2026年5月14日 / 美国东部时间下午3:54 / 哥伦比亚广播公司新闻
美国司法部表示，一家医疗软件公司的老板周四因大规模医疗保险欺诈被判有罪，终结了代理司法部长托德·布兰奇所称的“佛罗里达州历史上最恶劣的欺诈计划之一”。
根据司法部的新闻稿，42岁的HealthSplash公司所有者兼首席执行官布雷特·布莱克曼及其同谋“积极针对数十万医疗保险受益人，诱使其接受医疗上不必要的”产品，其中包括矫形支架。
司法部称，布莱克曼及其同谋利用2017年被HealthSplash收购的平台Power Mobility Doctor Rx（简称DMERx），与远程医疗医生和药房串通进行非法回扣，这些机构会为这些不必要的物品向医疗保险机构虚假报账。这场欺诈通过虚假合同和篡改文件得以掩盖。
该计划包括制作“虚假且伪造的医生医嘱”，声称医生曾为医疗保险受益人做过检查，但实际上该医生几乎未与患者接触，或根本未接触过患者。据司法部透露，一名卧底特工伪装成医疗保险受益人时，被转接到一家海外呼叫中心，那里的代表极力劝说其同意订购多套支架。司法部表示，医生笔记声称曾为该卧底特工进行过各种检查，但特工与医生从未见过面。
布雷特·布莱克曼 美国司法部供图
司法部表示，布莱克曼及其同谋在整个计划期间向医疗保险和其他联邦医疗福利项目申报了超过10亿美元的账单，医疗保险及其他项目实际支付了超过4.5亿美元。
布莱克曼曾在一段音乐视频中炫耀自己的财富，其中包括展示一处大型滨水房产。司法部分享的一张照片显示，布莱克曼佩戴着包括带有大型美元符号项链在内的金色配饰摆拍。
根据司法部的说法，布莱克曼被判犯有共谋实施医疗保健欺诈和电信欺诈、共谋支付和收取医疗保健回扣，以及共谋欺骗美国并在医疗保健相关事项中作出虚假陈述。他面临的最高刑罚为：医疗保健欺诈和电信欺诈罪名每项最高20年监禁，其余罪名每项额外5年监禁。 sentencing听证会定于8月26日举行。
blob:https://www.cbsnews.com/4f371866-e5f4-4834-9257-5be054cfd9cb
“这一非法机构从美国纳税人手中窃取了超过10亿美元，其中包括数十万医疗保险受益人，”布兰奇在一份声明中说道。“这是针对病患和老年人的冷酷、蓄意的工业规模盗窃，胁迫弱势群体购买不必要的医疗设备。我们绝不松懈，直到每一个骗取美国民众钱财的欺诈者都被追究责任。”
布莱克曼音乐视频中展示的豪宅照片 美国司法部供图
布莱克曼的共同被告加里·考克斯于2025年6月被判有罪，并被判处15年监禁。考克斯是DMERx的首席执行官。
医疗保险欺诈已成为热门政治话题，共和党人和民主党人相互指责对方应对该问题负责。但现实情况是，欺诈在红蓝两州均有发生。
布莱克曼及其同谋最初于2023年在拜登政府任内被起诉。特朗普政府将打击欺诈列为核心优先事项之一，就此举行了多场新闻发布会并发布了多项相关公告。
2026年4月，司法部宣布成立欺诈部门。特朗普先生还成立了一个由副总统JD·万斯牵头的专项工作组，致力于消除欺诈行为。医疗保健欺诈，尤其是临终关怀和家庭医疗保健领域的欺诈，一直是本届政府的重点打击目标。
哥伦比亚广播公司新闻数月来一直在调查临终关怀欺诈。一项调查检查了目前在加利福尼亚州洛杉矶县运营的每家临终关怀机构的业务和财务记录，采用了州审计员认定的潜在欺诈预警信号作为评估标准。分析显示，洛杉矶县约1800家临终关怀机构中，有700多家触发了州定义的多项欺诈预警信号。
哥伦比亚广播公司新闻的调查还发现，根据可获得的最新完整年度数据，洛杉矶县一名临终关怀医生拉吉夫·布瓦瓦博士的名字出现在2024年加利福尼亚州126家临终关怀机构近2800名患者的医疗保险索赔中。布瓦瓦告诉哥伦比亚广播公司新闻，他对这些数据表示怀疑，并表示没有法律规定限制一名医生可以入职的临终关怀机构数量。但在简短交流后，他拒绝进一步置评。布瓦瓦已被禁止向医疗保险机构报账。
今年4月，国会共和党人在国会山举行听证会，哥伦比亚广播公司新闻报道中涉及的两人受邀作证。
同样在4月，加利福尼亚州有五人因涉嫌骗取该州医疗补助计划约2.67亿美元而被捕。
Software company owner convicted for running “cold, calculated” $1 billion Medicare fraud scheme
May 14, 2026 / 3:54 PM EDT / CBS News
The owner of a healthcare software company was convicted of massive Medicare fraud on Thursday, the Department of Justice said, ending what Acting Attorney General Todd Blanche called “one of the most egregious fraud schemes in Florida history.”
