2026-09-29T13:28:57-04:00 / 福克斯新闻网
健康保险运营商避免近5.1亿美元损失 追回多付索赔款2190万美元
作者：普雷斯顿·米泽尔 福克斯新闻网
发布时间：2026年9月29日 美国东部时间下午1:28
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特朗普政府揭露美国人事管理办公室5亿美元疑似医疗欺诈
美国人事管理办公室主任斯科特·库珀对福克斯新闻数字频道表示，该机构已在联邦健康福利项目中查出约5亿美元的欺诈、浪费和滥用行为，并正在扩大审计、索赔分析和参保资格核查力度，以追回纳税人资金并防止未来再次发生滥用情况。
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【福克斯新闻独家报道】 特朗普政府宣布在美国人事管理办公室发现5亿美元的浪费和欺诈行为，为联邦健康福利项目追回潜在的欺诈资金。
根据美国人事管理办公室的数据，联邦雇员健康保险和邮政服务健康保险项目的健康保险运营商报告称，他们在付款前或付款过程中避免了近5.1亿美元的损失，并在索赔支付后额外追回了2190万美元。
“美国人事管理办公室为约890万退休人员和联邦雇员提供健康保险，我们每年的支出约为800亿美元，”美国人事管理办公室主任斯科特·库珀对福克斯新闻数字频道表示。“5亿美元仅占总支出的0.5%多一点，这个数字看起来不错，但我们显然还有很长的路要走，才能彻底根除更多的欺诈、浪费和滥用行为。”
【福克斯新闻独家报道：特朗普政府开启打击欺诈新战线，矛头直指健康保险公司和药品中间商】
2026年8月31日，副总统JD·万斯在密歇根州斯特林高地的MAGA Inc.超级政治行动委员会活动上发表讲话。（索尔·勒布/路透社泳池照片）
由副总统JD·万斯领导的白宫反欺诈特别工作组报告称，自特朗普就职以来，已揭露2607亿美元的欺诈行为，年化计算的年度阻截欺诈金额达720亿美元。
库珀表示，该机构首次对健康保险索赔数据进行自主审查，使该机构能够分析各医疗机构和健康计划的计费模式，识别可能暗示过度使用、误用或潜在欺诈的异常开药习惯、手术率和其他异常情况。
【特朗普政府阻止超过16亿美元可能存在不当支付的医保实验室款项，机构称】
他表示，该机构将利用这些调查结果，在必要时将医疗机构从联邦健康项目中移除，并将涉嫌刑事犯罪的案件移交至该机构的监察长办公室和司法部进行进一步调查。
库珀负责监督联邦 workforce，并为数百万现任和前任联邦雇员管理关键的就业和福利项目。他最引人注目的工作案例之一，源于埃隆·马斯克和政府效率部（DOGE）针对宾夕法尼亚州一座矿山的整治行动。
【独家报道：揭开政府效率部帮助摆脱数十年官僚主义僵局的神秘矿山内幕】
宾夕法尼亚州博耶斯市铁山公司内堆积如山的文书工作。（阿什利·J·迪梅拉/福克斯新闻数字频道）
去年4月，福克斯新闻数字频道首次报道称，美国政府将人工智能应用于联邦雇员档案管理——这是联邦政府首次大规模部署人工智能。
这场变革由库珀和马斯克主导，马斯克当时毫不掩饰自己对联邦档案仅依靠纸质存储和管理的震惊。
【特朗普抨击呼吁放缓新兴产业发展的科技巨头：‘谁赢得人工智能，谁就赢得一切！’】
“矿井升降机的运行速度决定了有多少人能够退休……升降机坏了，就没人能退休了，”马斯克去年2月表示。“这听起来是不是很疯狂？”
当被问及矿山现代化改造的最新进展时，库珀表示，该矿山现已全面启用电子系统。
白宫宣布将部署人工智能技术以提高联邦档案管理效率。（奥利弗·伯格/图片联盟 via 盖蒂图片社；亚历克斯·布兰登/美联社照片）
“过去一年，我们收到了18万份退休电子在线申请，这是前所未有的，”他说。“这几乎是以往任何一年申请量的两倍。如今，电子申请的处理时间不到纸质申请的一半。”
“我们曾将退休流程变成一个需要6个月、9个月甚至12个月的可怕过程，我认为随着技术的不断发展，我们有望将其缩短至最短15天。”
【白宫推动国会通过‘划时代’反欺诈改革，万斯召集特别工作组】
库珀此前在人工智能领域的工作经历，使他被传为特朗普政府人工智能沙皇的人选——随着数据中心开发和人工智能成为中期选举的热议话题，这一职位也备受关注。
在瑞士信贷担任投资银行家后，库珀于1999年加入由马克·安德森和本·霍洛维茨共同创立的 Loudcloud。随后，安德森和霍洛维茨聘请他担任两人风投公司的第一名员工。库珀还于2017年5月至2018年5月担任美国国家风险投资协会主席。
【特朗普称反欺诈行动揭露数十亿美元浪费，称节省的资金可平衡预算】
当被问及是否与白宫就该职位进行过任何沟通时，库珀表示，他看到了有关自己被提名的报道，并广泛讨论了唐纳德·特朗普总统对人工智能的看法。
“我读了你读到的所有同样的报道，没有更多可以补充的了，”他说。“总统的观点完全正确，即人工智能是决定我们经济增长、国家安全和国家主权的最重要技术。”
【特朗普政府揭露与拜登时代支出相关的12亿美元疑似新冠合同欺诈】
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“我在风投行业打拼了一辈子，我知道这个国家的企业家的智慧和创造力是无限的。我们只需要确保监管控制等方面的环境继续允许美国一如既往地蓬勃发展。”
库珀没有排除如果特朗普向他提供该职位就会接受的可能性，他表示，虽然他目前专注于办公室主任的工作，但他是“奉总统之命任职”。
【点击此处下载福克斯新闻APP】
此前有报道称，财政部长斯科特·贝森特曾被考虑担任人工智能沙皇一职，但上周特朗普表示不会任命他担任该职位。
普雷斯顿·米泽尔是福克斯新闻数字频道的记者，报道突发新闻。
https://www.foxnews.com/video/6405912537112
