Cheyenne Regional Medical CEO Dr. John Lucas says the hospital has laid off 8 administrative positions in anticipation  of about a 5% decline in revenues – or about $15 million – in fiscal year 2014, which begins on July 1, 2013.

Lucas says the decrease in revenues are forecast because of a projected 2% reduction in Medicare payments, as well as the expected decision by the state not to expand the Medicaid program in Wyoming. Lucas says to meet the challenges posed by the decrease in revenues, four vice president and four leadership positions were cut on Friday, effective immediately.

He says the hospital will also be looking at a variety of other ways to improve efficiency and cut costs, including not filling ten positions that are currently vacant. He says CRMC will also take a look at reducing  the money spent on medical supplies and pharmaceuticals. But he says no clinical positions have been cut, and no such cuts are being considered right now.