“完全疯狂”:联邦政府以欺诈为由扣留加州 13 亿美元医疗补助报销款
"Completely Insane": Federal Govt Withholds $1.3BN In Medicaid Reimbursements To California, Citing Fraud

原始链接: https://www.zerohedge.com/political/federal-government-withholds-13bn-medicaid-reimbursements-california-citing-fraud

副总统万斯宣布,特朗普政府因怀疑加利福尼亚州存在欺诈性账单问题,将扣留该州 13 亿美元的医疗补助计划(Medicaid)拨款。医疗保险和医疗补助服务中心(CMS)局长梅赫 Mehmet Oz 博士指出,加州在个人护理服务上的支出增长速度是全国平均水平的两倍,其中 6.3 亿美元已被认定为极端的账单异常,另有 5 亿美元被视为高风险资金。 Oz 博士强调,此次整顿行动不仅限于加州;政府近期已清除了 800 家涉嫌违规的联邦医疗保险(Medicare)供应商。值得注意的是,这些供应商中只有不到 20 家对被除名提出异议,官员们认为这证明了普遍存在的非法行为。万斯与 Oz 均表示,此举是保护纳税人资金、确保社会安全网项目能够惠及真正需要家庭的必要措施。

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原文

Authored by Lawrence Wilson via The Epoch Times,

The Trump administration will withhold $1.3 billion in Medicaid payments to California due to potentially fraudulent billing patterns, Vice President JD Vance announced on May 13.

The action comes among a host of others taken recently to crack down on fraudulent activity in Medicare and Medicaid.

“We want to protect these programs for the kids and the families who need them. We want to ensure that the American taxpayer isn’t getting fleeced,Vance told reporters.

Analysis of Medicaid billing patterns in California aroused suspicion, according to Dr. Mehmet Oz, administrator of the Centers for Medicare and Medicaid Services.

“We’ve discovered $630 million in billing from folks who are egregiously the top 5 percent of outliers in billing. These numbers are so big you can’t imagine anyone billing for these [amounts],” Oz told reporters.

California itself is an outlier among states, Oz said.

“In California, the growth of spending on personal care services is twice the rate of the average of the rest of the country,” Oz said.

“We estimate there’s $500 million that could be a risk of being taken from federal taxpayers.”

Fewer than 20 of 800 Medicare providers recently removed from the program due to suspicious billing activity have called to complain, Oz said, offering that as evidence that they likely were not legitimate providers.

VP Vance responded with a double take after hearing that wild stat from Dr. Oz:

"You're saying that we kicked off 800 fraudulent healthcare providers off of the Medicare system and not a single one of them called the government and said, 'hey, you made a mistake?'"

"It's just completely insane," remarked a surprised Vance!!

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