2026年5月13日 / 美国东部时间下午3:06 / 哥伦比亚广播公司新闻
华盛顿讯——特朗普政府将对临终关怀和家庭健康机构的新医保登记实施为期六个月的禁令，以打击欺诈行为，实质上暂停了新临终关怀和家庭健康机构的准入。
“美国境内不会有新的临终关怀机构或家庭护理机构开业，”美国医疗保险与医疗补助服务中心主任穆罕默德·奥兹博士周三在与副总统J·D·万斯共同出席的新闻发布会上表示，“如果你目前已经参与该项目，可以继续运营。你可以前往已有的机构。我们不会取消任何现有服务。但在我们找到跨政府协作的更佳方案之前，不会再批准任何新机构的执照。”
美国医疗保险与医疗补助服务中心表示，此次禁令将包括针对性调查、先进数据分析，以及更快地移除涉嫌欺诈的服务提供商。
美国卫生与公众服务部监察长办公室2023年的报告显示，全国范围内疑似临终关怀欺诈金额总计约1.981亿美元。
万斯周三还宣布，特朗普政府将推迟向加州医疗补助反欺诈单位支付13亿美元的报销款项，并警告全美50个州必须严厉打击医疗补助欺诈，否则其反欺诈单位的 funding 将面临削减风险。他表示，加州“对欺诈行为不够重视”。万斯同时澄清，加州的医疗补助受助人将继续获得资助。
此次最新举措此前由哥伦比亚广播公司新闻基于州级和联邦数据展开的调查所引发，该调查曝光了可能存在欺诈行为的临终关怀公司和收费问题，其中尤以加州最为突出，该州提供临终关怀服务的公司数量远超其他地区。
调查发现，洛杉矶县约1800家临终关怀机构中，有700多家触发了州政府定义的多项欺诈预警信号。
针对哥伦比亚广播公司新闻的报道，奥兹在3月宣布了一项举措，将取消任何被发现通过盗用非临终关怀人员身份或为临终患者超额计费来欺诈纳税人的临终关怀机构的认证资格。
“如果各州不积极起诉医疗补助欺诈行为，我们将切断流向这些反欺诈单位的资金，”万斯周三在华盛顿的新闻发布会上说道。
万斯坚称这并非红州或蓝州的单一问题，红色州俄亥俄州也存在医疗补助欺诈问题。但他表示，总体而言，蓝州在打击医疗补助欺诈方面不够积极。特朗普总统任命万斯领导白宫反欺诈特别工作组。
医疗补助通常为低收入美国人提供医疗保健服务，而医保面向老年人，但也存在诸多例外情况。
万斯将于周四前往缅因州班戈市，就政府打击欺诈的举措发表演讲。
白宫反欺诈特别工作组周三在社交媒体上宣布暂停登记的帖子中指出，各州也必须“打击欺诈行为”。
“各州无权将纳税人的钱用于欺诈性的医疗补助服务，”该工作组表示，“美国民众不应既要为欺诈者买单，又要为各州浪费你们的血汗钱买单。本届政府和反欺诈特别工作组正在为问责制而奋斗。”
Trump administration pauses Medicare enrollments for hospice providers amid fraud investigations
May 13, 2026 / 3:06 PM EDT / CBS News
Washington— The Trump administration is enacting a six-month moratorium on new Medicare enrollments by hospice and home health agencies to target fraud, effectively putting a hold on new hospice and home health agencies.
“There will be no new hospices or home health care open in this country,” said Centers for Medicare & Medicaid Services Administrator Dr. Mehmet Oz in a press conference on Wednesday alongside Vice President JD Vance. “If you have the program now, you can keep it. You can go to ones that already exist. We’re not taking away any services. But there will be no new ones, licenses granted, until we can figure out a better way of working across government.”
The moratorium will entail targeted investigations, advanced analysis of data, and a swifter removal of providers that are suspected of committing fraud, CMS said.
Nationwide, the U.S. Department of Health and Human Services Office of the Inspector General reported in 2023 that suspected hospice fraud amounts totaled an estimated $198.1 million.
Vance also announced Wednesday that the Trump administration will be deferring $1.3 billion in reimbursement payments for California’s Medicaid anti-fraud unit, and warned all 50 states to crack down on Medicaid fraud or risk losing funding for their anti-fraud units. California, he said has “not taken fraud very seriously.” Vance clarified that Medicaid recipients in California will continue to receive funding.
The latest developments follow a CBS News investigation, based on state and federal data, that raised concerns about potentially fraudulent hospice companies and charges, notably in California, where an outsized number of companies offer hospice services.
The investigation found that over 700 of the roughly 1,800 hospices in LA County trigger multiple red flags for fraud as defined by the state.
In response to the CBS News reports, Oz announced in March an initiative to decertify any hospice providers that are found to be defrauding taxpayers by stealing the identities of people not in hospice or by overbilling for those who are dying.
“If they do not aggressively prosecute Medicaid fraud, we are going to turn off the money that goes to these anti-fraud units,” Vance said in a press conference in Washington Wednesday.
Vance insisted this isn’t a red state or a blue state issue, and that there are also Medicaid fraud issues in Ohio, a red state. But, Vance said, it’s generally blue states that aren’t aggressively pursuing Medicaid fraud. President Trump picked Vance to head up the White House’s anti-fraud task force.
Medicaid generally provides health care for low-income Americans, while Medicare is for seniors, although there are many exceptions.
On Thursday, Vance heads to Bangor, Maine, for an address on the administration’s efforts to combat fraud.
In a social media post on Wednesday announcing the freeze on enrollments, the White House’s anti-fraud task force noted that states had to “fight fraud too.”
“States aren’t entitled to taxpayer money for fraudulent Medicaid services,” the task force said. “Americans shouldn’t have to pay fraudsters and states to waste your hard-earned money. This administration and the Fraud Task Force are fighting for accountability.”
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