加利福尼亚州与美国联邦政府正共同应对临终关怀行业严重的欺诈问题,诈骗分子通过伪造机构或盗用身份向联邦医疗保险(Medicare)进行虚假计费,导致受害者失去医疗保障和关键护理 1。联邦官员估计,仅洛杉矶县就涉及约35亿美元的欺诈性临终关怀索赔 1。自2025年初以来,已有超过1000家加州临终关怀机构被移出Medicare系统 1。
在州层面,加州自2021年起暂停发放新的临终关怀牌照,至今已撤销近500个现有牌照 1。2026年加州约有2100家临终关怀组织,而四年前为2800家 1。加州总检察长罗布·邦塔(Rob Bonta)宣布逮捕了21名涉嫌盗用身份骗取数百万美元临终关怀服务的嫌疑人 1。自2021年以来,加州总检察长办公室已提起100多起与临终关怀相关的刑事诉讼,并获得了50多项定罪 1。
在联邦层面,美国联邦医疗保险和医疗补助服务中心(CMS)于2025年5月宣布,在全国范围内对临终关怀和家庭护理提供者的新Medicare注册实施为期六个月的暂停 1。同年6月,美国司法部宣布对向Medicare和医疗补助(Medicaid)等医疗项目提交65亿美元虚假索赔的诈骗分子提起刑事指控 1。此外,特朗普政府以“涉嫌欺诈和不合规”为由,推迟向加州支付超过20亿美元的Medicaid款项 1。
California and the federal government are joining forces to combat severe fraud in the hospice care industry, where scammers have been billing Medicare using fake facilities or stolen identities, causing victims to lose their healthcare coverage and essential care 1. Federal officials estimate that fraudulent hospice claims in Los Angeles County alone total approximately $3.5 billion 1. In June 2025, the Department of Justice announced criminal charges against fraudsters who submitted $6.5 billion in false claims to Medicare, Medicaid, and other healthcare programs 1.
At the state level, California has suspended the issuance of new hospice licenses since 2021 and has revoked nearly 500 existing licenses 1. As of 2026, there are about 2,100 hospice organizations in California, down from 2,800 four years ago 1. Furthermore, since early 2025, more than 1,000 California hospice providers have been removed from the Medicare program 1. In May 2025, CMS announced a nationwide six-month pause on new Medicare enrollment for hospice and home health providers 1.
California Attorney General Rob Bonta announced the arrest of 21 individuals involved in a multi-million-dollar identity theft scheme targeting hospice services 1. Since 2021, the California Attorney General's Office has filed over 100 criminal cases related to hospice fraud and secured more than 50 convictions 1. Additionally, the Trump administration has delayed over $2 billion in Medicaid payments to California, citing suspected fraud and non-compliance 1.
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