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NPR  28 min ago  Comment 
The state is isn't 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  5 hrs ago  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
Forbes  Jun 19  Comment 
Risk factors for mastectomy include being uninsured, having Medicaid or Medicare, having low income, lacking a high school education, living in the South, living more than 17 miles from a radiation facility, and receiving care at a community...
NPR  Jun 3  Comment 
Patients are flocking to community health clinics for care. Obamacare advertising brought a lot of people out of the woodwork who wanted health insurance but didn't qualify for it.
Forbes  Jun 3  Comment 
California legislators moved to expand Medicaid and Obamacare to many undocumented immigrants on Tuesday. Other states and Congress should follow suit.
Wall Street Journal  Jun 3  Comment 
The health law’s expansion of Medicaid in many states hasn’t benefited nonprofit hospitals in those states as expected, according to a new report by Moody’s Investors Service.
NPR  Jun 2  Comment 
Consumers can switch plans outside of the annual open enrollment period for some specific life changes, but generally not when a doctor falls out of the plan.
New York Times  Jun 2  Comment 
Data from the Centers for Medicare and Medicaid Services include payments and services connected with the 100 most common Medicare hospital stays.
New York Times  Jun 1  Comment 
Data from the Centers for Medicare and Medicaid Services include payments and services connected with the 100 most common Medicare hospital stays.




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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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