RECENT NEWS
Forbes  12 hrs ago  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...
NPR  Jun 26  Comment 
The Supreme Court ruling affirming the legality of insurance subsidies for all eligible low-income Americans regardless of where they live clears up one big question. But there are others.
Forbes  Jun 25  Comment 
News that the U.S. Supreme Court has once again upheld the Affordable Care Act, ruling that subsidies are valid to purchase private coverage in all states no matter what government exchange an American uses, the focus on future growth will be...
MedPage Today  Jun 24  Comment 
(MedPage Today) -- Interventions may reduce emergency visits and hospitalizations
NPR  Jun 22  Comment 
The state is not monitoring its Medicaid managed care plans to make sure they have enough doctors to meet patients' needs, an audit finds. And thousands of calls to an ombudsman were never returned.
TheStreet.com  Jun 22  Comment 
NEW YORK (TheStreet) -- Technology is capable of improving health care for elderly and rural patients, but so far the lack of a standardized reimbursements has been a major obstacle. States needs to step in with legislation that standardizes...
MedPage Today  Jun 19  Comment 
(MedPage Today) -- From Medicaid expansion to Hobby Lobby to King v. Burwell




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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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