https://www.foxnews.com/video/6405912928112
Office of Personnel Management uncovers $500M in fraud and waste in federal health benefits programs
2026-09-29T13:28:57-04:00 / Fox News
Health insurance carriers prevented nearly $510M in losses and recovered $21.9M in overpaid claims
By Preston Mizell Fox News
Published September 29, 2026 1:28pm EDT
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Trump administration uncovers $500M in suspected OPM health care fraud
OPM Director Scott Kupor told Fox News Digital the agency has identified roughly $500 million in fraud, waste and abuse in the federal health benefits program and is expanding audits, claims analysis and enrollment verification to recover taxpayer dollars and prevent future abuse.
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FIRST ON FOX: The Trump administration announced $500 million in waste and fraud findings at the Office of Personnel Management – revealing a recovery of potentially fraudulent funds for federal health benefits programs.
Health insurance carriers in the Federal Employees Health Benefits and Postal Service Health Benefits programs reported preventing nearly $510 million in losses before or during payment and recovering an additional $21.9 million after claims were paid, according to the Office of Personnel Management.
“OPM runs health insurance for about 8.9 million retirees and federal employees, and we spend about $80 billion a year,” Office of Personnel Management Director Scott Kupor told Fox News Digital. “The $500 million, a little more than half percent, is a good number, but certainly we have a long way to go here to root out more fraud, waste and abuse.”
FIRST ON FOX: TRUMP ADMIN OPENS NEW FRONT IN FRAUD CRACKDOWN TARGETING HEALTH INSURERS, DRUG MIDDLEMEN
Vice President JD Vance speaks at a MAGA Inc. super PAC event in Sterling Heights, Michigan, Aug. 31, 2026.(Saul Loeb/Pool via Reuters)
The White House anti-fraud task force led by Vice President JD Vance has reported $260.7 billion in fraud uncovered since Trump took office, and $72 billion in fraud stopped on an annualized basis.
Kupor said his agency is conducting its own review of health insurance claims data for the first time, allowing the agency to analyze billing patterns across providers and health plans to identify unusual prescribing habits, surgery rates and other anomalies that could signal overuse, misuse or potential fraud.
