明尼苏达州预付医疗补助欺诈法案;全国范围欺诈超过37B美元,由供应商和经纪人驱动。
Minnesota advances Medicaid fraud bill; nationwide fraud exceeds $37B, driven by providers and brokers.
明尼苏达州医疗援助计划(Medicaid)欺诈法案(MAP Act)在通过司法委员会后有所进展,目的是在政治分歧下扩大总检察长的欺诈小组,加大处罚力度。
Minnesota’s Medicaid fraud bill, the MAP Act, advances after passing the Judiciary Committee, aiming to expand the Attorney General’s fraud unit and boost penalties, amid a political divide over solutions.
与此同时,北卡罗来纳州一个涉及假治疗中心的欺诈圈子导致14年徒刑和数百万损失,凸显了入学和计费方面的系统性脆弱性。
Meanwhile, a North Carolina fraud ring involving fake treatment centers led to 14-year sentences and millions in losses, highlighting systemic vulnerabilities in enrollment and billing.
就全国而言,2025年,不适当的医疗补助付款超过370亿美元,欺诈主要是由提供者和经纪人而不是受益人推动的。
Nationally, improper Medicaid payments exceeded $37 billion in 2025, with fraud largely driven by providers and brokers, not beneficiaries.
尽管国家做出了新的努力,但大多数战略仍然是被动的,侧重于恢复而不是预防,使数十亿人面临风险。
Despite new state efforts, most strategies remain reactive, focusing on recovery rather than prevention, leaving billions at risk.