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人事管理办公室在联邦健康福利项目中查出5亿美元的欺诈和浪费Office of Personnel Management uncovers $500M in fraud and waste in federal health benefits programs

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独家报道:特朗普政府宣布,在人事管理局(Office of Personnel Management, OPM)发现了高达5亿美元的浪费和欺诈行为,这些行为涉及联邦健康福利计划。根据人事管理局的数据,参与联邦雇员健康福利计划(Federal Employees Health Benefits)和邮政服务健康福利计划(Postal Service Health Benefits)的保险公司成功防止了近5.1亿美元的损失;在支付保险费用后,还追回了额外的2190万美元。

FIRST ON FOX: The Trump administration announced $500 million in waste and fraud findings at the Office of Personnel Management – revealing a recovery of potentially fraudulent funds for federal health benefits programs. Health insurance carriers in the Federal Employees Health Benefits and Postal Service Health Benefits programs reported preventing nearly $510 million in losses before or during payment and recovering an additional $21.9 million after claims were paid, according to the Office of Personnel Management.

“人事管理局为约890万名退休人员和联邦雇员提供健康保险服务,每年的相关支出约为800亿美元,”人事管理局局长斯科特·库珀(Scott Kupor)对福克斯新闻(Fox News Digital)表示,“这5亿美元虽然仅占总支出的0.5%左右,但显然我们还有很长的路要走,才能彻底根除各种欺诈、浪费和滥用行为。”

"OPM runs health insurance for about 8.9 million retirees and federal employees, and we spend about $80 billion a year, Office of Personnel Management Director Scott Kupor told Fox News Digital. "The $500 million, a little more than half percent, is a good number, but certainly we have a long way to go here to root out more fraud, waste and abuse."

由万斯(Vance)领导的白宫反欺诈工作组报告显示:自特朗普上任以来,已揭露了2607亿美元的欺诈行为,并每年阻止了720亿美元的欺诈活动。

The Vance-led White House anti-fraud task force has reported $260.7 billion in fraud uncovered since Trump took office, and $72 billion in fraud stopped on an annualized basis.

库珀还表示,该机构目前正在首次对健康保险理赔数据进行全面审查,通过分析不同医疗服务提供者和保险计划的账单模式,来识别可能存在的不寻常行为(如过度用药、滥用医疗资源或潜在的欺诈行为)。

Kupor said his agency is conducting its own review of health insurance claims data for the first time, allowing the agency to analyze billing patterns across providers and health plans to identify unusual prescribing habits, surgery rates and other anomalies that could signal overuse, misuse or potential fraud.

特朗普政府阻止了超过16亿美元的违规医疗保险付款人事管理局称,将根据审查结果将相关医疗服务提供者从联邦健康福利计划中剔除;对于涉嫌犯罪行为的案例,会将它们移送该机构的监察长办公室(Office of Inspector General)和司法部进行进一步调查。

TRUMP ADMIN BLOCKS MORE THAN $1.6B IN POTENTIALLY IMPROPER MEDICARE LAB PAYMENTS, AGENCY SAYS He said the agency will use those findings to remove providers from federal health programs when warranted and will refer cases involving suspected criminal conduct to the agency’s Office of Inspector General and the Justice Department for further investigation.

库波尔负责监督联邦政府的员工管理工作,同时管理着数百万现任及前任联邦雇员的就业与福利计划。他最著名的工作成果之一,就是与埃隆·马斯克及政府效率部(DOGE)合作,对宾夕法尼亚州的一座矿山进行了改造。独家报道:揭秘那座由政府效率部协助改造的“秘密矿山”去年四月,福克斯新闻数字频道首次报道美国政府开始在联邦员工档案管理中运用人工智能技术——这是美国政府首次大规模采用人工智能技术。

Kupor leads the agency responsible for overseeing the federal workforce while managing key employment and benefits programs for millions of current and former federal employees, and one of the most prominent examples of his work stems from Elon Musk and the Department of Government Efficiency’s (DOGE) targeting of a mine in Pennsylvania. EXCLUSIVE: INSIDE THE SECRETIVE MINE DOGE HELPED DRAG OUT OF A DECADES-OLD BUREAUCRATIC BLACK HOLE Last April, Fox News Digital first reported that the United States government applied the use of artificial intelligence for federal employee record-keeping – the first time the federal government implemented AI at scale.

这项改革计划由库波尔和马斯克共同推动;马斯克对当时联邦政府仍依赖纸质文件来存储和管理员工档案的情况表示震惊。特朗普抨击那些阻碍新兴产业发展的科技巨头:“谁掌握了人工智能技术,谁就赢得了未来!”

The movement was led by Kupor and Musk, and Musk didn’t hide his shock that federal records were being stored and managed solely on paper at the time. TRUMP UNLOADS ON TECH TITANS PUSHING FOR SLOWDOWN ON EMERGING INDUSTRY: ‘WHOEVER WINS AI, WINS!’

