Benzinga  Sep 11  Comment 
Centene Corporation (NYSE: CNC) announced today that its Georgia subsidiary, Peach State Health Plan, was one of the Care Management Organizations selected to serve Medicaid recipients in Georgia. The new contract is expected to start on July 1,...
Benzinga  Sep 10  Comment 
WellCare Health Plans, Inc. (NYSE: WCG) announced today it received a Notice of Intent to Award (NOIA) a contract to continue serving Medicaid recipients in Georgia. The Georgia Department of Community Health (DCH) presented the NOIA to WellCare...
FiercePharma  Sep 10  Comment 
Getting patients to stick to their meds is a common refrain in pharma, as companies chase stellar sales and potential savings. But drug adherence could also play a role in the Medicaid realm, as new research shows that patients in the program...
NPR  Sep 3  Comment 
Improper payments by Medicare and Medicaid are wasting billions of dollars a year, the White House budget director said. He called for urgent corrective action in a letter that is now public.
NPR  Sep 3  Comment 
Illinois Governor Bruce Rauner partially vetoed the Heroin Crisis Act, which would have cleared the way for Medicaid to fund addiction treatments.
FiercePharma  Sep 2  Comment 
A federal judge's inclination means Pfizer could remain in the line of fire to pay out more than $2 billion. That is the potential liability Pfizer faces for a federal lawsuit accusing its Wyeth unit of failing to pay Medicaid rebates for stomach...
Wall Street Journal  Sep 1  Comment 
A federal judge said he has an “inclination” to deny Pfizer’s request to throw out a Justice Department lawsuit accusing the drug maker’s Wyeth unit of overcharging Medicaid.
New York Times  Sep 1  Comment 
The state has a large poor and unhealthy population, with high rates of unintended pregnancies, a shortage of health professionals and too few who will accept Medicaid, as Planned Parenthood does.
NPR  Sep 1  Comment 
Alaska's health commissioner spends her summers working on policy issues by day and fishing for salmon for the winter on nights and weekends with her family who belong to the Yup'ik people.
Insurance Journal  Aug 27  Comment 
Florida Gov. Rick Scott is ordering state health officials to audit more than 100 hospitals as part of his ongoing battle with hospitals, which he says are driving up Medicaid costs. The state had asked hospitals and insurers to prove … The...


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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