RECENT NEWS
New York Times  Jul 17  Comment 
Gov. Bill Walker said he would unilaterally accept federal funds to cover more low-income residents under the program.
NPR  Jul 11  Comment 
Floridian Cynthia Louis worked at Burger King for 25 years. She left the job because she got sick and then found herself unable to afford health insurance through the Affordable Care Act.
Yahoo  Jul 10  Comment 
Walgreen Co has reached a $22.4 million settlement with the New York attorney general resolving claims that a unit improperly billed the government for reimbursement for a pediatric drug. The settlement, disclosed in court papers filed in...
FiercePharma  Jul 7  Comment 
AstraZeneca and Teva Pharmaceutical's Cephalon are forking over more than $50 million to settle claims by the U.S. government that the companies underpaid rebates owed through Medicaid prescription drug programs, the latest chapter in the...
newratings.com  Jul 7  Comment 
FRAZER (dpa-AFX) - AstraZeneca (AZN.L, AZN) has agreed to pay the United States and participating states a total of $46.5 million, plus interest, to resolve allegations that it knowingly underpaid rebates owed under the Medicaid Drug Rebate...
MedPage Today  Jul 6  Comment 
(MedPage Today) -- Medicaid patients less likely to get breast exams or Pap tests
Forbes  Jul 2  Comment 
News that the large Medicaid health plan Centene (CNC) has agreed to buy Health Net (HNT) for $6.3 billion is the latest sign health plans known for contracting with states to cover poor Americans are making a bigger push into other medical...
Wall Street Journal  Jul 2  Comment 
Centene agreed to buy Health Net for about $6.3 billion in a move that will boost the Medicaid-focused health insurer’s presence in the western U.S.
MedPage Today  Jul 1  Comment 
(MedPage Today) -- How good is Medicaid? The answer may surprise you
Yahoo  Jun 30  Comment 
The United States says Novartis AG (NOVN.VX) should pay as much as $3.35 billion in damages and civil fines because the Swiss drugmaker used kickbacks to boost sales of two drugs covered by Medicare and Medicaid. In papers filed Monday night in...




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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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