Gynecologists ordered fewer preventive services for women who were insured by Medicaid than for those with private coverage, a study found. Researchers at the Urban Institute examined how office-based primary care practices provided five recommended preventive services - clinical breast exams, pelvic exams, mammograms, Pap tests and depression screening - over a five-year period. Overall, 26% of the visits by women with Medicaid included at least one of the five services, compared with 31% of the visits by privately insured women. As for specific preventive services, the study found "strong evidence" that visits by Medicaid patients were less likely include a clinical breast exam or a Pap test, says the study's lead author. For example, 20.5% of visits by privately insured women included a clinical breast exam, and 16.5% of visits included a Pap test. The percentage of Medicaid-insured visits that included those services was only 12% and 9.5%, respectively.