Congress Investigates Medicare and Medicaid Fraud
國會調查聯邦醫療保險與醫療補助詐欺行為
Medicare and Medicaid are critical health programs covering over 140 million Americans, but their massive scale makes them prime targets for criminal fraud.
聯邦醫療保險（Medicare）與醫療補助（Medicaid）是涵蓋超過一億四千萬名美國人的關鍵醫療計畫，然而其龐大的規模使其成為犯罪詐騙的主要目標。
The Government Accountability Office has flagged these programs as high-risk, noting that fraud, waste, and abuse cost taxpayers over $100 billion annually.
政府稽核處（GAO）已將這些計畫列為高風險，並指出詐騙、浪費與濫用每年導致納稅人損失超過一千億美元。
Congressional committees like the House Energy and Commerce Committee frequently investigate these issues to ensure fiscal responsibility and patient safety.
眾議院能源與商業委員會等國會委員會頻繁調查這些問題，以確保財政責任與病患安全。
Fraudulent schemes range from identity theft to billing for services never performed, such as phantom equipment or unnecessary therapy sessions.
詐騙手法層出不窮，從身分竊盜到虛報未曾執行的服務（如幽靈設備或不必要的治療課程）。
These criminal networks often find healthcare fraud more lucrative than the illicit drug trade.
這些犯罪網絡通常認為醫療保健詐騙比非法毒品交易更為有利可圖。
To combat this, Congress holds hearings and works with the Department of Justice to recover funds through the False Claims Act.
為了打擊此類犯罪，國會召開聽證會，並與司法部合作，透過《虛假申報法》追回資金。
Improving data infrastructure and implementing strict risk-based screening are essential steps to protect the long-term solvency of these vital programs.
改善資料基礎設施並實施嚴格的風險基礎篩選，是保護這些重要計畫長期償付能力的必要步驟。
