Baptist Memorial Retirement Community can't afford more financial strain. The only nonprofit senior care facility in San Angelo — already struggling to retain a quality nursing staff — faces major Medicare provider cuts in the health care reform bill on life support in Washington. But last month, Baptist Memorial and other senior and long-term care facilities learned they may be hit at home too: Medicaid provider rate cuts under consideration by the state's Health and Human Services Commission.

“We can’t afford to serve as many people as we have historically,” says Baptist Memorial Executive Director Patrick Crump, whose facility ...

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