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man holding millions of dollars In 2013, it was estimated that 20% of health insurers were fudging health spending numbers to cut rebates.

About 14% of U.S. health insurers suppressed their Affordable Care Act medical loss ratio rebate bills before 2016 by exaggerating how much they spent on health care, according to a new accounting research paper.

But this fudging the numbers problem was smaller than health insurance companies had estimated, and insurance regulators have good tools they could use to control any data fudging, the researchers say in the new paper.

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