RECENT NEWS
CNNMoney.com  Nov 20  Comment 
Medicaid spending is expected to soar more than 11% in fiscal 2014 as many states expand the program under Obamacare.
New York Times  Nov 19  Comment 
Many people over age 65 lack dental insurance, a benefit that isn’t covered by traditional Medicare, and those eligible for Medicaid have limited coverage, depending on where they live.
MedPage Today  Nov 18  Comment 
(MedPage Today) -- Cancer diagnosing apps, Medicaid provider access, and more.
MedPage Today  Nov 14  Comment 
(MedPage Today) -- Obama administration must do more to fix the problem, says OIG.
New York Times  Nov 11  Comment 
A draft decision by the Centers for Medicare and Medicaid Services would extend coverage for CT scans to Medicare beneficiaries who smoked at least a pack a day for 30 years or the equivalent.
Benzinga  Nov 10  Comment 
Anika Therapeutics, Inc. (Nasdaq: ANIK) today announced that the Center for Medicare & Medicaid Services (“CMS”) has assigned a unique Healthcare Common Procedure Coding System (“HCPCS”) code, or J-Code, to its product MONOVISC®. The...
Jutia Group  Nov 10  Comment 
[Business Wire] - Aetna Better Health of Louisiana, an Aetna health plan established to administer managed Medicaid services in Louisiana, has been selected by the State Department of Health & Hospitals to provide access to health care for...
New York Times  Nov 10  Comment 
Government inspection reports about limited access to Medicaid tell a different story than surveys of actual patients.
Motley Fool  Nov 8  Comment 
Private Medicaid insurers Centene, WellCare, WellPoint, and UnitedHealth Group all might have seen revenue climb if elections had turned out differently.
MedPage Today  Nov 7  Comment 
(MedPage Today) -- Expansion possibilities shrink in Florida, Georgia, Wisconsin, Maine, and Kansas.




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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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