It is no secret that state budgets are under pressure. Leaders is Texas have pegged their hole somewhere between $15 and $20 billion. Other states are looking at deficits proportionally larger. With Medicaid commanding larger and larger portions of state's budgets, a substantial portion of any deficit will fall to Medicaid. Rates paid to providers by Medicaid are in jepeordy. Two important differences in coming years as opposed to deficits in the past will be in play. First, Congress … [Read more...]