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Optimal Auditing for Insurance Fraud

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Optimal Auditing for Insurance Fraud

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The costs of general checkups and other preventive services were not covered for 3 percent of people with employer-sponsored or private health insurance (Figure 7). This can be considered a measure of underinsurance in the population. These data were obtained by asking certain respondents: “Does this health insurance plan pay for all, most, some, or none of the costs of general checkups and other preventive services?” (The question about coverage of preventive care was asked only for persons with employer-sponsored and other private insurance. In general, Wisconsin Medicaid covers preventive services; Medicare covers limited preventive services,...

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