NPR  4 hrs ago  Comment 
The Trump administration has proposed a rule that would prohibit some home health workers from having union dues deducted from their paychecks. The rule would likely undercut unions' power, all agree.
NPR  Aug 8  Comment 
Companies that negotiate drug prices for insurance plans keep a big cut of the money. In Ohio, a battle is brewing over whether their services are worth the cost.
MedPage Today  Aug 7  Comment 
(MedPage Today) -- But supporters say current program is unsustainably expensive
Forbes  Aug 3  Comment 
The health system is broken. But it's particularly bad at transferring patients – and their information – around. When more than 1/3 of patients are referred to a specialist each year in the US, and visits to specialists constitute more than...
New York Times  Aug 2  Comment 
A class-action lawsuit claims New York State is denying medically necessary dental treatments for thousands of low-income residents.
NPR  Aug 1  Comment 
State Medicaid programs already get much more money from the federal government than Puerto Rico Medicaid gets — and the storm-ravaged U.S. territory's safety net for the poor is barely hanging on.
New York Times  Jul 30  Comment 
The administration has been deliberating whether to allow states to partially expand Medicaid under the Affordable Care Act. For now, at least, the answer appears to be no.
NPR  Jul 27  Comment 
After an investigation by the Center for Public Integrity and NPR into conflicts of interest in Medicaid decisions about drugs, Arizona's governor added new transparency rules.
Yahoo  Jul 25  Comment 
The broadside from Medicare and Medicaid administrator Seema Verma came in a San Francisco speech that coincides with a focus on health care in contentious midterm congressional elections. Sanders, a Vermont independent, fired back at Trump's...
New York Times  Jul 24  Comment 
Though voters approved a binding resolution last fall to expand the program, Gov. Paul LePage has refused to do it, saying he’d rather go to jail.


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.

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