马斯克曾在去年二月表示:“矿井升降机的运行速度决定了多少人能够退休……如果升降机发生故障,那就没人能退休了,这听起来很疯狂吧?”当被问及矿山现代化改造的进展时,库波尔表示该矿山现已完全实现了电子化运营。

"The speed at which the mine shaft elevator can move determines how many people can retire... And the elevator breaks down and then nobody can retire," Musk said last February. "Doesn't that sound crazy?" When asked for an update on progress made on modernizing the mine, Kupor said that it is now fully operational on an electronic system.

“去年,我们收到了18万份电子形式的退休申请,这绝对是前所未有的;这一数字几乎是以往任何一年的申请量的两倍。如今,处理电子申请所需的时间仅为处理纸质申请所需时间的一半。”

"This past year, we did 180,000 electronic online applications for retirement, which is just unprecedented, he said. "That's almost double the production that we've had in any prior year. Electronic applications can get solved in less than half the time today that a paper one does."

“过去,退休人员的申请流程可能需要长达6个月、9个月甚至12个月的时间才能完成,但借助技术的不断发展,我认为我们现在只需15天就能完成这些申请。”白宫正在推动国会通过这项具有重大意义的反欺诈改革措施。

"We will take something that has been a six-month, nine-month, 12-month horrendous process for retirees, and I think we will be able to do it in as little as 15 days with the continued development of technology." WHITE HOUSE PUSHES 'WATERSHED' FRAUD-FIGHTING REFORM IN CONGRESS AS VANCE CONVENES TASK FORCE Kupor’s previous experience working with artificial intelligence has led to his name being floated to serve as the AI czar in the Trump administration – a role that has been cast into the spotlight as debates surrounding data center developments and artificial intelligence have been a midterm election talking point.

库波尔(Kupor)此前在人工智能领域拥有丰富的经验,因此他的名字被提名为特朗普政府中负责人工智能事务的负责人。随着关于数据中心建设和人工智能发展的讨论成为中期选举的热门话题,这一职位也备受关注。

After working as an investment banker at Credit Suisse, Kupor worked at Loudcloud, which was co-founded by Marc Andreessen and Ben Horowitz, in 1999.

库波尔曾在瑞士信贷(Credit Suisse)担任投资银行家,1999年加入了由马克·安德森(Marc Andreessen)和本·霍洛维茨(Ben Horowitz)共同创立的Loudcloud公司,并随后成为他们创办的风险投资公司的首位员工。2017年5月至2018年5月期间,他还担任了美国国家风险投资协会(National Venture Capital Association)的主席。

当被问及是否与白宫讨论过这一职位时,库波尔表示他确实看到了相关报道,并简要了解了唐纳德·特朗普总统对人工智能的看法。

He was then hired as the first employee by Andreessen and Horowitz at the duo’s venture capital firm. Kupor also served as the chair of the National Venture Capital Association from May 2017 to May 2018. TRUMP SAYS ANTI-FRAUD EFFORTS ARE UNCOVERING BILLIONS IN WASTE, CLAIMS SAVINGS COULD BALANCE BUDGET When asked about whether he has had any conversations with the White House about the role, Kupor said he had seen the reports he was being floated, and discussed President Donald Trump’s views on artificial intelligence broadly.

“我读过的报道和你们一样,全都读过了,在这件事上我没什么可补充的,”他说。“总统所说的话百分之百正确,那就是,人工智能将是决定我们经济增长、国家安全和我国主权的最重要技术因素。”

"I’ve read all the same reports you've read and don't have anything to add there," he said. "What the president has said is exactly 100% right, which is that AI is the most important piece of technology that will determine economic growth for us, national security, sovereignty for our country."

特朗普政府揭露了12亿美元疑似新冠疫情合同欺诈案,涉及拜登任内时期的支出。“有一点我非常清楚——我一辈子都在创投领域——这个国家企业家的智慧与创造力没有上限。我们只需确保周围的监管控制等条件继续让美国能够像以往一样蓬勃发展。”

TRUMP ADMINISTRATION UNCOVERS $1.2B IN SUSPECTED COVID CONTRACT FRAUD TIED TO BIDEN-ERA SPENDING "One of the things that I know, again, having spent all my life in the venture world, is there is no limit to the intellect and inventiveness of entrepreneurs in this country. And we just need to make sure that the conditions around, you know, regulatory controls and others continue to allow the U.S. to flourish in the way that it's always done."

库波尔没有排除特朗普向他提供该职位的可能性。他表示,虽然自己目前专注于该机构负责人的工作,但他是“听命于总统的”。此前有报道称,财政部长斯科特·贝森特正在considered之列,可能担任“人工智能主管”,但上周特朗普表示不会选他担任该职。

Kupor did not rule out accepting the role if Trump should offer it to him, saying that while he is focused on his job as director of the agency, he serves "at the will of the president." Reports had suggested that Treasury Secretary Scott Bessent was being considered for the AI czar position, but last week Trump said he would not be selecting him for the role.