I recently had blogged how the Mayo Clinic has been held up as the flagship for great outcomes and business savvy by the Obama administration. Mayo, which had backed Obama's healthcare reform plans, soon walked away from that agreement stating they basically wanted the status quo. I am sure the fact that Mayo only takes about 5% Medicaid patients versus the 29% the other local hospital in town takes hasn't nothing to do with that decision. Now comes news that they are no longer accepting some Medicare and Medicaid patients at all. Mayo announced that its flagship facility in Rochester, Minn., will no longer accept Medicaid patients from Nebraska and Montana. The Mayo branch in Arizona also stated that under a two-year pilot program, it would no longer accept Medicare for patients seeking primary care at its Glendale facility. Mayo officials said that the two moves were "business decisions" that had grown out of longstanding concerns about what it sees as underpayment by Medicare and Medicaid. Well, welcome to the real world. On a side note, Mayo has also opened a new CHERRY PICKING business.