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COP29 clinches $US300 billion climate finance dealAnti-fraud efforts meet real-world test during ACA enrollment period
Shohei Ohtani unanimously wins 3rd career MVP, joins Frank Robinson as only players to win in both AL and NLIsrael strikes Houthi rebels in Yemen's capital while the WHO chief says he was meters away
After Trump's Project 2025 denials, he is tapping its authors and influencers for key rolesUnity of hearts & minds essential for peace & progress, says J&K Lt Governor
Ex-India’s PM Manmohan Singh dies at 92
Electrical Contractors Congratulate Representative Lori Chavez-DeRemer on Nomination as U.S. Secretary of LaborJulie Appleby | KFF Health News Unauthorized switching of Affordable Care Act plans appears to have tapered off in recent weeks based on an almost one-third drop in casework associated with consumer complaints, say federal regulators . The Centers for Medicare & Medicaid Services, which oversees the ACA, credits steps taken to thwart enrollment and switching problems that triggered more than 274,000 complaints this year through August. Now, the annual ACA open enrollment period that began Nov. 1 poses a real-world test: Will the changes curb fraud by rogue agents or brokerages without unduly slowing the process of enrolling or reducing the total number of sign-ups for 2025 coverage? “They really have this tightrope to walk,” said Sabrina Corlette, co-director of the Center on Health Insurance Reforms at Georgetown University. “The more you tighten it up to prevent fraud, the more barriers there are that could inhibit enrollment among those who need the coverage.” CMS said in July that some types of policy changes — those in which the agent is not “affiliated” with the existing plan — will face more requirements, such as a three-way call with the consumer, broker, and a healthcare.gov call center representative. In August, the agency barred two of about a dozen private sector online-enrollment platforms from connecting with healthcare.gov over concerns related to improper switching. And CMS has suspended 850 agents suspected of being involved in unauthorized plan-switching from accessing the ACA marketplace. Still, the clampdown could add complexity to enrollment and slow the process. For example, a consumer might have to wait in a queue for a three-way call, or scramble to find a new agent because the one they previously worked with had been suspended. Given that phone lines with healthcare.gov staff already get busy — especially during mid-December — agents and policy analysts advise consumers not to dally this year. “Hit the ground running,” said Ronnell Nolan, president and CEO of Health Agents for America, a professional organization for brokers. Meanwhile, reports are emerging that some rogue entities are already figuring out workarounds that could undermine some of the anti-fraud protections CMS put in place, Nolan said. “Bottom line is: Fraud and abuse is still happening,” Nolan said. Brokers assist the majority of people actively enrolling in ACA plans and are paid a monthly commission by insurers for their efforts. Consumers can compare plans or enroll themselves online through federal or state marketplace websites. They can also seek help from people called assisters or navigators — certified helpers who are not paid commissions. Under a “find local help” button on the federal and state ACA websites , consumers can search for nearby brokers or navigators. CMS says it has “ramped up support operations” at its healthcare.gov marketplace call centers, which are open 24/7, in anticipation of increased demand for three-way calls, and it expects “minimal wait times,” said Jeff Wu, deputy director for policy of the CMS Center for Consumer Information and Insurance Oversight. Wu said those three-way calls are necessary only when an agent or a broker not already associated with a consumer’s enrollment wants to change that consumer’s enrollment or end that consumer’s coverage. It does not apply to people seeking coverage for the first time. Organizations paid by the government to offer navigator services have a dedicated phone line to the federal marketplace, and callers are not currently experiencing long waits, said Xonjenese Jacobs, director of Florida Covering Kids & Families, a program based at the University of South Florida that coordinates enrollment across the state through its Covering Florida navigator program. Navigators can assist with the three-way calls if a consumer’s situation requires it. “Because we have our quick line in, there’s no increased wait time,” Jacobs said. The problem of unauthorized switches has been around for a while but took off during last year’s open enrollment season. Brokers generally blamed much of the problem on the ease with which rogue agents can access ACA information in the federal marketplace, needing only a person’s name, date of birth, and state of residence. Though federal regulators have worked to tighten that access with the three-way call requirement, they stopped short of instituting what some agent groups say is needed: two-factor authentication, which could involve a code accessed by a consumer through a smartphone. Unauthorized switches can lead to a host of problems for consumers, from higher deductibles to landing in new networks that do not include their preferred physicians or hospitals. Some people have received tax bills when unauthorized policies came with premium credits for which they did not qualify. Unauthorized switches posed a political liability for the