2026年5月27日 美国东部时间下午3:09 / 哥伦比亚广播公司新闻
联邦官员周三独家向哥伦比亚广播公司新闻透露，联邦政府计划加快审查针对医疗保险等福利项目的欺诈相关的特定举报人投诉。
官员们表示，此举将有助于快速推进欺诈执法，这是特朗普政府的一项优先事项。
美国司法部会审查根据《虚假申报法》提出的举报人投诉，该法律是联邦层面用于打击针对包括医疗保险和拨款在内的政府项目的涉嫌欺诈案件的主要成文法。这些项目由联邦政府资助，由各州负责管理。
如今，司法部民事部门表示，将优先处理这些投诉，在60至120天的时限内决定是继续诉讼、进一步调查还是驳回投诉。
消息人士称，在120天内做出驳回投诉的决定并不常见。司法部表示，正致力于向哥伦比亚广播公司新闻提供有关已受理案件当前决策时间表的更多信息。
这类案件中有许多是以所谓的“qui tam诉讼”（即由私人个人提起的诉讼，这些个人也被称为“ relators”（告发人））启动的。在初步审查后，司法部要么允许告发人继续诉讼，要么进一步展开调查，要么认定投诉应予驳回。
司法部在发给哥伦比亚广播公司新闻的一份新闻稿中表示：“这些改革将赋予本部门快速处理有依据的qui tam诉讼案件的能力，最大限度利用有限的执法资源，并专注于摧毁利用纳税人资助项目的精密欺诈计划。”
如果索赔成功，举报者可以获得政府追回的欺诈所得福利中的可观份额。
司法部民事部门助理总检察长布雷特·A·舒梅特表示：“通过加快审查涉嫌福利欺诈的qui tam投诉，我们能够更迅速地识别并破坏新兴的欺诈计划，战略性地部署执法资源以追回纳税人的资金，并加强政府在更大范围内打击欺诈的行动。”
特朗普政府已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公告。共和党人和民主党人就谁应为导致欺诈出现的环境负责、谁在采取更多措施解决问题一事互相抨击。
今年4月，司法部宣布成立欺诈部门。特朗普还设立了由副总统JD·万斯牵头的专项工作组，专注于消除欺诈行为。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，一直是本届政府的特定打击目标。
加利福尼亚州也成立了欺诈专项工作组，多个机构专门针对临终关怀欺诈计划展开工作。
哥伦比亚广播公司新闻数月来一直在调查临终关怀欺诈问题。其中一项调查审查了洛杉矶县目前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危险信号指标。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危险信号https://www.youtube.com/watch?v=8RZYtfX9IYA。
加州总检察长罗布·邦塔表示，其办公室已针对临终关怀行业的100多名被告提起了刑事欺诈诉讼，以及约24起民事案件。
同样在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提到的两人受邀在听证会上作证。
亚当·山口和雷切尔·戈尔德对本报道亦有贡献。
关于洛杉矶县涉嫌临终关怀欺诈的深度报道
https://www.cbsnews.com/video/deep-dive-alleged-hospice-fraud-california/
加州涉嫌临终关怀欺诈深度报道
（时长16:47）
Justice Department to start fast-tracking benefits fraud enforcement
May 27, 2026 3:09 PM EDT / CBS News
The federal government plans to speed up the review of certain whistleblower complaints related to fraud against benefit programs like Medicare, federal officials told CBS News exclusively Wednesday.
The officials said the move will help to fast-track fraud enforcement, a Trump administration priority.
The U.S. Department of Justice reviews whistleblower complaints made under the False Claims Act, which is the main federal statute used to fight cases of alleged fraud against government programs, including Medicare and grants. These programs are federally funded and administered by states.
Now, the DOJ Civil Division says it will prioritize these complaints to decide if it will continue with litigation, investigate further or dismiss within a 60- to 120-day window.
Sources said it is unusual to make a decision to decline a claim in less than 120 days. DOJ says it is working to provide CBS News with more information on the current timeline for decisions on cases that move forward.
Many of these cases start as complaints, known as qui tam actions, made by private individuals, who are also called relators. After the initial review, the Department of Justice will either allow the relator to continue with the litigation, investigate further or decide the complaint should be dismissed.
“These reforms will empower the Department to move quickly on meritorious qui tam cases, maximize finite enforcement resources, and focus on dismantling sophisticated fraud schemes that exploit taxpayer-funded programs,” DOJ said in a release shared with CBS News.
If a claim is successful, the person who reported it can receive a significant share of the government’s recovery of the fraudulently obtained benefits.
“By accelerating review of qui tam complaints alleging benefits fraud, we can more rapidly identify and disrupt emerging schemes, strategically deploy enforcement resources to recover taxpayer money, and strengthen the government’s broader fight against fraud,” said Assistant Attorney General Brett A. Shumate of the Justice Department’s Civil Division.
The Trump administration has named targeting fraud one of its key priorities, leading to several press conferences and announcements on the issue. Republicans and Democrats have traded barbs about who is responsible for creating circumstances that allow for fraud and who is doing more to fix it.
In April, 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.
The state of California has also established a fraud task force, where multiple agencies focus specifically on hospice fraud schemes.
CBS News has been investigating hospice fraud for months. One investigation examined the business and financial records of every hospice currently operating in Los Angeles County, 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 L.A. County trigger multiple red flagshttps://www.youtube.com/watch?v=8RZYtfX9IYA for fraud as defined by the state.
California attorney general Rob Bonta says his office has brought criminal fraud cases against more than 100 defendants in the hospice industry and about two dozen civil cases.
Also 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.
Adam Yamaguchi and Rachel Gold contributed to this report.
Deep dive into alleged L.A. hospice fraud
https://www.cbsnews.com/video/deep-dive-alleged-hospice-fraud-california/
A deep dive into alleged hospice fraud in California
(16:47)
发表回复