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Medicaid Rolls Grow, Payments to Doctors Drop and Access to Care Wobbles

The New York Times' Robert Pear reports that, even as the rolls of people getting healthcare coverage through Medicaid are swelling, Medicaid reimbursements for primary care will be cut by 43 percent, on average. Why? Some healthcare providers will not take Medicaid patients at the lower rates. Moreover, the extension of higher Medicaid payments faces long odds in the Republican-controlled Congress. 

Separately, there is a case pending in the U.S. Supreme Court in which the Obama administration has taken the position that healthcare providers have no right to enforce a requirement that Medicaid rates must be sufficient to "'enlist enough providers' so that beneficiaries have at least as much access to care as the general population in their geographic area," Pear further reports.