Biden administration, a blemish on two years of record ACA enrollment. The practice drew criticism from lawmakers on both sides of the aisle; Democrats demanded more oversight and punishment of rogue agents, while Republicans said fraud attempts were fueled by Biden administration moves that allowed for more generous premium subsidies and special enrollment periods. The fate of those enhanced subsidies, which are set to expire, will be decided by Congress next year as the Trump administration takes power. But the premiums and subsidies that come with 2025 plans that people are enrolling in now will remain in effect for the entire year. The actions taken this year to thwart the unauthorized enrollments apply to the federal marketplace, used by 31 states . The remaining states and the District of Columbia run their own websites, with many having in place additional layers of security. Related Articles Health | Feds suspend ACA marketplace access to companies accused of falsely promising ‘cash cards’ Health | California infant dead, 10 sick in listeria outbreak tied to Yu Shang Food products Health | More foods are making us sick: What to know as foodborne outbreaks hit Health | Whooping cough cases in California six times higher than last year, report shows Health | At least 19 people are sick in Minnesota from ground beef tied to E. coli recall For its part, CMS says its efforts are working, pointing to the 30% drop in complaint casework. The agency also noted a 90% drop in the number of times an agent’s name was replaced by another’s, which it says indicates that it is tougher for rival agents to steal clients to gain the monthly commissions that insurers pay. Still, the move to suspend 850 agents has drawn pushback from agent groups that initially brought the problem to federal regulators’ attention. They say some of those accused were suspended before getting a chance to respond to the allegations. “There will be a certain number of agents and brokers who are going to be suspended without due process,” said Nolan, with the health agents’ group. She said that it has called for increased protections against unauthorized switching and that two-factor authentication, like that used in some state marketplaces or in the financial sector, would be more effective than what’s been done. “We now have to jump through so many hoops that I’m not sure we’re going to survive,” she said of agents in general. “They are just throwing things against the wall to see what sticks when they could just do two-factor.” The agency did not respond to questions asking for details about how the 850 agents suspended since July were selected, the states where they were located, or how many had their suspensions reversed after supplying additional information.
The Dallas Cowboys are shutting down CeeDee Lamb for the rest of the season after the star wideout played through a shoulder injury for nearly two months. Lamb initially sprained the AC joint in his right shoulder on Nov. 3 but has not missed any of the Cowboys' first 15 games this season. "Additional examinations and scans this week on CeeDee Lamb's shoulder have determined that his injury has now progressed to a point that he will be listed as ‘Out' for the remaining two games of the season," a team spokesperson said in a statement to media outlets. "He will undergo a process of treatment and rehabilitation for his shoulder, is not currently expected to require surgery and is projected to make a full recovery." The Cowboys (7-8), eliminated from playoff contention, face two division rivals to close the season. They visit the Philadelphia Eagles on Sunday and will host the Washington Commanders in Week 18. Lamb, 25, hauled in 101 receptions for 1,194 yards and six touchdowns this season. It marked his fourth straight 1,000-yard season, and he may be selected to a fourth straight Pro Bowl for his efforts. Lamb signed a four-year, $136 million contract extension in August, covering the 2025-28 seasons. --Field Level MediaA look at how some of Trump's picks to lead health agencies could help carry out Kennedy's overhaul Donald Trump's health team picks include a retired congressman, a surgeon and a former talk-show host. All could play pivotal roles in fulfilling an agenda that could change how the government goes about safeguarding Americans’ health, from health care and medicines to food safety and science research. In line to be Trump's health secretary is anti-vaccine organizer Robert F. Kennedy Jr. He says his task is to “reorganize” federal health agencies. They employ 80,000 scientists, researchers, doctors and other officials, and effect Americans’ daily lives. Trump raced to pick many Cabinet posts. He took more time to settle on a treasury secretary WASHINGTON (AP) — President-elect Donald Trump launched a blitz of picks for his Cabinet, but he took his time settling on billionaire investor Scott Bessent as his choice for treasury secretary. The Republican not only wanted someone who jibes with him, but an official who can execute his economic vision and look straight out of central casting while doing so. With his Yale University education and pedigree trading for Soros Fund Management before establishing his own funds, Bessent will be tasked with a delicate balancing act. Trump expects him to help reset the global trade order, enable trillions of dollars in tax cuts, ensure inflation stays in check, manage a ballooning national debt and still keep the financial markets confident. Israeli strikes in central Beirut kill at least 20 as diplomats push for a cease-fire