The article states they are out of options within their own realm and need everyone to come together for a solution to include elected officials. Listed at the bottom line 
of the revenue problems are the changes made to the way reimbursement is taking place for Medicaid patients, and they are not alone with that issue. BD
Employees were notified on Friday, Sept.10. The layoffs are effective Oct. 1. Those notified include 30 members of management, 44 registered nurses, 4 LPNs and a variety of administrative positions."
Boston Medical Center announced today that it has made a reduction in force of 119 people, including 44 nurses and 30 management staff. Another 40 employees will see their hours reduced. The hospital has a total work force of almost 6,000 people, more than 1,500 of whom are nurses.
“The hospital is projected to lose $175 million this year due to dramatic changes in Medicaid reimbursements,” said Tom Traylor, BMC’s vice president of federal, state and local programs. “We have been talking to the staff about this new reality for well over a year, and have been working to assess and increase efficiency in every corner of the hospital. We have been consulting with outside experts to study the efficiency of delivery of patient care, and they found very little excess capacity particularly in terms of hospital staffing levels. This layoff is one necessary element of addressing the hospital’s financial situation.”
Boston Medical Center projected to lose $175 million - White Coat Notes - Boston.com
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