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The failure of Senate Republicans' healthcare bill creates greater uncertainty for insurers, especially in regard to the future of cost-sharing reductions that help insurers subsidize the cost of coverage for low-income Americans, according to Fitch Ratings.

Annapolis, Md.-based Anne Arundel Medical Center and Baltimore-based CareFirst BlueCross BlueShield may end their in-network agreement due to reimbursement disputes, according to a Baltimore Business Journal report.

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