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Audit (A-07-12-00379)

04-04-2012
Review of Medicare Part B Pension Costs Claimed by Group Health Incorporated for Plan Years 1987 Through 2008

Executive Summary

Group Health Incorporated (GHI), an EmblemHealth Company and Centers for Medicare & Medicaid Services (CMS) contractor, did not claim $1.1 million of allowable Medicare Part B pension costs on its Final Administrative Cost Proposal for plan years 1987 through 2008. GHI administered Medicare Part B operations under cost reimbursement contracts with CMS.

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