小罗伯特·肯尼迪称政府暂停向加利福尼亚州和明尼苏达州发放超过 10 亿美元的医疗补助金。
RFK Jr. Says Government Pausing More Than $1 Billion In Medicaid Payments To California, Minnesota

原始链接: https://www.zerohedge.com/political/rfk-jr-says-government-pausing-more-1-billion-medicaid-payments-california-minnesota

卫生部长小罗伯特·F·肯尼迪与联邦医疗保险和医疗补助服务中心(CMS)局长穆罕默德·奥兹医生宣布,联邦政府将扣留向加利福尼亚州和明尼苏达州支付的逾10亿美元医疗补助资金,理由是担心存在潜在的欺诈和财务滥用行为。官员们利用人工智能和高级分析技术,识别出了包括为已故人员开具账单以及家庭护理服务费用过高等在内的可疑模式。 肯尼迪强调,此次停付旨在保护纳税人资金并确保合法的护理服务,并表示各州必须提供证明文件以核实这些款项。CMS澄清,此举是其对财政诚信承诺的一部分。 两州州长均对这一决定表示强烈批评。明尼苏达州州长蒂姆·沃尔兹斥责此举是伤害弱势群体的政治攻击,加利福尼亚州州长加文·纽森则称其为有针对性的政治报复,并坚称该州仍致力于打击欺诈行为。 此举紧随今年早些时候的暂停付款行动,符合本届政府积极打击医疗欺诈的既定目标;此前该行动已导致数百名医疗专业人员受到刑事指控。

相关文章

原文

Authored by Zachary Stieber via The Epoch Times,

The federal government is pausing more than $1 billion in Medicaid payments to two states, Health Secretary Robert F. Kennedy Jr. said. The Centers for Medicare and Medicaid Services (CMS) is withholding more than $867 million from California and more than $200 million from Minnesota.

Advanced analytics, identified through financial investigation and artificial intelligence, identified suspicious activity and potential fraud, officials said.

“Every dollar the federal government allows to be lost to fraud, waste, and abuse is a dollar stolen from American patients and the American taxpayer. That’s money that should be going to legitimate health care,” Kennedy told a press conference in Washington.

He added later, “If those states want that money, they need to provide documentation that these payments are legitimate.”

Minnesota Gov. Tim Walz, a Democrat, told The Epoch Times via email, “The Trump Administration is cutting more money in healthcare than they’ve prosecuted for fraud. The math doesn’t add up. They’re not punishing fraudsters, they’re punishing children, seniors, working families, and people with disabilities. This is about cutting healthcare for people they don’t care about in their campaign of retribution against Minnesota.”

Walz’s office said that he has been combating Medicaid fraud, including halting 745 payments since January.

California Gov. Gavin Newsom said on X that California was being targeted for political reasons.

“We hate fraud. That’s not what this is. And we stand ready to collaborate with CMS in good faith efforts to combat fraud,” he wrote.

Medicaid is a federal health program. About 67 million Americans were enrolled in Medicaid as of March. Medicaid is administered by states, which must follow federal requirements, and is funded by both the federal government and states.

Dr. Mehmet Oz, the CMS administrator, told reporters on Tuesday that officials want the states to help the federal government make sure the funds are going to “real people with real problems getting real care.”

Among the problems identified, he said, was the federal government being charged for providers providing care for deceased people and providers billing for services provided more than a year prior.

He also said that California’s spending on support services for people at their homes increased 24 percent in recent years, which was about twice the average across the other states.

“If it smells like fraud, we’re not paying for it anymore,” Oz said.

Dan Brillman, director of Medicaid, said during the briefing that the Trump administration is still withholding an additional $259 million from Minnesota and $1.3 billion from California that officials said they were pausing earlier in the year.

Federal Trade Commission Chairman Andrew Ferguson, vice chairman of the White House’s Anti-Fraud Task Force, said on Tuesday that the administration is also focused on sending people who commit fraud to jail, pointing to how federal prosecutors in June said they’ve charged 455 people, including 90 doctors and other medical professionals with licenses, with participating in health care fraud and opioid abuse operations.

联系我们 contact @ memedata.com