堪萨斯企业主涉逾10亿美元医保欺诈获刑19年 逾34.6万名受益人被开矫形支具
堪萨斯州约翰逊县——美国司法部10月15日发布消息：堪萨斯州企业主布雷特·布莱克曼（Brett Blackman）已于10月14日被判处19年监禁。布莱克曼现年43岁，居住在堪萨斯州约翰逊县，是医疗软件公司HealthSplash的所有人兼首席执行官。司法部称，他运营的网络平台生成虚假的医生医嘱与处方，涉案方向联邦医疗保险（Medicare）及其他联邦医疗福利项目开出的账单总额超过10亿美元，Medicare与其他保险方据此实际支付了超过4.5亿美元。
据法庭文件与庭审证据，HealthSplash于2017年9月收购了Power Mobility Doctor Rx, LLC（DMERx）。DMERx是一个网络平台，为耐用医疗设备及其他用品生成虚假的医生医嘱与处方。布莱克曼与同伙针对全美数十万名Medicare受益人进行推销，劝说他们接受并无医疗必要的矫形支具等用品，再安排所谓的远程医疗医生签署虚假医嘱，供同伙向Medicare开账。该平台把药房、耐用医疗设备供应商和营销方与远程医疗公司连接起来，后者收受非法回扣与贿赂以换取签署医嘱，布莱克曼一方则从转介中抽成。这些医嘱虚称医生已经实际诊查并治疗过受益人，但实际上医生只是收费签字，与受益人没有实质接触，有些甚至完全没有接触。庭审中一名卧底探员假扮Medicare受益人的经历呈现了这一运作方式：先是境外呼叫中心劝说其接受多件支具，随后一名医生通过DMERx平台签署了支具医嘱，其中一份医嘱声称医生做过只能当面进行的检查，而该医生从未与这名“患者”通过话。检方称，布莱克曼与同伙还以虚假合同掩盖这一骗局，并从医嘱中删去涉及远程医疗的表述，以规避Medicare审计。
就规模而言，Medicare被就矫形支具向超过346,000名受益人开账，平均每名受益人约被开4件支具；其中有超过1,200名受益人经布莱克曼的DMERx平台被开出至少21件矫形器具。
2026年4月，一场为期23天的陪审团审判结束，布莱克曼被裁定三项共谋罪名成立：共谋实施医疗欺诈与电汇欺诈，共谋支付与收受回扣，以及共谋诈骗美国政府并在医疗保健事项上作虚假陈述。他的赔偿与没收义务将由法院在日后另行裁定。同案被告加里·考克斯（Gary Cox）已于2025年12月被判处15年监禁。此案由美国卫生与公众服务部督察长办公室、联邦调查局、退伍军人事务部督察长办公室和国防刑事调查局联合调查，司法部欺诈部门检察官达伦·C·哈尔弗森（Darren C. Halverson）与小雷金纳德·凯勒（Reginald Cuyler Jr.）负责起诉。
（GSM 据美国司法部2026年10月15日发布整理）
Kansas Company Owner Sentenced to 19 Years in $1B Medicare Fraud; Braces Billed for More Than 346,000 Beneficiaries
JOHNSON COUNTY, Kansas — The U.S. Department of Justice announced on October 15 that Kansas business owner Brett Blackman was sentenced on October 14 to 19 years in prison. Blackman, 43, of Johnson County, Kansas, owned and served as chief executive officer of the health care software company HealthSplash. According to the Justice Department, the internet platform he operated generated false doctors' orders and prescriptions, and the scheme billed Medicare and other federal health care benefit programs more than $1 billion in total, with Medicare and other insurers paying out more than $450 million on those claims.
According to court documents and evidence presented at trial, HealthSplash acquired Power Mobility Doctor Rx, LLC (DMERx) in September 2017. DMERx was an internet-based platform that generated false doctors' orders for durable medical equipment and prescriptions for other items. Blackman and his co-conspirators targeted hundreds of thousands of Medicare beneficiaries across the United States, pressing them to accept medically unnecessary orthotic braces and other items, and then arranged for purported telemedicine doctors to sign bogus orders that co-conspirators used to bill Medicare. The platform connected pharmacies, equipment suppliers and marketers with telemedicine companies that accepted illegal kickbacks and bribes in exchange for signed orders, and Blackman and his co-conspirators took a cut for the referrals. The orders falsely stated that a doctor had examined and treated the beneficiary, when in fact the doctors were paid to sign without any meaningful interaction with the beneficiary, and in some cases with no interaction at all. Testimony from an undercover agent who posed as a Medicare beneficiary showed how the scheme worked: a foreign call center first pushed the agent to agree to multiple braces, and a doctor then signed orders through the DMERx platform, including one claiming that tests which can only be performed in person had been conducted, even though the doctor had never spoken with the agent. Prosecutors said the scheme was concealed through sham contracts and by removing references to telemedicine from the orders to avoid Medicare audits.
In scale, Medicare was billed for orthotic braces for more than 346,000 beneficiaries, an average of about four braces per beneficiary, and more than 1,200 beneficiaries were billed for at least 21 orthotics prescribed through the DMERx platform.
After a 23-day jury trial that ended in April 2026, Blackman was convicted of conspiracy to commit health care fraud and wire fraud, conspiracy to pay and receive kickbacks, and conspiracy to defraud the United States and to 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 in December 2025 to 15 years in prison. The case was investigated by the Department of Health and Human Services Office of Inspector General, the FBI, the Department of Veterans Affairs Office of Inspector General and the Defense Criminal Investigative Service, and was prosecuted by Darren C. Halverson and Reginald Cuyler Jr. of the Justice Department's Fraud Division.
(GSM, based on the U.S. Department of Justice release of October 15, 2026)
发布：GSM·美国（发布链接）
图片来源：图：位于堪萨斯州威奇托市北市场街401号的美国邮政与联邦大楼（美国联邦地区法院堪萨斯区法院所在地）外景，入口上方可见「美国法院」字样。被告无官方登记照，本稿不用人物图。图片来源：Staryu 摄于2026年8月14日，经 Wikimedia Commons 发布，CC0 1.0 公共领域贡献授权（https://commons.wikimedia.org/wiki/File:United_States_Post_Office_and_Federal_Building_in_Wichita,_Kansas.jpg）。Photo: The United States Post Office and Federal Building (U.S. Courthouse) at 401 N. Market Street in Wichita, Kansas. By Staryu, via Wikimedia Commons, CC0 1.0.
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