the pharma industry's drugs. This is not the case for the low income, younger patients enrolled in Medicaid. Certain drugs and treatments, however, do have their revenues tied closely to Medicaid spending - notably HIV and AIDS, where more than half of people living with AIDS are estimated to receive Medicaid payments.


  1. http://www.kff.org/medicaid/upload/7895-2.pdf
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