Byline: James W. Brosnan Scripps Howard
The formula for government medical payments for the poor is skewed against states with the most poor people, according to a congressional study released Friday.
Under the 25-year-old Medicaid formula, the federal government pays at least half of Medicaid's cost in every state and a larger share in most states, based on their ranking by per capita income.
Nine states get only a 50 percent match. Mississippi, the poorest state, now gets the highest matching share, $4 in federal aid for every $1 in state funds.
But the poorer states still deserve more, argued Janet Shikles, director of health financing …

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