Texas Doctors Drop Medicaid and Medicare Patients

Dr. William Jones spent years losing money on Medicaid and Medicare patients — until he stopped seeing them.

“You can’t make money caring for them,” the Austin primary care physician said. “A lot of my colleagues are hanging on by their fingernails because their Medicaid and Medicare patients are such a negative cash flow.”

Jones is still the exception, not the rule. But his decision is becoming increasingly common. The proportion of Texas doctors accepting all new Medicaid patients has tumbled in the last decade — falling from 67 percent to 42 percent, according to a Texas Medical Association survey. Medicare ...

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