"Medicare reimbursements actually vary from state to state...so no...no
trend except for in Texas."

It was a rhetorical question.  It's actually a growing trend across our
country.

 A 2009 survey of general practitioners by the American Academy of Family
Physicians showed that 42 percent were not accepting new Medicaid patients.
65 million Americans are already living in areas the government has deemed
short of primary care practitioners. And they’re not the only ones dropping
out of the system.

Walgreens and two other pharmacies in Seattle, Wash., decided to deny
coverage to new Medicaid patients because of low reimbursements.

The Mayo Clinic stopped accepting Medicaid patients in Nebraska and Montana
due to the high administrative burden and low reimbursement levels.

Mayo’s primary care clinic in suburban Phoenix, Ariz., also stopped
accepting Medicare this year.


To make the problem even more interesting, rural areas are not having the
same drop out rate.  However, it is due to their patients not having private
insurance or money.  However, Many doctors are leaving rural areas because
of this.  They cannot continue to make a living at the discounted rates
rates or with the delayed payments.  So, these rural areas are left with
fewer doctors.


Why are doctors leaving medicare?  These are some reason I found at
http://aaucm.org


Why are more doctors opting out of Medicare and insurance programs? There
are a number of reasons.

   - Medicare regularly cuts the rates of reimbursement, which means doctors
   earn less for office visits and various procedures
   - There is a longer delay than ever before for doctors to get
   reimbursements from Medicare
   - Medicare has a very convoluted, bureaucratic process that allows some
   tests and treatments, refuses to pay for others, and limits how a doctor can
   practice medicine

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