远程医疗公司老板骗医保2790万美元被判7年：给3000多人开不必要的支具
2026年2月26日，美国司法部宣布，远程医疗公司老板 Reinaldo Wilson 被判处7年联邦监禁，并被判令支付2790万美元赔偿。他通过名下公司向联邦医疗保险申报不必要的耐用医疗设备，虚假申报总额超过5600万美元。Wilson 现年57岁，此前住在佐治亚州 Richmond Hill，他名下的两家远程医疗公司位于新泽西州哈德逊县巴约讷市。
据法庭文件与法庭陈述，2017年至2019年，Wilson 等人向医疗提供者支付非法回扣，让他们为并不需要支具的联邦医疗保险受益人签署矫形支具医嘱，再把签好的医嘱非法卖给所谓的营销公司，营销公司又转卖给支具公司，由支具公司向联邦医疗保险申报。Wilson 手下的提供者为3000多名受益人每人签署四份以上支具医嘱，40多人被开了十份以上。Wilson 还通过一家教会成员新设远程医疗公司来掩盖罪行：他说服这名成员把这说成投资机会，拿走对方2万美元，让对方以自己的名义开设公司与银行账户，再由他实际控制。
在整个共谋期间，Wilson 与同谋向联邦医疗保险提交了超过5600万美元的虚假欺诈申报，联邦医疗保险实际支付超过2790万美元。Wilson 已于2021年3月就共谋电汇欺诈与医疗保健欺诈认罪。
司法部刑事司助理部长 A. Tysen Duva 说，Wilson 没有把患者与正当医疗连接起来，而是用他的远程医疗公司掏空联邦医疗保险、中饱私囊。联邦调查局纽瓦克外地办事处特别探员主管 Stefanie Roddy 说，Wilson 在短短两年里靠一伙不法医疗提供者与同谋，攒下超过5600万美元的欺诈性联邦医疗保险申报。此案由联邦调查局、国税局刑事调查部门与卫生与公众服务部督察长办公室调查，司法部刑事司欺诈科审判律师 Darren C. Halverson 与 Nicholas K. Peone 负责起诉。
Telemedicine Company Owner Sentenced to 7 Years in Prison for $56M Medicare Fraud Scheme
On February 26, 2026, the U.S. Department of Justice announced that Reinaldo Wilson, the owner of two telemedicine companies, had been sentenced to 7 years in federal prison and ordered to pay $27.9 million in restitution for his role in a scheme to fraudulently bill Medicare for unnecessary durable medical equipment, with false claims totaling over $56 million. Wilson, 57, formerly of Richmond Hill, Georgia, owned and operated the two companies in Bayonne, in Hudson County, New Jersey.
According to court documents and statements made in court, between 2017 and 2019, Wilson and others paid illegal kickbacks to medical providers to sign orders for orthotic braces for Medicare beneficiaries who did not need them, then illegally sold the signed orders to purported marketing companies, which often re-sold the orders to brace companies that submitted the claims to Medicare. Providers working for Wilson's telemedicine companies signed orders for four or more orthotics apiece for over 3,000 beneficiaries, and more than 40 beneficiaries received orders for 10 or more orthotics. Wilson also attempted to conceal his crimes by creating a new telemedicine company through a member of his church, convincing her it was an investment opportunity, taking $20,000 from her, and having her open the company and bank accounts in her name, which he then took control of.
During the conspiracy, Wilson and others submitted over $56 million in false and fraudulent claims to Medicare, of which Medicare paid over $27.9 million. In March 2021, Wilson pleaded guilty to conspiracy to commit wire fraud and health care fraud.
Assistant Attorney General A. Tysen Duva of the Justice Department's Criminal Division said that instead of connecting patients with legitimate care, Wilson used his telemedicine companies to exploit Medicare and line his own pockets. Special Agent in Charge Stefanie Roddy of the FBI's Newark Field Office said Wilson amassed over $56 million in fraudulent Medicare claims over the span of only two years, through a cadre of crooked medical providers and co-conspirators. The FBI, IRS Criminal Investigation, and the U.S. Department of Health and Human Services Office of Inspector General investigated the case. Trial Attorneys Darren C. Halverson and Nicholas K. Peone of the Criminal Division's Fraud Section prosecuted the case.
来源：美国司法部
发布：GSM·美国（发布链接）
图片来源：图：位于美国华盛顿的联邦调查局总部胡佛大楼（资料照片）。ajay_suresh 摄，CC BY 2.0，经 Wikimedia Commons；联邦固定图库标准图。 / Photo: The J. Edgar Hoover Building, headquarters of the Federal Bureau of Investigation, in Washington, D.C. (file photo). Photo by ajay_suresh, CC BY 2.0, via Wikimedia Commons; federal fixed-library image.
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