字号·· | 护眼
美国广播公司

联邦检察官对15名嫌疑人提起多项保险及联邦医疗保险欺诈指控Feds charge 15 suspects in multiple alleged insurance, Medicare fraud schemes

点「原文对照」整页切到原文,或双击某段只看那段的原文。

2026年10月22日凌晨,在洛杉矶,联邦探员在一次与医疗保健欺诈有关的突袭行动中翻越围栏进入一名嫌疑人的住所。沃利·斯卡利杰/美联社照片Federal agents climb a fence to enter a suspect's house during a raid related to health care fraud in the early morning on Oct. 22, 2026, in Los Angeles. Wally Skalij/AP Photo

一起案件涉嫌就欺诈性物质滥用治疗进行收费。司法部周四表示,联邦检察官指控分布在多个州的15人涉嫌参与医疗保险和保险欺诈计划,指控这些计划总共骗取了20亿美元。

One case involved billing for allegedly fraudulent substance abuse treatment. Federal prosecutors charged 15 people across multiple states in connection with an alleged Medicare and insurance fraud schemes they allege collectively took in $2 billion, the Justice Department said on Thursday.

据官员透露,联邦特工周四逮捕了其中8名被告,其中一些人是医生,大多数逮捕发生在加利福尼亚州。

Eight of the defendants, some of whom were physicians, were arrested by federal agents on Thursday, with most of the arrests taking place in California, according to officials.

司法部表示,涉嫌欺诈计划包括:就虚假物质滥用治疗向私人保险公司收费;就不必要的旋切术(一种清除血管内斑块的手术)向医疗保险收费;以及就并非绝症患者的临终关怀服务向医疗保险收费。

The alleged schemes included billing private insurers for phony substance abuse treatment, billing Medicare for unnecessary atherectomy procedures (which are for removing plaque from blood vessels) and another charging Medicare for hospice services for patients who weren't terminally ill, the Justice Department said.

司法部称,5名嫌疑人预计周四下午将在洛杉矶联邦法院出庭,2人预计在得克萨斯州联邦法院出庭,另外1人预计在伊利诺伊州联邦法院出庭。嫌疑人的律师信息暂时无法获得。

Five of the suspects were expected to appear in federal court in L.A., two were expected to appear in federal court in Texas and another was expected to appear in federal court in Illinois Thursday afternoon, according to the Justice Department. Attorney information for the suspects wasn't immediately available.

司法部表示,最大的一起案件聚焦于洛杉矶的两人和得克萨斯州的一人,他们涉嫌花费数年时间将来自全国各地的物质滥用患者转移到加利福尼亚州。

The biggest case focused on two people in Los Angeles and another in Texas who allegedly spent years moving substance abuse patients from around the country to California, the Justice Department said.

司法部指控,嫌疑人涉嫌让这些患者参保他们不符合资格的保险计划,并为物质滥用治疗获取最高报销额。他们据称收取了超过16亿美元。

The suspects allegedly enrolled the patients in insurance policies that they were not eligible for and obtained the highest reimbursement for substance abuse treatments. They received over $1.6 billion, the Justice Department alleged.

2026年10月22日凌晨,在洛杉矶,联邦探员在一次与医疗保健欺诈有关的突袭行动中抵达一名嫌疑人的住所。沃利·斯卡利杰/美联社照片Federal agents arrive to a suspect's house during a raid related to health care fraud in the early morning on Oct. 22, 2026, in Los Angeles. Wally Skalij/AP Photo

司法部表示,在另一起单独案件中,一名洛杉矶心胸外科医生和一名脊椎按摩治疗师被指控虚假诊断患者患有动脉疾病,并建议他们接受旋切术。司法部指控,该案嫌疑人就这些手术向医疗保险收取了超过1.35亿美元。

In a separate case, a Los Angeles cardiothoracic surgeon and a chiropractor are accused of falsely diagnosing patients with arterial disease and recommending they receive atherectomies, the Justice Department said. The suspects in this case billed Medicare for over $135 million for the procedures, the Justice Department alleged.

美国司法部表示,三起案件涉及嫌疑人涉嫌向联邦医疗保险(Medicare)虚报总计1.38亿美元的欺诈性临终关怀费用。据司法部称,嫌疑人涉嫌为并非绝症的患者虚报费用。

Three cases dealt with suspects allegedly billing Medicare a combined $138 million for fraudulent hospice schemes, the Justice Department said. The suspects allegedly billed patients who were not terminally ill, according to the Justice Department.

阅读媒体原文 ↗