2026-07-01 下午5:25 美东时间 / 哥伦比亚广播公司新闻
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哥伦比亚广播公司新闻的数据分析显示，纽约市某社区内聚集了数十家由医疗补助计划（Medicaid）资助的社会成人日托中心。
这类机构的激增已经引起联邦当局的注意，他们证实正在纽约州范围内展开调查，以确认这类面向老年人的中心快速扩散是否存在欺诈行为。
“这不禁让人发问：你到底需要多少家社会成人日托中心？”美国医疗保险和医疗补助服务中心主任穆罕默德·奥兹博士对哥伦比亚广播公司新闻表示。
社会日托机构为老年人和残障人士提供餐食、个人护理、社交活动及其他援助服务，相关费用会向州政府报账，由联邦和州税收资金承担。
费用支出一直在上涨——美国纽约州的情况尤为突出，哥伦比亚广播公司新闻的数据分析发现。2024年，全美医疗补助计划向成人日托提供商支付了33.5亿美元，其中17%的资金流向了纽约州的375家机构，远超其他各州。近年来纽约州在成人日托上的开支大幅膨胀，2018年至2024年间，纳税人所需承担的费用几乎增长了三倍。
这些数字并未被忽视。哥伦比亚广播公司新闻获悉，纽约州多家社会成人日托中心正在接受调查，预计联邦当局将对其采取执法行动。
支出激增的核心区域是皇后区繁华的法拉盛社区，这里聚集了全美密度最高的社会成人日托中心：哥伦比亚广播公司新闻对医疗补助计划数据的分析显示，方圆一英里范围内就有64家。
纽约市社会成人日托中心分布地图，包括皇后区法拉盛社区的64家机构 哥伦比亚广播公司新闻
法拉盛地区的这些机构向医疗补助计划申领的费用，相当于当地符合医疗补助资格的老年人总开支的90%以上。
哥伦比亚广播公司新闻发现，该社区的日托中心招生人数增速远超当地老年人口增长速度。2018年至2024年间，该社区符合医疗补助资格的老年人口增长约20%，与全美平均水平持平。但该地区社会成人日托机构报账的老年人数几乎翻了两番——增长了390%。
因此调查人员面临的问题是：这些机构是在为更多老年人合法报账，还是在提交欺诈性索赔申请？
纽约州卫生部门发言人对哥伦比亚广播公司新闻表示，该州过去曾采取行动铲除医疗补助计划中的滥用行为，包括引入新的追踪流程、加强监督和合规审查。发言人表示，自2021年以来，该机构已将387家中心移交调查，其中三分之一已提交总检察长办公室启动执法行动。
“州长和卫生部门近年来采取了强有力的措施，在控制成本、铲除滥用行为的同时，保留并改善了护理质量，”发言人在一份声明中说道。
近年来，医疗补助计划及其他联邦项目中的欺诈指控受到了更多关注。
哥伦比亚广播新闻今年早些时候的一项调查发现，洛杉矶县聚集了大量由纳税人资助的临终关怀机构，数百家临终关怀办公室存在多处欺诈预警信号。加州总检察长罗布·邦塔称，加州检察官于4月对21名嫌疑人提起诉讼，指控他们参与了一项骗取该州2.67亿美元的临终关怀欺诈计划。联邦当局近几个月也提起了医疗保健欺诈诉讼。
明尼苏达州的联邦检察官指控，近年来多个高风险项目可能因欺诈损失了数十亿美元纳税人资金，其中包括托儿中心和自闭症儿童项目。密西西比州官员则在2021年指控，有超过7700万美元的贫困家庭临时援助资金被滥用。
卡洛斯·佩雷斯·贝尔特兰对本文亦有贡献。
In one NYC neighborhood, dozens of adult daycares bill millions to taxpayers. Now the feds have questions.
2026-07-01 5:25 PM EDT / CBS News
By
Dozens of Medicaid-funded social adult daycare centers are packed into one New York City neighborhood, a CBS News data analysis has found.
The proliferation of the facilities has caught the attention of federal authorities, who confirmed they are investigating across New York whether the rapid spread of centers catering to seniors is indicative of fraud.
“It begs the question: How many social adult daycare centers do you need?” Dr. Mehmet Oz, administrator of the Centers for Medicare and Medicaid Services, told CBS News.
Social daycare facilities offer meals, personal care, social activities and other assistance to seniors and people with disabilities. Those services are then billed to the state government and covered by federal and state tax dollars.
The costs have been rising — especially in New York state, a CBS News data analysis found. Medicaid paid adult daycare providers $3.35 billion nationwide in 2024, and 17% of that money went to the 375 facilities across New York state — more than any other state. New York spending on these adult daycares ballooned in recent years, with the bill to taxpayers nearly quadrupling from 2018 to 2024.
Those numbers have not gone unnoticed. Investigations are underway into some social adult daycare centers across New York with potential federal action against them anticipated, CBS News has learned.
The epicenter of the spike in spending is the bustling neighborhood of Flushing, Queens, the densest cluster of social adult daycare facilities in the country: 64 within a one-mile radius, according to a CBS News analysis of Medicaid data.
Maps show locations of social adult daycare centers in New York City, including 64 in the neighborhood of Flushing, Queens. CBS News
The facilities in Flushing bill Medicaid for the equivalent of more than 90% of local Medicaid-eligible seniors.
Enrollment at these facilities is far outpacing the population growth for seniors in the area, CBS News found. From 2018 to 2024, the neighborhood’s Medicaid-eligible senior population grew about 20%, the same as the rest of the country. But the number of seniors that its social adult daycares billed for nearly quintupled — up 390%.
So the question for investigators becomes: are facilities legitimately billing for so many more people here or are they submitting fraudulent claims?
A spokesperson for the New York State Department of Health told CBS News the state has taken action in the past to root out abuses in Medicaid, including instituting a new tracking process and enhanced oversight and compliance reviews. Since 2021, the agency has referred 387 centers for investigation and a third of those were elevated to the Office of the Attorney General for law enforcement action, the spokesperson said.
“The Governor and the Department have taken strong action in recent years to control costs and root out abuses while preserving and improving quality of care,” the spokesperson said in a statement.
Allegations of fraud in Medicaid and other federal programs have drawn increased attention in recent years.
A CBS News investigation earlier this year found an extreme concentration of taxpayer-funded hospices in Los Angeles County, with hundreds of hospice offices showing multiple red flags for fraud. State prosecutors filed charges in April against 21 suspects in an alleged hospice fraud scheme that California Attorney General Rob Bonta said defrauded the state of $267 million. Federal authorities have also brought health care fraud charges in recent months.
Federal prosecutors in Minnesota allege billions of dollars in taxpayer money may have been lost to fraud in several high-risk programs in recent years, including childcare centers and programs for children with autism. And state officials in Mississippi alleged in 2021 that over $77 million in Temporary Assistance for Needy Families money was misspent.
Carlos Perez Beltran contributed to this report.
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