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092654 1 (1969-12-03)

handle is hein.gao/gaobacwmw0001 and id is 1 raw text is: 




                     UNITED STATES GENERAL ACCOUNTING  OFFI:E
         0 u14WASHINGTON, D C                  20548

CIVIL DIVISION                                         December 3, 1969






        Dear Mr. Ball

             We have completed a r view of the reasonableness of the allocation
        of selected administrabive cos~b to parts A and B of the Medicare program
        by the Aetna Life Insurance Company (Aetna) for calendar year 1967  Under
        a cost-type contract with the Social Security Administration (SSA), Aetna
        acts as a carrier under part B of the piogram and as a fiscal intermediary
        under part A of the program  At the time of our review, the Department of
        Health, Education, and Welfare (HEW) Audit Agency had not made its review
        of Aetna's calendar year 1967 administrative costs

             In our opinion, certain administrative costs for (1) data processing,
        (2) executive compensation and related costs, and (3) certain other indi-
        rect costs had not been equitably allocated to the Medicare program  In
        discussing the mathed of al1ocating admini4trative coto with Arts  of-
        ficials, we suggested -uoat a more equitable metnod be useat to allocate
        such costs to the Medicare program  Aetna agreed to revise its method
        of allocating costs and will reduce its allocation to the Medicare pro-
        gram for calendar year 1967 by about $135,000. We estimate that the
        changes in the methods of allocating administraTive costs will result
        in future annual savings of about $132,000. Our findings are discussed
        in more detail in the following sections of this report

        DATA PROCESSING COSTS

             In our opinion, the costs allocated to the Medicare program from the
        cost center for group data processing exceeded the costs incurred in con-
        nection with the Medicare program  This overallocation occurred because
        certain costs incurred in the Group Data Processing Department (GDPD),
        such as those for rental of electronic data processing equipment and
        employee fringe benefits, had been charged to other cost centers but
        were also considered as part of the costs of the group data processing
        cost center in determining the percentage of cost to be allocated to the
        Medicare program  Since part of the costs charged to the other cost
        centers also had been allocated to the Medicare program, we believe that
        the total costs allocated to the program were excessive.

             We brought this matter to the attention of Aetna officials, who
        agrced that the method of allocating group data processing costs to the
        Medicare program was inequitable and that a more equitable basis for
        allocating these costs was needed  After giving further consideration

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