2026-04-09 美国东部时间下午1:00 / 哥伦比亚广播公司新闻(CBS News)
作者:劳拉·盖勒(Laura Geller)、劳拉·盖勒(Laura Geller)全国调查制片人、劳拉·盖勒(Laura Geller)、雷切尔·戈尔德(Rachel Gold)、雷切尔·戈尔德(Rachel Gold)调查数据记者、雷切尔·戈尔德(Rachel Gold)、亚当·山口(Adam Yamaguchi)、亚当·山口(Adam Yamaguchi)特约记者、亚当·山口(Adam Yamaguchi)
加利福尼亚州司法部及多个州级机构周三逮捕了5名涉嫌参与疗养院诈骗团伙的人员,官员表示还会有更多人被捕。数名嫌疑人已收到“出庭通知”,若未按时出庭将面临逮捕令。加州总计对21名嫌疑人提起了诉讼。
加州总检察长罗布·邦塔表示,该诈骗团伙通过向州运营的医疗补助计划“医疗-卡尔”(Medi-Cal)收取虚假费用,骗取了加州2.67亿美元。美国民众通过税收和保费缴纳医疗保险资金,因此诈骗该计划本质上是窃取所有美国纳税人的钱财。
“打击诈骗需要我们脚踏实地开展扎实工作——埋头苦干、卷起袖子投入调查、实施逮捕、提起公诉,让相关人员承担责任,”邦塔在接受CBS新闻采访时说道。
邦塔称,被告未提供任何一项合法的疗养院服务却收取了费用。此次代号为“追踪行动”的执法行动针对了南加州的10个地点。
据加州司法部透露,涉案人员从暗网购买非加州居民的身份信息,并用这些信息注册医疗-卡尔计划。随后,“稻草人”所有者收购了14家疗养院公司,账单服务商开始为被盗身份的人员申请疗养院护理服务的政府报销。
“没有实际服务,没有疗养院中心,也没有任何真实文书,所有一切都是这场欺诈性犯罪活动的捏造,”邦塔在接受CBS新闻采访时表示。
罪名包括合谋实施医疗保健诈骗、医疗保健诈骗、洗钱和身份盗窃。被告还面临加重白领犯罪指控和加重洗钱指控。
投诉中提及的所有疗养院公司均持有州级执照,并获得加州卫生与人类服务局批准,可以向医疗-卡尔计划收费。最初的欺诈举报来自加州医疗保健服务部。
加州医疗保健服务部医疗项目首席副主任兼加州医疗补助主管泰勒·萨德维(Tyler Sadwith)在接受CBS新闻采访时表示,该州目前正在调查300多家疗养院,考虑吊销其执照。
“纳税人完全有理由期待该计划的管理者真正优先保障计划的公正性,”他说,“这始终是我们的核心任务之一,也是我们的首要工作。”
数月以来,CBS新闻对洛杉矶县目前运营的每家疗养院的业务和财务记录进行了审查,并套用了州审计中确定的潜在欺诈指标。CBS新闻的分析显示,洛杉矶县约1800家疗养院中,有700多家存在州定义的多项欺诈预警信号。
4月2日,美国司法部宣布当局逮捕了8名与医疗保健和疗养院诈骗调查相关的人员,并对其提起联邦诉讼。代理美国检察官比尔·埃塞利(Bill Essayli)表示,被告包括3名护士、1名脊椎按摩师和1名心理学家,他们被控骗取医疗保健系统超过5000万美元。
随着共和党主导的联邦政府将大部分注意力集中在民主党州的案件上,公共服务领域的欺诈问题已成为一个棘手的政治议题。
“我们的首要任务是确保纳税人的资金流向依赖医疗-卡尔计划的参保人员的医疗服务,”萨德维说道,“这需要与联邦政府合作。目前,加州与部分联邦合作伙伴之间的关系正处于充满挑战的时期。”
邦塔表示,欺诈是一个跨越党派界限的问题。
“这种情况在全美50个州都有发生,无论红蓝州,在联邦层面和州层面都存在。加州并非例外,而我们是美国最大的州,拥有一些规模最大的拨款资金,”他说。
美国医疗保险与医疗补助服务中心负责人穆罕默德·奥兹博士表示,加州州长加文·纽瑟姆并非调查目标,但“有49个州不存在洛杉矶县这样的问题”。CBS新闻已多次请求采访纽瑟姆。
纽瑟姆在一份声明中表示:“多年来,加州一直带头保护公共项目免受欺诈和滥用。我们将依法最大限度地追究任何试图骗取纳税人钱财、利用公共项目——尤其是像疗养院护理这样敏感的项目——的人员的责任。我感谢医疗保健服务部和加州司法部医疗-卡尔欺诈与老年人虐待部门迅速开展工作,提起这些诉讼。”
萨德维表示,该州仍在寻求与联邦机构的合作,“优先处理此事,调配资源,完善系统,引入新的保障措施,从此次事件中吸取教训,保护该计划,确保此类事件不再发生。”
Arrests made in California fraud crackdown targeting LA hospice ring allegedly behind $267 million in bogus charges
2026-04-09 1:00 PM EDT / CBS News
By Laura Geller, Laura Geller National Investigative Producer, Laura Geller, Rachel Gold, Rachel Gold Investigative Data Reporter, Rachel Gold, Adam Yamaguchi, Adam Yamaguchi Correspondent, Adam Yamaguchi
The California Department of Justice and several state agencies arrested five people Wednesday in a crackdown on an alleged hospice fraud ring, and officials said more arrests will come. Several suspects received “notices to appear” in court and will face arrest warrants if they don’t show. In total, the state filed charges against 21 suspects.