HealthSplash owner and CEO Brett Blackman, 42, and co-conspirators “aggressively targeted hundreds of thousands of Medicare beneficiaries to get them to accept medically unnecessary” products including orthotic braces, according to a DOJ news release.
Blackman and his co-conspirators used Power Mobility Doctor Rx, LLC, or DMERx, a platform acquired by HealthSplash in 2017, to coordinate illegal kickbacks with telemedicine doctors and pharmacies that would falsely bill Medicare for the unnecessary items, the DOJ said. The fraud was hidden with sham contracts and manipulation of documents.
The scheme included generating “false and fraudulent doctors’ orders” that indicated a doctor had examined a Medicare beneficiary, when in reality the doctor had little or no interaction with the patient. When an undercover agent posed as a Medicare beneficiary, they were shunted to an overseas call center, where representatives pushed them to agree to order multiple braces, according to the Justice Department. A doctor’s note claims that a physician conducted various tests on the undercover agent, but the agent and doctor never met, the DOJ said.
Brett Blackman Department of Justice
Blackman and his co-conspirators billed Medicare and other federal healthcare benefit programs over $1 billion throughout the course of the scheme, the Department of Justice said. Medicare and the other programs paid out more than $450 million.
Blackman showcased his wealth in a music video, including showing off a large waterfront property. A photo shared by the Justice Department shows Blackman posing in gold accessories, including a necklace with a large dollar sign.
Blackman was convicted of conspiracy to commit healthcare fraud and wire fraud, conspiracy to pay and receive healthcare kickbacks, and conspiracy to defraud the United States and to make false statements in connection with healthcare matters, according to the Department of Justice. He faces a maximum penalty of 20 years in prison on the charges of healthcare and wire fraud, and an additional five years on the other counts. A sentencing hearing is set for Aug. 26.
blob:https://www.cbsnews.com/4f371866-e5f4-4834-9257-5be054cfd9cb
“This illegitimate operation stole more than $1 billion from American taxpayers — including hundreds of thousands of Medicare beneficiaries,” Blanche said in a statement. “This was cold, calculated, industrial-scale theft targeting the sick and elderly, coercing vulnerable people into buying unnecessary medical equipment. We will not rest until every fraudster ripping off the American people is held accountable.”
A photo of the mansion shown in Blackman’s music video. Department of Justice
Blackman’s co-defendant Gary Cox was convicted in June 2025, and sentenced to 15 years in prison. Cox was the CEO of DMERx.
Medicare fraud has become a hot political topic, with Republicans and Democrats each blaming the other party for the problem. But the reality is that fraud occurs in both blue and red states.
Blackman and his co-defendants were originally indicted in 2023, under the Biden administration. The Trump administration has named targeting fraud one of its key priorities, leading to several press conferences and announcements on the issue.
In April 2026, the Department of Justice announced the creation of the Fraud Division. Mr. Trump has also established a task force, chaired by Vice President JD Vance, focused on eliminating fraud. Healthcare fraud, particularly in the hospice and home healthcare space, has been a particular target for the administration.
CBS News has been investigating hospice fraud for months. One investigation examined the business and financial records of every hospice currently operating in LA County, California, applying the same indicators identified by state auditors as potential red flags for fraud. The 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.
The CBS News investigation also found one Los Angeles County hospice physician’s name, Dr. Rajiv Bhuva, on Medicare claims for nearly 2,800 patients across 126 California hospices in 2024, according to the last full year of available data. Bhuva told CBS News he doubted the figures and said there was no statutory limit to the number of hospices any one physician can staff. But after a brief exchange, he declined to speak further. Bhuva is no longer allowed to bill Medicare.
In April, Republicans in Congress held a hearing on Capitol Hill, during which two of the people featured in the CBS News reporting were called to testify.
Also in April, five people in California were arrested for allegedly defrauding the state’s Medicaid program of about $267 million.
发表回复