For some time now, the Healthcare industry has been dealing with this growing problem.

We are seeing more and more doctors who are reluctant to keep patients as they transition from Medicare to Medicaid, or to accept residents who are already enrolled in Medicaid.

The fact is, doctors who accept Medicaid patients are forced to make due with a significantly lower reimbursement rate and over the top red tape.

This situation is likely to get worse with the high expansion anticipated once the President's healthcare law goes into full effect.

In just 5 weeks millions of additional Americans will be covered under Medicaid, many of them older people with a myriad of health problems.

The Congressional Budget Office predicts that an additional 9 million people will gain coverage through Medicaid in the next year alone.

How this will continue to impact the Skilled Nursing Community is left to be seen.