Yes, actual cuts to family medicine. Monthly claw backs on billings to the tune of thousands. Actual cuts to the dollar amount paid for certain services in family medicine. $70 for a physical down to $55. A standard assessment was $33.70, now $32.70. Major dressing (for severe wounds) fee of $11, now $0 (no longer covered, but still provided by the doctor). These are just a few examples off the top of my head. Doesn't seem like much but with increased overhead costs, it will mean the difference between staying open and closing soon.  This is what is meant by cuts.