US Justice Department Charges Hundreds in Massive Healthcare Fraud Operation
美國司法部對大規模醫療詐欺行動中的數百人提出指控
更新於: 2026年6月24日 下午12:15
Department of Justice (DOJ) unveiled the results of its 2026 National Health Care Fraud Takedown.
這次大規模的兩週行動，對455名被告（包括90名醫生）提出指控，指控他們在醫療保健詐欺計畫中扮演了角色。
This massive two-week operation resulted in charges against 455 defendants, including 90 doctors, for their roles in fraudulent healthcare schemes.
這些案件遍布56個聯邦地區，揭發了高達65億美元的虛假帳單申報。
These cases, spread across 56 federal districts, uncovered a staggering $6.5 billion in false billing claims.
此次行動是司法部歷史上第二大規模的醫療保健詐欺執法行動，展現了聯邦與州政府機關之間前所未有的合作。
The operation marks the second-largest healthcare fraud enforcement action in DOJ history, showcasing unprecedented cooperation between federal and state authorities.
調查人員利用先進的數據分析技術來偵測可疑的帳單模式，特別針對醫療補助（Medicaid）詐欺以及如羊膜創傷同種異體移植物（Amniotic wound allografts）等不必要的醫療程序。
Investigators used advanced data analytics to detect suspicious billing patterns, particularly targeting Medicaid fraud and unnecessary procedures like amniotic wound allografts.
其中一個引人注目的案件，涉及一家僅在聯邦醫療保險（Medicare）帳單申報金額就高達40億美元的公司。
Officials emphasized that this "whole-of-government" effort is essential to protecting the integrity of programs like Medicare and Medicaid.
透過阻止這些「突擊破產」（Bust-out）計畫和醫療服務濫用，司法部旨在確保納稅人的錢被用於合法的病患照護，而不是進入那些犯下大規模金融犯罪者的口袋。
By stopping these "bust-out" schemes and medical service abuses, the DOJ aims to ensure taxpayer money is spent on legitimate patient care rather than lining the pockets of those committing large-scale financial crimes.
