Lawsuits can pave rocky road to adequate Medicaid payment.

Wilder et al v. The Virginia Hospital Association is about to go to trial. Wilder is the case that resulted in the Supreme Court's June ruling affirming hospitals' right to sue state governments for inadequate Medicaid reimbursement. A federal court in Richmond must now decide whether Virginia's payment plan adequately reimburses the state's hospitals. And with momentum of their own, individual hospitals and state hospital associations are pressing hard for fair Medicaid reimbursements.