一名来自卡加延省土格加劳市的菲律宾裔美国护士在德克萨斯州休斯顿被起诉，罪名是涉嫌主导一项医疗欺诈计划，向联邦医疗保险（Medicare）和军人医疗保险（TRICARE）提交了超过9.06亿美元的虚假索赔申请。
居住在内华达州拉斯维加斯的马里泽尔·坎布里·尤基（Marizel Cambri Yukee）于6月18日被起诉。检方表示，她及其同伙在2023年10月至2026年4月期间提交了欺诈性报销申请。联邦医疗保险和军人医疗保险已针对这些索赔支付了超过2.97亿美元。
尤基拥有并控制着多家统称为“尤基诊所”（Yukee clinics）的医疗机构。法庭文件显示，该计划涉及向医疗服务提供者支付非法回扣以转介患者。这些索赔所涉及的项目和服务在医学上既不合理也不必要。
当局指控称，这些非法所得被用于资助其奢华的生活方式。涉案资产包括一辆法拉利296 GTS、一辆凯迪拉克Escalade、一条宝格丽项链、一套夏威夷住宅以及位于卡加延省圣安娜的一家海滩度假村。检方目前正在寻求没收上述财产和资金。
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Herbert Leon Kimble, 60, was arrested in the Philippines and is back in the United States after failing to appear for sentencing in a Medicare fraud case involving more than $1.2 billion in alleged charges, according to federal officials and FBI postings.
A Columbus company owned by a couple with multiple criminal convictions has billed Ohio Medicaid nearly $1 million for home care services. True Home Healthcare LLC received payments despite restrictions on its owners' nursing licenses and questions over the work performed.
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Ombudsman Jesus Crispin Remulla has revealed a kickback scheme in private hospitals involving PhilHealth personnel and fraudulent billings. Patients are told their bills are not covered by PhilHealth, leading them to pay cash, after which hospitals alter receipts to claim PhilHealth payment. He urged patients to file complaints against those involved.
Federal prosecutors announced criminal charges Thursday against 15 defendants accused of stealing more than $90 million from Minnesota Medicaid and social service programs. The announcement came during a press conference in Minneapolis attended by top Trump administration officials. Authorities described the schemes as systematic theft targeting vulnerable populations including children with autism and the homeless.
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Nokuthula Mguni, a Zimbabwe Exemption Permit holder, died at Charlotte Maxeke Hospital in Johannesburg after staff delayed emergency treatment until an upfront payment was made. She passed away on 16 April following two operations for a severe infection.
The Sandiganbayan has opened proceedings against former health secretary Francisco Duque III and former budget official Lloyd Christopher Lao over alleged irregularities in a P41.46-billion fund transfer during the COVID-19 pandemic.
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Vanessa O'Rourke faces federal wire fraud charges after allegedly raising funds by claiming she had terminal brain cancer.