Hospitals in states whose politicians have decided not to expand Medicaid eligibility under the Affordable Care Act are beginning to be hit hard, with many cutting work staffs or closing their doors completely. The Cleveland Clinic is offering early retirement buyouts to 3,000 employees and will cut payments to some vendors. In some cases, critically injured patients in remote areas are experiencing hours-long delays in care due to recent hospital closures. Read the full article at FierceHealthcare.