奥兹医生说反欺诈行动将覆盖“所有50个州”
Dr. Oz Says Anti-Fraud Effort Coming To 'All 50 States'

原始链接: https://www.zerohedge.com/political/dr-oz-says-anti-fraud-effort-coming-all-50-states

梅特·奥兹博士,医疗保险和医疗补助服务中心(CMS)的负责人,宣布了一项全国性的反欺诈行动,针对所有50个州的医疗保险和医疗补助项目。CMS要求各州在30天内提交计划,详细说明他们将如何重新验证服务提供者,尤其是在高风险地区,以确保受益人真实存在且服务合法。 奥兹表示,如果各州不完全合作,CMS可能会采取“更积极”的审计行动。此举是在加利福尼亚州、佛罗里达州、缅因州和纽约州等州最近出现欺诈指控的基础上展开的。 该公告发布后,CMS发布了一项更正声明,修正了关于个人护理服务受益人数量的错误统计数据,奥兹最初声称该数字为510万(实际数字约为45万)。这项行动是特朗普政府更广泛打击欺诈和控制支出的努力的一部分,可能会对被认为不合规的州停止资金,并引发一些州(如加利福尼亚州)的法律挑战,这些州认为联邦政策的变化阻碍了反欺诈预防。

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原文

Authored by Jack Phillips via The Epoch Times,

Dr. Mehmet Oz, the administrator of the agency overseeing Medicaid and Medicare, announced Tuesday that his agency’s anti-fraud effort will come to every state.

During an interview at a Politico-hosted event, Oz said that every U.S. state can expect anti-fraud activities involving funds received through the Centers for Medicare & Medicaid (CMS).

“We are going to announce this week that all 50 states are going to be requested to give us a plan over the next 30 days of how they’re going to re-validate providers in high-risk areas in their states,” Oz said.

Oz explained that it would involve proving whether individuals who are enrolled in CMS programs “really exist” or not, and whether the states “have a right to provide these services.”

“We’re asking the states to own that problem ... red and blue, all of them,” he said, responding to a question from the Politico moderator about whether it involves every state.

He later added that if states “don’t take it seriously, it indicates to us that we might have to take the audits ... more aggressively.”

When asked about a possible deadline, he said CMS is asking the states to provide the agency with a plan over the next month.

Oz, a medical doctor better known as the moniker Dr. Oz from when he was a television personality, oversees the nation’s largest health insurance programs as the administrator of CMS. To date, Oz has sent letters to California, Florida, Maine, and New York alleging fraud in the states’ Medicaid programs.

At the Tuesday event, the Politico interviewer mentioned CMS having issued a statement earlier this month to correct a comment made by Oz on social media that 5.1 million beneficiaries received personal care services, which include things like help with eating, bathing, and dressing.

However, the real number receiving services was about 450,000, the CMS spokesperson said.

Oz’s comment drew criticism from New York Gov. Kathy Hochul’s office, with a spokesperson saying that it was “patently false” and her office is “glad they now admit it.”

During the interview, Oz emphasized the Trump administration’s efforts to address fraud around the country, which federal officials say is needed to rein in runaway spending and protect taxpayers.

With many midterm voters concerned about the cost of living in the United States, President Donald Trump has ramped up efforts to address it, announcing last month that Vice President JD Vance would help balance the nation’s budget by spearheading a national “war on fraud.”

The Trump administration has sought to withhold funding from some Democrat-led states in recent months, citing fraud concerns. This has included child care subsidies and other social services programs in Minnesota, New York, and three other states and with the Supplemental Nutrition Assistance Program (SNAP) in 22 states that have declined to hand over data that the federal government says is needed to root out fraud.

Lawsuits have been filed in response to the he anti-fraud efforts led by the federal government. In several cases, judges have ruled that the federal money must continue to flow for the time being.

In California, Gov. Gavin Newsom’s office, in response to claims of widespread hospice fraud in Southern California, blamed the Trump administration, in part, for entitlement fraud in the state.

In January, Newsom’s office said in a statement the administration has “dismantled the federal government’s ability to prevent and address fraud.”

“California didn’t wait—we’ve identified and cracked down on hospice fraud for years, taking real action to protect patients and taxpayers,” Newsom said in a statement.

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