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United HealthCare – Empire Plan Drug Rebate Revenue
… for rebates, discounts, and other considerations and pass 100 percent of the value of the agreements on to the … Medco. The subcontract required Express Scripts to remit 100 percent of all rebates collected from the manufacturer … Claims Submitted by Davis Ethical Pharmacy (2012-S-10) New York State Health Insurance Program: United …
https://www.osc.ny.gov/state-agencies/audits/2016/11/01/united-healthcare-empire-plan-drug-rebate-revenueUnited Healthcare – Empire Plan Drug Rebate Revenue (Follow-Up)
… and retired State, participating local government, and school district employees and their dependents. The Empire Plan …
https://www.osc.ny.gov/state-agencies/audits/2015/12/03/united-healthcare-empire-plan-drug-rebate-revenue-followEmpire BlueCross BlueShield – Selected Payments for Special Items for the Period July 1, 2012 Through December 31, 2012 (Follow-Up)
… Selected Payments for Special Items for the Period July 1, 2012 Through December 31, 2012 (Report 2013-S-28). Background The New York State Health … the payments for special items. For the period July 1, 2012 through December 31, 2012, Empire paid over $63 million …
https://www.osc.ny.gov/state-agencies/audits/2015/12/28/empire-bluecross-blueshield-selected-payments-special-items-period-july-1-2012-throughEmpire BlueCross BlueShield – Selected Payments for Special Items for the Period January 1, 2012 Through June 30, 2012 (Follow-Up)
… extent of implementation of the three recommendations made in our audit report, New York State Health Insurance Program: Empire BlueCross … Payments for hospital services are generally based on standard fee schedules that are negotiated between Empire …
https://www.osc.ny.gov/state-agencies/audits/2015/12/28/empire-bluecross-blueshield-selected-payments-special-items-period-january-1-2012-throughNew York State Health Insurance Program – Payments by Beacon Health Options for Mental Health and Substance Abuse Services for Ineligible Members (Follow-Up)
… million active and retired State, local government, and school district employees, and their dependents. The Empire Plan is …
https://www.osc.ny.gov/state-agencies/audits/2024/01/03/new-york-state-health-insurance-program-payments-beacon-health-options-mental-health-andComptroller DiNapoli Releases Municipal Audits
… (Westchester County) The city’s proposed budget for the school district has a budget gap of $25.8 million. In addition, the …
https://www.osc.ny.gov/press/releases/2015/05/comptroller-dinapoli-releases-municipal-audits-1Comptroller DiNapoli Releases Municipal Audits
… before they occur, and instead, rely on Fairport Central School District employees to both process and approve all financial …
https://www.osc.ny.gov/press/releases/2015/06/comptroller-dinapoli-releases-municipal-auditsAn Analysis of Reasonable and Customary Out-of-Network Reimbursement Rates for Medical/Surgical Services in the New York State Health Insurance Program
… million active and retired State, local government, and school district employees, and their dependents. The Empire Plan is …
https://www.osc.ny.gov/state-agencies/audits/2020/04/01/analysis-reasonable-and-customary-out-network-reimbursement-rates-medicalsurgical-servicesAnthem Blue Cross – Coordination of Benefits With Medicare
… to properly pay claims for NYSHIP Empire Plan members with Medicare coverage. The audit covered the period from January … insurance coverage in addition to the Empire Plan such as Medicare, the federal health insurance program for people …
https://www.osc.ny.gov/state-agencies/audits/2024/08/19/anthem-blue-cross-coordination-benefits-medicareRoxbury Central School District - Health Insurance Buyouts (2019M-89)
Determine whether District payments for health insurance buyouts were cost-effective, supported by collective bargaining agreements and correctly calculated.
https://www.osc.ny.gov/files/local-government/audits/pdf/roxbury-2019-89.pdfRoscoe Central School District - Cost-effective and Equitable Expenditure Controls (2018M-182)
Determine whether District officials implemented cost-effective and equitable measures to control expenditures and share services.
https://www.osc.ny.gov/files/local-government/audits/pdf/roscoe.pdfEast Syracuse Minoa Central School District – Information Technology (2020M-174)
Determine whether East Syracuse Minoa Central School District (District) officials established adequate information technology (IT) controls to ensure employees’ personal, private and sensitive information (PPSI) on the financial server was adequately protected from unauthorized access, use and loss
https://www.osc.ny.gov/files/local-government/audits/2021/pdf/east-syracuse-minoa-2020-174.pdfHiring Public Retirees – When Employees Retire
… Before you hire a public retiree, you should be aware of the laws governing how … school district, BOCES, etc. Public authorities For service (not disability) retirees, earnings are not limited … is in effect and applies to the entire calendar year in 2025 . Section 212 employees are not active members and do …
https://www.osc.ny.gov/retirement/employers/when-employees-retire/hiring-public-retireesSullivan West Central School District - Retiree Health Insurance (2019M-196)
Determine whether District officials and personnel ensured that health insurance contributions from eligible retirees were properly billed.
https://www.osc.ny.gov/files/local-government/audits/pdf/sullivan-west-2019-196.pdfGalway Central School District - Fund Balance Management (2017M-267)
https://osc.state.ny.us/localgov/audits/schools/2018/galway.htm
https://www.osc.ny.gov/files/local-government/audits/pdf/lgsa-audit-school-2018-galway.pdfFiscal Stress Monitoring System Briefing for School District Officials
Presenters will provide an overview of how the system evaluates fiscal stress, what a change in score or designation does or does not signify, and common issues that appear to be affecting school districts.
https://www.osc.ny.gov/files/local-government/academy/pdf/fiscal-stress-monitoring-system-schools-01-12-23.pdfLewiston-Porter Central School District – IT Asset Management (S9-22-14)
lewiston-porter, audit, schools, statewide, IT asset management
https://www.osc.ny.gov/files/local-government/audits/2023/pdf/lewiston-porter-central-school-district-s9-22-14.pdfGloversville Enlarged School District – IT Asset Management (S9-22-12)
audit, schools, statewide, IT asset management, gloversville enlarged
https://www.osc.ny.gov/files/local-government/audits/2023/pdf/gloversville-enlarged-school-district-s9-22-12.pdfGeneseo Central School District – IT Asset Management (S9-22-11)
geneseo, audit, schools, statewide, IT asset management
https://www.osc.ny.gov/files/local-government/audits/2023/pdf/geneseo-central-school-district-s9-22-11.pdfFiscal Stress Monitoring System Briefing for School District Officials
Presenters will provide an overview of how the system evaluates fiscal stress, what a change in score or designation does or does not signify, and common issues that appear to be affecting school districts.
https://www.osc.ny.gov/files/local-government/academy/pdf/fsms-schools-011024.pdf