BEIRUT, Lebanon (AP) — Lebanese officials say Israeli airstrikes have killed at least 20 people and injured dozens in central Beirut, as the once-rare attacks on the heart of Lebanon’s capital continue without warning. Diplomats are scrambling to broker a cease-fire but say obstacles still remain. The current proposal calls for a two-month cease-fire during which Israeli forces would withdraw from Lebanon and Hezbollah would end its armed presence along the southern border south of the Litani River. Lebanon’s Health Ministry says Israeli attacks have killed more than 3,500 people in Lebanon in the months of fighting that have turned into all-out war. Voters rejected historic election reforms across the US, despite more than $100M push JEFFERSON CITY, Mo. (AP) — Election reform advocates had hoped for a big year at the ballot box. That's because a historic number of states were considering initiatives for ranked choice voting or to end partisan primaries. Instead, voters dealt them big losses in the November elections. Voters in Arizona, Colorado, Idaho, Missouri, Montana, Nevada, Oregon and South Dakota all rejected proposed changes to their voting systems. In Alaska, a proposal to repeal ranked choice voting appears to have narrowly fallen short. The losses in many states came even though election reform supporters raised more than $100 million, easily outpacing opponents. Supporters say they aren't giving up but plan to retool their efforts. The week that upped the stakes of the Ukraine war KYIV, Ukraine (AP) — This past week has seen the most significant escalation in hostilities Ukraine has witnessed since Russia's full-scale invasion and marks a new chapter in the nearly three-year war. It began with U.S. President Joe Biden reversing a longstanding policy by granting Kyiv permission to deploy American longer-range missiles inside Russian territory and ended with Moscow striking Ukraine with a new experimental ballistic weapon that has alarmed the international community and heightened fears of further escalation. US reels from rain, snow as second round of bad weather approaches for Thanksgiving week WINDSOR, Calif. (AP) — The U.S. is reeling from snow and rain while preparing for another bout of bad weather ahead of Thanksgiving that could disrupt holiday travel. California is bracing for more snow and rain while still grappling with some flooding and small landslides from a previous storm. The National Weather Service has issued a winter storm warning for California's Sierra Nevada through Tuesday, with heavy snow expected at high elevations. Parts of the Northeast and Appalachia are also starting the weekend with heavy precipitation. Meanwhile thousands remain without power in the Seattle area after a “bomb cyclone” storm system roared ashore the West Coast earlier in the week, killing two people. Even with access to blockbuster obesity drugs, some people don't lose weight Most people taking popular drugs like Ozempic and Wegovy to lose weight have shed significant pounds. But obesity experts say that roughly 20% of patients — as many as 1 in 5 — may not see robust results with the new medications. The response to the drugs varies from person to person and can depend on genetics, hormones and differences in how the brain regulates energy. Undiagnosed medical conditions and some drugs can prevent weight loss. Experts say it can take experimentation to help so-called nonresponders find results. Fighting between armed sectarian groups in restive northwestern Pakistan kills at least 37 people PESHAWAR, Pakistan (AP) — A senior Pakistani police officer says fighting between armed sectarian groups in the country's restive northwest has killed at least 37 people. The overnight violence was the latest to rock Kurram, a district in Khyber Pakhtunkhwa province, and comes days after a deadly gun ambush killed 42 people. The officer said Saturday that armed men torched shops, houses and government property overnight. Gunfire is ongoing between rival tribes. Although Sunnis and Shiites generally live together peacefully in Pakistan, tensions remain in some areas, especially Kurram. Hydrate. Make lists. Leave yourself time. And other tips for reducing holiday travel stress Travel, especially during the holiday season, can be stressful. But following some tips from the pros as you prepare for a trip can make for a smoother, less anxious experience. One expert traveler suggests making a list a week before you go of things you need to do and pack. Cross off each item as you complete it during the week. Another tip is to carry your comfort zone with you. That could mean noise-canceling headphones, playlists meant to soothe airport travelers, entertainment and snacks from home. Carry a change of clothes and a phone charger in case of delays. Stay hydrated. Leave extra time. And know your airline's rules. Downloading the airline's app can help with that. Andy Murray will coach Novak Djokovic through the Australian Open Recently retired Andy Murray will team up with Novak Djokovic, working with him as a coach through the Australian Open in January. Murray’s representatives put out statements from both players on Saturday. Djokovic is a 24-time Grand Slam champion who has spent more weeks at No. 1 than any other player in tennis history. Murray won three major trophies and two Olympic singles gold medals who finished 2016 atop the ATP rankings. He retired as a player after the Paris Summer Games in August.Kharga Corps showcases readiness with advanced military assets
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