Dr. Sahouri said that his reimbursements from Medicaid were so low — often no more than $25 per office visit — that he was losing money every time a patient walked in his exam room.
The final insult, he said, came when Michigan cut those payments by 8 percent last year to help close a gaping budget shortfall.
"My office manager was telling me to do this for a long time, and I resisted," Dr. Sahouri said. "But after a while you realize that we're really losing money on seeing those patients, not even breaking even. We were starting to lose more and more money, month after month." "