2026年5月13日 美国东部时间下午12:41 / 美国有线电视新闻网（CNN）
作者：塔米·卢比
2026年4月23日周四，美国医疗保险和医疗补助服务中心（CMS）负责人穆罕默德·奥兹在华盛顿白宫椭圆形办公室举行的医疗负担能力活动上。
威尔·奥利弗 / 法新社/彭博社/盖蒂图片社
美国医疗保险和医疗补助服务中心于周三宣布，将暂停新医疗服务机构加入医疗保险计划，为期六个月——这是该机构打击其所称的临终关怀和家庭医疗服务领域普遍存在的欺诈行为的最新举措。
“我们在临终关怀和家庭医疗领域发现了系统性且令人深感不安的欺诈行为，不良行为者利用我们最脆弱的医疗保险患者群体，窃取美国纳税人的资金，”CMS负责人穆罕默德·奥兹博士在一份声明中表示。
“今天我们关上了欺诈的大门——防止新的不良行为者进入医疗保险体系，同时我们将积极识别、调查并清除那些已经在利用体系牟利的人。”
奥兹正与副总统JD·万斯的反欺诈专项工作组合作，将打击欺诈列为首要任务。两人定于周三下午发布一项与欺诈相关的公告。
万斯还将于周四前往缅因州，讨论该政府的反欺诈工作，该工作已将该州列为目标。唐纳德·特朗普总统在2月的国情咨文演讲中曾将缅因州称为欺诈重灾区。
缅因州参议院选举中，共和党现任参议员苏珊·柯林斯正竞选第六个任期，此次选举预计将成为11月中期选举中竞争最激烈的席位之一。
相关报道：CNN 特朗普官员眼中处处是欺诈。我们了解到的情况 阅读时长9分钟
除了今年早些时候暂停向明尼苏达州支付医疗补助款项外，奥兹还拍摄视频并致信各州州长，要求他们提供信息，并要求他们制定计划以提升本州医疗项目的廉洁性，并重新审核服务机构资质。
今年2月，奥兹致信缅因州州长珍妮特·米尔斯（民主党人），对该州针对自闭症儿童的医疗补助治疗项目表示担忧，并要求该州提供相关信息，说明其正在采取哪些措施识别和预防欺诈，以及追回被盗或滥用的资金。米尔斯称这一行为是“政治攻击”。
CMS还针对轮椅、医院病床和供氧设备等耐用医疗设备供应商实施了类似的全国性六个月暂停入保禁令——该机构称这一行业也充斥着欺诈行为。
该负责人将临终关怀领域的反欺诈工作重点放在洛杉矶地区。CMS表示，已暂停向该市773家涉嫌欺诈的临终关怀机构和23家家庭医疗服务机构支付总计7000万美元款项。
CMS还吊销或注销了数百家其称存在欺诈或不当行为的临终关怀机构和家庭医疗服务机构的资质；加强了对亚利桑那州、加利福尼亚州、佐治亚州、俄亥俄州、内华达州和德克萨斯州新临终关怀机构的监管；扩大了对佛罗里达州、伊利诺伊州、俄克拉荷马州、俄亥俄州、北卡罗来纳州和德克萨斯州家庭医疗服务机构理赔申请的审查；并开展了临终关怀机构实地核查。
然而，全国居家护理联盟在一份声明中表示，新的暂停入保禁令可能会损害合法临终关怀服务机构的利益，并限制患者获得护理的机会。
“在患者需求不断增长或现有服务能力已经紧张的地区，暂停入保禁令会严重影响可及性，导致等待时间更长、服务可获得性降低，以及患者选择更少——尤其是在农村或服务不足的社区，”该联盟表示。
该组织补充道，其与其他全国性组织已向CMS提供了相关建议和针对性策略，以阻止不良行为者进入医疗保险和医疗补助体系，同时不过度加重诚信服务机构的负担。
Trump administration pauses new hospice and home health providers’ enrollment in Medicare
2026-05-13 12:41 PM ET / CNN
By Tami Luhby
Mehmet Oz, administrator of the Centers for Medicare & Medicaid Services, during a healthcare affordability event in the Oval Office of the White House in Washington, DC, on Thursday, April 23, 2026.
Will Oliver/EPA/Bloomberg/Getty Images
The Centers for Medicare and Medicaid Services announced Wednesday that it is placing a six-month moratorium on new enrollment of health providers in Medicare — its latest effort to combat what it says is widespread fraud among hospice and home health providers.
“We’ve seen systemic and deeply troubling fraud in the hospice and home health space, with bad actors exploiting some of our most vulnerable Medicare patients and stealing money from the American taxpayer,” CMS Administrator Dr. Mehmet Oz said in a statement.
“Today we’re shutting the door on fraud—preventing new bad actors from entering Medicare while we aggressively identify, investigate, and remove those already exploiting them.”
Oz, who is working with Vice President JD Vance’s Anti-Fraud Task Force, has made combatting fraud a top priority. The two are set to make a fraud-related announcement on Wednesday afternoon.
Vance is also traveling to Maine on Thursday to discuss the administration’s anti-fraud efforts, which have targeted the state. President Donald Trump referenced Maine as a hotbed of fraud in his State of the Union address in February.
Maine’s Senate race, where GOP Sen. Susan Collins is running for a sixth term, is expected to be among the most competitive of the November midterm election.
Related article: CNN Trump officials see fraud everywhere. Here’s what we know 9 min read
In addition to pausing Medicaid payments to Minnesota earlier this year, Oz has filmed videos and sent letters to governors seeking information and demanding they craft plans to improve the integrity of their programs and revalidate providers.
In February, Oz sent a letter to Maine Gov. Janet Mills, a Democrat, citing concerns about the state’s Medicaid-funded treatment program for children with autism and demanding information about what the state is doing to identify and prevent fraud, as well as to recover stolen or misspent funds. Mills called the effort a “political attack.”
CMS also placed a similar six-month nationwide moratorium on certain companies that provide durable medical equipment, such as wheelchairs, hospital beds and oxygen equipment — an industry it says is also rife with fraud.
The administrator has focused his hospice anti-fraud efforts in the Los Angeles area. CMS says it has suspended $70 million payments to 773 hospices and 23 home health agencies suspected of fraud in the city.
CMS has also revoked or deactivated hundreds of hospices and home health agencies it says engaged in fraud or improper activity; increased oversight of new hospice providers in Arizona, California, Georgia, Ohio, Nevada and Texas; expanded reviews of home health agency claims in Florida, Illinois, Oklahoma, Ohio, North Carolina and Texas; and conducted hospice site visits.
However, the new moratorium could hurt legitimate providers of hospice services and limit patients’ access to care, the National Alliance for Care at Home said in a statement.
“An enrollment moratorium raises serious access-to-care concerns in areas where patient demand is growing or existing capacity is already strained, leading to longer wait times, reduced service availability, and fewer choices for patients – particularly in rural or underserved communities,” the alliance said.
The group added it and other national organizations have provided CMS with recommendations and targeted strategies for stopping bad actors from entering Medicare and Medicaid, while not overly burdening good-faith providers.
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