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Broadalbin-Perth Central School District – Health Insurance Buyouts and Separation Payments (2014M-146)
… for the District’s calculations of separation payments and health insurance buyouts for the period July 1, 2012 through …
https://www.osc.ny.gov/local-government/audits/school-district/2014/08/15/broadalbin-perth-central-school-district-health-insurance-buyouts-andDiNapoli: Middletown Chiropractor Sentenced to Nine Years for Insurance Fraud
… was sentenced in federal court for running a large-scale health care insurance fraud scheme. Spina and three co-conspirators … Spina pled guilty to one count of conspiracy to commit health care fraud and today was sentenced to serve 108 months …
https://www.osc.ny.gov/press/releases/2021/04/dinapoli-middletown-chiropractor-sentenced-nine-years-insurance-fraudCVS Health – Accuracy of Drug Rebate Revenue Remitted to the Department of Civil Service
… for rebates, collect rebates from the manufacturers, or remit all rebate revenue to Civil Service. As a result, …
https://www.osc.ny.gov/state-agencies/audits/2019/06/06/cvs-health-accuracy-drug-rebate-revenue-remitted-department-civil-serviceCVS Health – Accuracy of Empire Plan Medicare Rx Drug Rebate Revenue Remitted to the Department of Civil Service
… Objective To determine if CVS Health appropriately invoiced drug manufacturers and remitted … 31, 2019. About the Program The New York State Health Insurance Program (NYSHIP), administered by the Department of …
https://www.osc.ny.gov/state-agencies/audits/2023/06/21/cvs-health-accuracy-empire-plan-medicare-rx-drug-rebate-revenue-remitted-department-civilGeddes Town Clerk Charged in $30K Swindle
… Clerk Shannon Carhart for allegedly pocketing $30,000 in a health care coverage scam. Carhart, 43, of Syracuse, enrolled in the town’s health insurance after telling officials and falsifying records that …
https://www.osc.ny.gov/press/releases/2019/04/geddes-town-clerk-charged-30k-swindleEmpire BlueCross BlueShield Selected Payments for Special Items for the Period January 1, 2011 Through March 31, 2011
… and acquisition costs. Background The New York State Health Insurance Program (NYSHIP) provides health coverage to active and retired State, participating …
https://www.osc.ny.gov/state-agencies/audits/2013/02/01/empire-bluecross-blueshield-selected-payments-special-items-period-january-1-2011-throughComptroller DiNapoli Releases Municipal Audits
… totaling $752,749 lacked adequate support or documentation showing receipt of goods or services. In addition, claims …
https://www.osc.ny.gov/press/releases/2020/01/comptroller-dinapoli-releases-municipal-audits-1CVS Health – Temporary Holding Account Rebate Revenue
… Objective To determine if CVS Health remitted to the State Department of Civil Service all … 31, 2018. About the Program The New York State Health Insurance Program (NYSHIP), administered by the Department of …
https://www.osc.ny.gov/state-agencies/audits/2019/10/17/cvs-health-temporary-holding-account-rebate-revenueUnitedHealthcare: Improper Payments for Acupuncture and Acupuncture-Related Services
… in overpayments from a random sample of 836 services, from 10 providers who were paid the highest dollars, that were not … a projection of the sample to the audit population for the 10 providers, we estimate that United made overpayments of … when the identified irregularities are systemic. For all 10 providers sampled, eight providers were placed on …
https://www.osc.ny.gov/state-agencies/audits/2021/10/27/unitedhealthcare-improper-payments-acupuncture-and-acupuncture-related-servicesState Agencies Bulletin No. 307
… of the new deduction code 321, MedAmerica Long Term Care Insurance Program. Affected Employees All employees who are eligible to participate in the New York State Health Insurance Program. Effective Date March 21, 2002 OSC …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/307-new-insurance-program-medamerica-long-term-care-insuranceState Comptroller DiNapoli Releases Audits
