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NPR  11 hrs ago  Comment 
A new rule is the most significant overhaul of federal funding regulations for nursing homes in more than two decades. It also requires "nourishing, palatable" food and infection-control plans.
FiercePharma  Sep 29  Comment 
UPDATED: Mylan could face big Medicaid bill after underpaying EpiPen rebates, CMS says tracystaton Thu, 09/29/2016 - 08:25
FiercePharma  Sep 28  Comment 
Did Mylan find a way to overcharge Medicaid for EpiPen? Senators ask DOJ to find out tracystaton Wed, 09/28/2016 - 12:08
New York Times  Sep 23  Comment 
The agency extracted hundreds of millions of dollars from Medicaid and Medicare in New York through falsified and improper billing while shortchanging patients, the suit says.
Forbes  Sep 23  Comment 
Nearly 75% of Medicaid beneficiaries are enrolled in private health plans, according to a new report by PwC.
Insurance Journal  Sep 21  Comment 
A woman who formerly headed a suburban Pittsburgh hospice faces sentencing on a health care fraud charge accusing her of using patients who weren’t terminally ill to collect millions of dollars in false Medicare and Medicaid claims. Former...
Clusterstock  Sep 20  Comment 
Members of the Senate Finance Committee have questions about EpiPen-maker Mylan's relationship with Medicaid. They just sent a letter to Daniel Levinson, the Inspector General of the US Department of Health and Human Services, to inquire about...
NPR  Sep 16  Comment 
Research on patients with testicular cancer and on others fighting a brain malignancy finds that people who are privately insured are more likely to be diagnosed earlier and survive longer.
NPR  Sep 12  Comment 
A Wisconsin clinic provides free dental care so that poor rural residents can get their teeth fixed. But in most states people aren't so lucky. Millions of people have no access to dental care.
Forbes  Sep 8  Comment 
The Republican presidential candidate's proposal to fund Medicaid with block grants would create huge disparities in spending from state to state.




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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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