4500万美元肉毒杆菌医保诈骗案判刑：加州Glendale医生Violetta Mailyan获刑15年
美国司法部10月30日宣布，加州医生Violetta Mailyan于10月29日被判处15年联邦监禁。她利用自己的诊所向联邦医疗保险（Medicare）虚报逾4500万美元肉毒杆菌（Botox）注射费用，所报注射要么在医学上并无必要，要么根本从未实施。
Mailyan在洛杉矶县Glendale市经营Healthy Way Medical Center。司法部此前公布，今年5月，联邦陪审团裁定她九项电信诈骗罪与三项妨碍医疗保健犯罪调查罪名成立。检方指出，她的诊所把美容性注射包装成慢性偏头痛治疗向Medicare申报，连诊所关门、她本人在外度假的日子都有注射记录生成，甚至有「患者」当时正在联邦监狱服刑。
司法部的数据分析团队最早盯上这家诊所：分析显示，Mailyan从Medicare拿到的肉毒杆菌注射报销款为全美医生之最，四年间逾2400万美元，是排名第二的医疗机构群体的六倍。Medicare实际就其虚假申报支付了约3300万美元。联邦调查局（FBI）洛杉矶办公室称，此案是美国迄今查获的最大规模肉毒杆菌诈骗案。
California Doctor Violetta Mailyan Sentenced to 15 Years in $45 Million Medicare Botox Fraud Scheme
The U.S. Department of Justice announced on October 30 that California doctor Violetta Mailyan was sentenced on October 29 to 15 years in federal prison. Using her medical practice, she fraudulently billed Medicare more than $45 million for Botox injection services that were medically unnecessary and never provided.
Mailyan owned and operated the Healthy Way Medical Center in Glendale, Los Angeles County. As the Justice Department previously announced, a federal jury convicted her in May on nine counts of wire fraud and three counts of obstructing a criminal investigation of a health care offense. Prosecutors said the clinic disguised cosmetic injections as chronic-migraine treatment, generating claims on days the clinic was closed and while Mailyan was traveling on vacation; some listed patients were abroad or serving federal prison sentences at the time.
The case began with data analytics: the Justice Department's analysis showed Mailyan had been paid more by Medicare for Botox injections than any other doctor in the United States — more than $24 million over four years, six times the amount received by the next-highest group of providers. Medicare paid out roughly $33 million on the fraudulent claims. The FBI's Los Angeles field office has called the scheme the largest Botox fraud prosecuted in the United States.
来源：GSM·美国（原文链接）
图片来源：图：美国司法部总部大楼。GSM联邦机构固定图库。 / U.S. Department of Justice headquarters. GSM federal asset library.