… New York State Comptroller Thomas P. DiNapoli announced today the … five recommendations and not implementing two. New York State Health Insurance Program: CVS Caremark – Accuracy of … and remit the rebate revenue to Civil Service. Based on judgmental samples of 10 manufacturers and 25 drugs, …
https://www.osc.ny.gov/press/releases/2025/04/state-comptroller-dinapoli-releases-auditsPlainview-Old Bethpage Central School District - Retiree Health Insurance (2018M-148)
Plainview-Old Bethpage Central School District - Retiree Health Insurance (2018M-148)
https://www.osc.ny.gov/files/local-government/audits/pdf/plainview-old-bethpage.pdfEmpire BlueCross BlueShield – Selected Payments for Special Items for the Period April 1, 2011 Through June 30, 2011 (Follow-Up)
… June 30, 2011 (2011-S-42). Background The New York State Health Insurance Program (NYSHIP) provides health insurance coverage to active and retired State, …
https://www.osc.ny.gov/state-agencies/audits/2014/10/30/empire-bluecross-blueshield-selected-payments-special-items-period-april-1-2011-throughNew York State Health Insurance Program – Empire Plan Members With Dual Family Coverage (Follow-Up)
… Objective To assess the extent of implementation of the two recommendations included in our initial audit report, New York State Health Insurance … elect Family coverage (the other may either elect lower-cost Individual coverage or waive coverage). Participating …
https://www.osc.ny.gov/state-agencies/audits/2022/09/26/new-york-state-health-insurance-program-empire-plan-members-dual-family-coverage-followUnited HealthCare – Overpayments for Services Provided by Long Island Laparoscopic Surgery
… 2011 through March 31, 2015. Background The New York State Health Insurance Program (NYSHIP) provides health insurance coverage to active and retired State, …
https://www.osc.ny.gov/state-agencies/audits/2016/05/05/united-healthcare-overpayments-services-provided-long-island-laparoscopic-surgeryUnited HealthCare – Overpayments for Services Provided by Eastern Orange Ambulatory Surgery Center
… 2011 through March 31, 2015. Background The New York State Health Insurance Program (NYSHIP) provides health insurance coverage to active and retired State, …
https://www.osc.ny.gov/state-agencies/audits/2016/05/05/united-healthcare-overpayments-services-provided-eastern-orange-ambulatory-surgery-centerUnited HealthCare – Overpayments for Services Provided by Long Island Spine Specialists
… through December 31, 2014. Background The New York State Health Insurance Program (NYSHIP) provides health insurance coverage to active and retired State, …
https://www.osc.ny.gov/state-agencies/audits/2016/05/05/united-healthcare-overpayments-services-provided-long-island-spine-specialistsHealth Insurance Coverage in New York State
Public policies over the last decade have had a significant impact in reducing the number of uninsured people nationally and especially in New York, where the share of those without health insurance declined to 5.2 percent in 2021, well below the national average of 8.6 percent.
https://www.osc.ny.gov/files/reports/pdf/health-insurance-coverage-in-new-york-state.pdfCVS Health – Accuracy of Drug Rebate Revenue Remitted to the Department of Civil Service (Follow-Up)
… 21, 2020, sought to determine if CVS Health remitted commercial drug rebate revenue related to Empire Plan drug …
https://www.osc.ny.gov/state-agencies/audits/2021/11/16/cvs-health-accuracy-drug-rebate-revenue-remitted-department-civil-service-followNew York State Health Insurance Program – Incorrect Payments by CVS Caremark for Medicare Rx Drug Claims That Were Improperly Paid Under the Commercial Plan
… through March 2022. About the Program The New York State Health Insurance Program (NYSHIP), administered by the Department of … Service), is one of the nation’s largest public sector health insurance programs. NYSHIP covers over 1.2 million …
https://www.osc.ny.gov/state-agencies/audits/2023/09/13/new-york-state-health-insurance-program-incorrect-payments-cvs-caremark-medicare-rx-drug