Middlefield is facing problems that are similar to those faced by many around the United States. Medicare and Medicaid reimbursements are not only shrinking, but also taking longer to arrive from the government, and reduced access to insurance means that more patients are showing up without coverage. That takes away money on two fronts: we’re having to refuse elective and non-emergency procedures, and the emergency patients that we do serve without insurance, by and large, never pay. If you add that to the increased costs of providing benefits to our own employees, it’s not hard to tell ...
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