TRUMP ADMIN BLOCKS MORE THAN $1.6B IN POTENTIALLY IMPROPER MEDICARE LAB PAYMENTS, AGENCY SAYS
He said the agency will use those findings to remove providers from federal health programs when warranted and will refer cases involving suspected criminal conduct to the agency’s Office of Inspector General and the Justice Department for further investigation.
Kupor leads the agency responsible for overseeing the federal workforce while managing key employment and benefits programs for millions of current and former federal employees. One of the most prominent examples of his work stems from Elon Musk and the Department of Government Efficiency’s (DOGE) targeting of a mine in Pennsylvania.
EXCLUSIVE: INSIDE THE SECRETIVE MINE DOGE HELPED DRAG OUT OF A DECADES-OLD BUREAUCRATIC BLACK HOLE
Piles of paperwork at Iron Mountain in Boyers, Pa.(Ashley J. DiMella/Fox News Digital)
Last April, Fox News Digital first reported that the United States government applied the use of artificial intelligence for federal employee recordkeeping – the first time the federal government implemented AI at scale.
The movement was led by Kupor and Musk, and Musk didn’t hide his shock that federal records were being stored and managed solely on paper at the time.
TRUMP UNLOADS ON TECH TITANS PUSHING FOR SLOWDOWN ON EMERGING INDUSTRY: ‘WHOEVER WINS AI, WINS!’
“The speed at which the mine shaft elevator can move determines how many people can retire… And the elevator breaks down and then nobody can retire,” Musk said last February. “Doesn’t that sound crazy?”
When asked for an update on progress made on modernizing the mine, Kupor said it is now fully operational on an electronic system.
The White House announces that it will implement AI technology to improve efficiency in federal recordkeeping.(Oliver Berg/picture alliance via Getty Images; AP Photo/Alex Brandon)
“This past year, we did 180,000 electronic online applications for retirement, which is just unprecedented,” he said. “That’s almost double the production that we’ve had in any prior year. Electronic applications can get solved in less than half the time today that a paper one does.”
“We will take something that has been a six-month, nine-month, 12-month horrendous process for retirees, and I think we will be able to do it in as little as 15 days with the continued development of technology.”
WHITE HOUSE PUSHES ‘WATERSHED’ FRAUD-FIGHTING REFORM IN CONGRESS AS VANCE CONVENES TASK FORCE
Kupor’s previous experience working with artificial intelligence has led to his name being floated to serve as the AI czar in the Trump administration – a role cast into the spotlight as data center development and artificial intelligence have become midterm election talking points.
After working as an investment banker at Credit Suisse, Kupor worked at Loudcloud, which was co-founded by Marc Andreessen and Ben Horowitz, in 1999. He was then hired as the first employee by Andreessen and Horowitz at the duo’s venture capital firm. Kupor also served as the chair of the National Venture Capital Association from May 2017 to May 2018.
TRUMP SAYS ANTI-FRAUD EFFORTS ARE UNCOVERING BILLIONS IN WASTE, CLAIMS SAVINGS COULD BALANCE BUDGET
When asked about whether he has had any conversations with the White House about the role, Kupor said he had seen the reports he was being floated, and discussed President Donald Trump’s views on artificial intelligence broadly.
“I’ve read all the same reports you’ve read and don’t have anything to add there,” he said. “What the president has said is exactly 100% right, which is that AI is the most important piece of technology that will determine economic growth for us, national security, sovereignty for our country.”
TRUMP ADMINISTRATION UNCOVERS $1.2B IN SUSPECTED COVID CONTRACT FRAUD TIED TO BIDEN-ERA SPENDING
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“One of the things that I know, again, having spent all my life in the venture world, is there is no limit to the intellect and inventiveness of entrepreneurs in this country. And we just need to make sure that the conditions around, you know, regulatory controls and others continue to allow the U.S. to flourish in the way that it’s always done.”
Kupor did not rule out accepting the role if Trump should offer it to him, saying that while he is focused on his job as director of the agency, he serves “at the will of the president.”
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Reports had suggested that Treasury Secretary Scott Bessent was being considered for the AI czar position, but last week Trump said he would not be selecting him for the role.
Preston Mizell is a writer with Fox News Digital covering breaking news.
https://www.foxnews.com/video/6405912537112
https://www.foxnews.com/video/6405912928112
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