科罗拉多州一名居民被控试图骗取数十万美元的纳税人资金，其手法是向该州的医疗补助计划（Medicaid）申报将一名患者送往医生诊所的费用——而这些行程实际上是在该患者已经死亡之后才发生的。
A Colorado resident was charged with trying to steal hundreds of thousands of taxpayer dollars by billing the state’s Medicaid program for transporting a patient to doctor’s appointments — rides that would have taken place after that person had already died.
众议院能源与商业委员会的一份新报告揭示，由纳税人资助的医疗计划，尤其是联邦医疗保险（Medicare）和医疗补助计划（Medicaid），存在大量漏洞，使得这些计划在地方、州和联邦层面都可能被利用。
A new report by the House Energy and Commerce Committee revealed that taxpayer-funded healthcare programs, specifically Medicare and Medicaid, are rife with vulnerabilities that allow them to be exploited on the local, state and federal levels.
报告指出：“Medicare 和 Medicaid 的欺诈行为遍布全国，每年给美国纳税人造成数十亿美元的损失。欺诈现象存在于医疗行业的各个领域，而在旨在为弱势群体（包括老年人、残疾人、儿童和孕妇）服务的纳税人资助医疗计划中尤为严重。由于向 Medicare 和 Medicaid 提交虚假索赔，患者正遭受身份盗窃、漫长等待名单、低质医疗服务，甚至在某些情况下完全无法获得医疗服务。”Fox News Digital 在下文列举了一些最严重的案例。
"Medicare and Medicaid fraud occurs nationwide and costs American taxpayers billions of dollars a year. Fraud is prevalent in all sectors of health care and is especially egregious in taxpayer-funded health care programs that are intended to serve vulnerable populations, including the elderly, disabled, children, and pregnant women," the report said. "Patients are suffering from identity theft, long waiting lists, substandard health care, and, in some cases, a lack of health care services due to fraudulent claims to Medicare and Medicaid." Fox News Digital highlighted some of the most egregious examples below.
重磅报告揭露医疗欺诈阴谋：纳税人每年损失高达 5210 亿美元。2026 年 2 月，在科罗拉多州，两名非紧急医疗运输服务提供商（这是医疗补助计划中用于帮助患者前往医生诊所的一项福利）中，Wesam Yassin 被州和地方检察官指控存在欺诈性收费行为。
BOMBSHELL REPORT EXPOSES HEALTHCARE FRAUD SCHEMES AS TAXPAYERS LOSE UP TO $521 BILLION ANNUALLY Wesam Yassin was one of two providers of non-emergency medical transportation, a Medicaid benefit for helping patients get to doctor’s appointments, charged by state and local prosecutors for fraudulent billing in Colorado in February 2026.
根据报告，Yassin 被控通过一家名为 Sama Limo 的公司，向科罗拉多州医疗补助计划提交了总计 330 万美元的可疑账单。他被指控为一名患者收取了 64 次行程的费用，共计 28.3 万美元，平均每次行程超过 4000 美元。
Yassin is accused of charging Colorado Medicaid a total of $3.3 million in questionable bills under a company called Sama Limo, according to the report. Yassin is accused of charging $283,000 for 64 rides for one person, coming out to over $4,000 per ride.
报告称，其中约 16.5 万美元的费用是在该患者已经死亡之后产生的。
Roughly $165,000 of those charges came after the patient in question had already died, the report said.
“据称，该计划所得资金被用于个人牟利，包括购买住宅、家具、豪华汽车、珠宝以及进行整容手术，”联邦政府发布的一份指控声明中写道。
"Proceeds from this scheme were allegedly used for personal gain, including the purchase of a home, furnishings, luxury vehicles, jewelry, and cosmetic surgery," a federal release announcing the charges said.
声明还提到了对阿什莉·玛丽·史蒂文斯的指控，她被控试图骗取州内超过100万美元的纳税人资金。她被控向州方报销了约40万美元的费用，用于为自己和家人提供非医疗性质的接送服务，此外还有从未实际发生的“幽灵接送服务”。
It also pointed to charges against Ashley Marie Stevens, who is accused of trying to bilk the state for over $1 million in taxpayer dollars. She is accused of billing the state some $400,000 for non-medical rides for herself and her family in addition to "ghost rides," which never even took place.
范斯领导的特别工作组切断了对涉嫌欺诈的居家护理和临终关怀服务提供者的14亿美元资金。该报告还指控加利福尼亚州的临终关怀行业引发了欺诈嫌疑。
VANCE-LED TASK FORCE CUTS OFF $1.4B FROM HOME HEALTH, HOSPICE PROVIDERS SUSPECTED OF FRAUD The report also accused the hospice industry in California of raising suspicions of fraud.
