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Reimbursement has not caught up to technology innovations, expert says.
Anthem cites cost-sharing reduction payments, the return of the health insurance tax, among reasons for exit.
Many of the 1.25 million Americans who live with Type 1 diabetes cheered the effort as an important first step in their fight against soaring costs.
Medicaid is being revamped from AHCA, though the plan would still set spending limits through a per-person cap.
There have been few payment reform proposals that get at the heart of the problem, the authors said.
In some cases, insurers interrupt treatments that are already underway. In others, they deny it at the outset.
Medicaid covered 45 percent of children and 16 percent of adults in small towns and rural areas in 2015, higher than in metropolitan areas.
As a result, bridging the health gap between certain groups hasn't been as effective as it could be, authors said.
The study found that receiving federal housing assistance increased people's likelihood of having health insurance and access to regular care
Other groups still lag behind whites when it comes to the quality of their care, at least when it comes to diabetes or hypertension control.