The letter faxed to Gloria A. Wilder's Anacostia medical practice was short and to the point: D.C. Chartered Health Plan, the Medicaid contractor that insured roughly three-fourths of her patients, would no longer be paying its claims, effectively immediately.
That meant Wilder would not be getting paid anytime soon for hundreds of office visits she had already handled, as well as dozens more she had scheduled for the coming week.