报告称：“调查人员发现，在洛杉矶县三英里的半径范围内，有近500家临终关怀机构在运营；仅在范努伊大道上就有137家临终关怀机构；还有89家公司注册在范努伊的同一地址。”
"Investigators observed nearly 500 hospices operating in a three-mile radius in L.A. County, 137 hospices operating on Van Nuys Boulevard alone, and 89 companiesed to a single address in Van Nuys," the report said.
特朗普政府打击欺诈行动针对被控渗透美国联邦计划的外国人。该文件还指出，今年早些时候，众议院议员向卫生与公众服务部（HHS）提出担忧，指出居家护理和临终关怀服务提供者的增加，引发了对可能与外国犯罪组织相关的医疗欺诈的警惕。
TRUMP ADMIN’S FRAUD CRACKDOWN TARGETS FOREIGNERS ACCUSED OF INFILTRATING US FEDERAL PROGRAMS The document also noted that House lawmakers raised concerns with the Department of Health and Human Services (HHS) that an increase in home health and hospice providers raised red flags about possible healthcare fraud tied to foreign criminal groups earlier this year.
报告称：“各委员会对2022年3月加州审计长报告以及HHS的临终关怀机构所有权数据感到担忧。数据显示，2022年洛杉矶县拥有美国超过31%的临终关怀机构。”
"The Committees were concerned about data from a March 2022 California State Auditor’s Report and HHS hospice ownership data, showing that L.A. County had more than 31 percent of the hospice agencies in the U.S. in 2022," the report said.
司法部在美国历史上最大规模的联邦医疗欺诈打击行动中起诉了10名南加州被告。加州公共卫生部已于2022年1月暂停发放新的临终关怀许可证。然而，报告发现，尽管如此，仍有15家新的临终关怀机构——全部位于洛杉矶县的一栋建筑内——在2023年获得了医疗保险认证。
DOJ CHARGES 10 SOUTHERN CALIFORNIA DEFENDANTS IN LARGEST FEDERAL HEALTHCARE FRAUD CRACKDOWN IN US HISTORY The California Department of Public Health had placed a freeze on new hospice licenses in January 2022. Despite that, however, the report found that 15 new hospices — located in a single Los Angeles County building — still got Medicare certification in 2023.
众议院共和党人担心，国际犯罪集团的目标不仅限于潜在的临终关怀欺诈。
House Republicans are worried that potential hospice fraud is not the only area being targeted by international criminal groups.
该报告重点提及了2024年的一项指控：通过伪造导尿管账单，一些“持续多年、规模庞大”的骗局骗取了高达30亿美元的美国纳税人资金。
The report highlighted allegations from 2024 in which "years-long, large-scale" schemes targeted as much as $3 billion in American taxpayer dollars via fake bills for urinary catheters.
报告称，俄罗斯有组织犯罪团伙的成员收购了30家已经获得联邦资金的中小型医疗用品公司，并向医保系统申报了近110亿美元的导尿管费用。然而，这些资金中超过99%从未真正支付出去。
Members of Russian organized crime groups bought 30 small medical supply companies already receiving federal dollars, and billed the Medicare system nearly $11 billion for urinary catheters, the report said. More than 99% of those funds never went out the door, however.
类似的医疗设备欺诈骗局也涉及爱沙尼亚、巴基斯坦、格鲁吉亚和香港的不法分子。
Similar medical equipment fraud schemes ensnared bad actors in Estonia, Pakistan, Georgia and Hong Kong.
明尼苏达州社会项目中的欺诈指控已有充分记录，并成为州和联邦层面多次调查的主题。
Allegations of fraud in Minnesota’s social programs have been well documented and the subject of numerous state and federal probes.
报告重点提及的一起具体事件涉及一名名为阿卜迪纳吉布·哈桑·优素福的男子，他承认试图从明尼苏达州一个由州医疗补助计划资助的自闭症治疗项目中骗取600万美元。
One particular incident highlighted in the report involves a man named Abdinajib Hassan Yussuf, who pleaded guilty to trying to defraud $6 million from a Minnesota autism therapy program paid for by state Medicaid dollars.
报告称，他和同案被告被控雇用无资质人员担任行为顾问，并通过贿赂儿童父母来诱使孩子参与项目。
He and his co-defendants are accused of hiring unqualified people as behavior counselors and getting children to enroll by bribing their parents, the report said.
报告指出，优素福在认罪听证会上承认，他实际上并不认识任何自闭症患者。
Yussuf admitted during his plea hearing that he did not actually know anyone with autism, the report said.
众议院能源与商业委员会主席布雷特·格思里告诉福克斯新闻数字频道：“打击欺诈是一场贯穿全国的战役。”格思里表示：“我们揭露的每一起欺诈案件，都意味着纳税人资金被盗，以及那些最需要这些服务的患者失去了应有的照顾。”
House Energy and Commerce Committee Chairman Brett Guthrie told Fox News Digital that "combating fraud is a coast-to-coast battle." "Every instance of fraud we uncover represents money stolen from taxpayers and care taken away from the patients who depend on it most," Guthrie said.