医疗软件老板布莱克曼医保诈骗案判刑19年：虚假医嘱开账逾10亿美元 34.6万名受益人被冒名
美国司法部10月14日宣布，医疗软件公司HealthSplash老板兼首席执行官布雷特·布莱克曼（Brett Blackman，43岁，堪萨斯州约翰逊县人）被判处19年监禁。他运作的互联网平台批量生成虚假医生医嘱与处方，向联邦医疗保险（Medicare）等联邦医疗福利项目开账逾10亿美元。
法庭文件与庭审证据显示，布莱克曼通过HealthSplash于2017年9月收购互联网平台DMERx（Power Mobility Doctor Rx, LLC）。该平台生成涉及耐用医疗设备的虚假医嘱，主要是矫形支具及其他物品的处方。布莱克曼与同伙通过境外呼叫中心、误导性邮寄广告与电视广告，锁定数十万名医保受益人，诱使他们接受并无医疗必要的支具、止痛膏等物品；再付费让所谓远程医疗医生签字开单，这些医生并未实际诊察患者，部分情况下与患者毫无接触。布莱克曼一方从中收取介绍费抽成。
涉案的医疗设备供应商与药房凭这些医嘱向医保及其他保险方开账逾10亿美元，实际获付逾4.5亿美元。司法部称，共有超过34.6万名医保受益人名下的支具被开账，平均每人四件；其中逾1,200名受益人名下被开出至少21件经DMERx平台开具的矫形器具。一名卧底探员冒充受益人经历了整个流程：境外呼叫中心劝其接受多件支具，随后一名医生在平台上签署医嘱，声称做过只能当面进行的检查，而该医生从未与这名「患者」说过话。
布莱克曼经为期23天的陪审团审判后，于2026年4月被裁定犯有共谋医疗保健诈骗与电信诈骗罪、共谋支付与收受医疗回扣罪，以及共谋诈骗美国政府并就医疗事项作虚假陈述罪。其赔偿与没收金额将由法院另行裁定。同案被告加里·考克斯（Gary Cox）已于2025年12月被判处15年监禁。
司法部国家欺诈执法司助理司法部长科林·麦克唐纳（Colin M. McDonald）表示，司法部与合作机构捣毁了有史以来规模最大的远程医疗诈骗案之一，该骗局把数十万名年长与残障美国人诱入一套国际电话营销系统，目标就是尽可能多地窃取医保信托基金。此案由卫生与公众服务部监察长办公室、联邦调查局、退伍军人事务部监察长办公室与国防刑事调查局联合调查。
（来源：美国司法部公共事务办公室）
Health Care Software CEO Brett Blackman Sentenced to 19 Years in $1B Medicare Fraud Scheme
A Kansas CEO and owner of an internet platform was sentenced on October 14 to 19 years in prison for his role in operating a platform that generated false doctors' orders and prescriptions used to bill Medicare and other federal health care benefit programs more than $1 billion, the U.S. Department of Justice announced.
According to court documents and evidence presented at trial, Brett Blackman, 43, of Johnson County, Kansas, owned, controlled and served as CEO of HealthSplash, which acquired Power Mobility Doctor Rx, LLC (DMERx) in September 2017. DMERx was an internet-based platform that generated false and fraudulent doctors' orders for durable medical equipment and prescriptions for other items. Blackman and his co-conspirators connected pharmacies, equipment suppliers and marketers with telemedicine companies that accepted illegal kickbacks and bribes in exchange for signed doctors' orders, and took a cut of the referral fees themselves.
The conspirators aggressively targeted hundreds of thousands of Medicare beneficiaries through foreign call centers, misleading mailers and television advertising, pressing them to accept medically unnecessary orthotic braces, pain creams and other items. The doctors who signed the orders were paid to do so without any meaningful interaction with the beneficiaries, and in some cases with no interaction at all. Testimony from an undercover agent who posed as a beneficiary walked through the pipeline: a foreign call center pushed the agent to accept multiple braces, and a doctor then signed an order through DMERx claiming to have performed tests that can only be done in person, even though the doctor never spoke with the "patient."
The suppliers and pharmacies billed Medicare and other insurers more than $1 billion and were paid more than $450 million. Medicare was billed for orthotic braces for more than 346,000 beneficiaries, an average of four braces per beneficiary; more than 1,200 beneficiaries were billed for at least 21 orthotics prescribed through the platform.
After a 23-day jury trial ending in April 2026, Blackman was convicted of conspiracy to commit health care fraud and wire fraud, conspiracy to pay and receive health care kickbacks, and conspiracy to defraud the United States and make false statements in connection with health care matters. His restitution and forfeiture obligations will be determined by the court at a later date. His co-defendant, Gary Cox, was sentenced to 15 years in prison in December 2025.
Assistant Attorney General Colin M. McDonald of the Justice Department's National Fraud Enforcement Division said the department and its partners dismantled one of the largest telemedicine fraud schemes ever. The case was investigated by the HHS Office of Inspector General, the FBI, the VA Office of Inspector General and the Defense Criminal Investigative Service.
Source: U.S. Department of Justice, Office of Public Affairs, news release issued October 15.
来源：美国司法部公共事务办公室
发布：GSM·美国（发布链接）
图片来源：美国卫生与公众服务部总部休伯特·汉弗莱大楼 / The Hubert H. Humphrey Building, headquarters of the U.S. Department of Health and Human Services in Washington, D.C. Photo: Gunnar Klack, CC BY-SA 4.0, via Wikimedia Commons
GSM Global · 本篇英文版 English edition of this story
