In Washington, D.C., nearly half of Black residents don’t have access to suitable health care. The life expectancy for Black and brown Chicago residents is less than 70 years, a 10-year gap with white residents in the city. States like California and Mississippi have some of the worst health care disparities for Black people.

“These findings suggest a need to improve access to outpatient care to effectively manage chronic conditions,” Claire O’Brien, a research analyst at the Urban Institute, said in a statement about the analysis. “Efforts to improve access to care for these groups in Medicaid would improve enrollees’ lives, reduce state and federal spending, and promote health equity within Medicaid.”

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