RECENT NEWS
Wall Street Journal  4 hrs ago  Comment 
CVS Health Corp. agreed to pay $6 million to settle allegations its pharmacy benefit manager failed to reimburse Medicaid for some prescription drug costs, the U.S. Department of Justice said.
New York Times  Sep 25  Comment 
Financial reports from investor-owned hospitals and surveys by several state hospital associations show that Medicaid expansion has reduced the number of patients who cannot pay their bills.
New York Times  Sep 24  Comment 
Gov. Bobby Jindal’s former health secretary, Bruce Greenstein, was charged Tuesday by a state grand jury with lying about his involvement in the award of a now-canceled $200 million Medicaid contract.
New York Times  Sep 22  Comment 
Now that some programs are charging premiums, people may be discouraged from obtaining health insurance.
Reuters  Sep 17  Comment 
Generic drugmaker Ranbaxy Laboratories Ltd said on Wednesday that federal authorities in the United States had sought details on how it reports pricing data for some products eligible for reimbursement under the Medicaid program.
New York Times  Sep 16  Comment 
Russell Pearce, who had been a polarizing figure on the immigration issue, said he was quoting someone else in calling for birth control for those getting Medicaid.
MedPage Today  Sep 11  Comment 
(MedPage Today) -- Despite technical glitches, the federal "Open Payments" database ?- which tracks drugmakers' contributions to doctors and teaching hospitals ?- remains on track for its scheduled Sept. 30 launch, the Centers for Medicare and...
MedPage Today  Sep 11  Comment 
WASHINGTON (MedPage Today) -- Allowing Medicare to use its budget to pay for education not directly related to treating Medicare beneficiaries is a bad idea, according to a former administrator of what is now the Centers for Medicare and Medicaid...
New York Times  Sep 11  Comment 
An angry Gov. Terry McAuliffe was forced to retreat after losing a fight with the Republican-dominated General Assembly.




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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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