The Medicaid/Medicare payments to doctors and hospitals have been dropping for years.
I know of a number of doctors that have resorted to no longer accepting patients associated with these programs. I know of many that have cut their practices by 3/4 and charge an annual fee if you want to remain their patient.
I know the payments are terrible. My husband and I are on Medicare, had no choice when we turned 65. I am trying to talk my husband into trying concierge medicine. Doctors have business and employee expenses like any other business and I don’t see how they make it