Nevada's medical community is raising concerns about plans to cut state Medicaid reimbursements to hospitals for inpatient services by 14%. The reduction is nearly three times the 5% cut that resulted in the elimination of outpatient oncology and kidney dialysis programs at University Medical Center in Las Vegas. The additional Medicaid cuts could lead to closures of some rural hospitals, delays in care to the sick, emergency room overcrowding, and the elimination or reduction in services at for-profit hospitals, said Bill Welch, executive director of the Nevada Hospital Association.