The Kaiser Family Foundation surveyed all states on their Medicaid spending this year. The biggest takeaway might surprise you: Medicaid spending hit a "near-record low" in 2012, with similar trends expected in 2013. Some of the spending slowdown has to do with states reducing how much they pay doctors, which could make providers less likely to accept new patients. The good news on Medicaid is that spending is becoming less of a budget burden. The bad news is how states are getting there.