State Attorney General Rob Bonta said the scheme defrauded California of $267 million through bogus charges to Medi-Cal, the state-administered Medicaid program. Americans pay into Medicare through taxes and premiums, so defrauding it would be essentially stealing from all American taxpayers.
“What will address fraud is us doing the hard work — heads down, sleeves rolled up, doing the investigation, doing the arrests, doing the prosecutions, holding folks accountable,” Bonta told CBS News.
Bonta said the defendants collected money without providing a single legitimate hospice service. The law enforcement effort, called Operation Skip Trace, targeted ten locations in Southern California.
According to the California Department of Justice, individuals purchased identifying information for non-California residents from the dark web and used them to enroll in Medi-Cal. Then, straw owners bought 14 hospice companies and billers began billing the government for hospice care for the stolen identities.
“There were no actual services, no hospice centers or any real paperwork, it was all made up as part of this fraudulent criminal activity,” Bonta told CBS News.
The charges include conspiracy to commit health care fraud, health care fraud, money laundering and identity theft. Defendants also face an aggravated white collar crime enhancement and an aggravated money laundering enhancement.
All of the hospice companies named in the complaints were state-licensed and approved by the California Health and Human Services Agency to bill Medi-Cal.The initial allegation of fraud came from the California Department of Health Care Services.
Tyler Sadwith, DHCS’ chief deputy director of health care programs and California state Medicaid director, told CBS News the state is currently investigating over 300 hospices for possible license revocation.
“Taxpayers have an absolute right to expect that the administrators of this program are really prioritizing program integrity,” he said. “That continues to be part of our core mission. That continues to be the top priority.”
For months, CBS News has examined the business and financial records of every hospice currently operating in LA County, and applied the same indicators of potential fraud identified in a state audit. The CBS News analysis revealed that over 700 of the roughly 1,800 hospices in LA County, trigger multiple red flags for fraud as defined by the state.
On April 2, the U.S. Department of Justice announced that authorities arrested and federally charged eight people in connection with a health care and hospice fraud investigation. Acting U.S. Attorney Bill Essayli said the defendants, including three nurses, a chiropractor and a psychologist, were charged with defrauding the health care system out of more than $50 million.
Fraud in public services has become a thorny political issue as the Republican-led federal government focuses most attention on cases in Democratic states.
“We are upholding as a priority, making sure that taxpayer dollars are going to healthcare services for the Medi-Cal members who rely on them,” Sadwith said. “That requires partnership with the federal government. Right now, it is a challenging time between some states like California and our federal partners.”
Bonta said fraud is a problem that crosses partisan lines.
“It happens across all 50 states, red and blue, happens at the federal level, happens at the state level. California is not immune, and we are the biggest state, and we have some of the biggest levels of funding,” he said.
Dr. Mehmet Oz, administrator for the Centers for Medicare & Medicaid Services, said California Gov. Gavin Newsom is not a target, but “forty-nine states do not have the kinds of problems that Los Angeles County has.” CBS News has requested interviews with Newsom on multiple occasions.
In a statement, Newsom said: “For years, California has led the charge to protect public programs from fraud and abuse. We hold accountable to the fullest extent of the law anyone who tries to rip off taxpayers and take advantage of public programs, particularly those as sensitive as hospice care. I thank the Department of Health Care Services and the California DOJ’s Department of Medi-Cal Fraud and Elder Abuse for their swift work to bring these charges forward.”
Sadwith said the state continues to seek partnership with federal agencies “prioritizing this, allocating our resources, strengthening our systems, putting new safeguards in place to learn from what happened here and protect the program. So this never happens again.”
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