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SUNDAY, Dec. 8, 2024 (HealthDay News) -- Shingles can strike anyone who had chickenpox when they were young, and the intense pain that can accompany this body rash has sidelined many a senior. Here, one expert explains how and why shingles can surface, and what you can do to treat it, or better yet, avoid it. Shingles can happen at any age, but it most typically affects people over 50 who have stress and compromised immunity. “Shingles is caused by the varicella-zoster virus. It’s the same virus that causes chickenpox,” said Dr. Eugene Fellin , a family medicine physician at Penn State Health Medical Group – Fleetwood. “For most of us who grew up before the 1990s, when children began being immunized against chickenpox, we’ve been exposed to the virus and are at risk for shingles.” How can shingles surface? After lying dormant in the nervous system for years, the virus can reemerge as shingles, which causes painful rashes that typically surface on the face or around the side of the torso, Fellin explained. “It’s like a poison ivy rash that won’t go away,” he added in a Penn State news release. “It can occur in patches, but along that same nerve root. A lot of times, people feel some tingling or a burning sensation prior to the rash actually breaking out,” Fellin noted. “When we’re looking for the rash, it will be in a string on the torso because the nerves wrap around the torso. You get a line around you, from the back to the front.” “The other issue we worry about is if it breaks out on the face and involves the eye because this can lead to blindness,” Fellin said. “Shingles around the eye is considered dangerous, and an instant referral to an ophthalmologist is always recommended.” What can you take to treat shingles? Antivirals such as Valacyclovir can be prescribed, but they’re time-sensitive and need to be taken within 36 hours of the start of the rash because they work by slowing the spread of the virus, Fellin said. While symptoms subside after three to five weeks, pain can sometimes return in the form of postherpetic neuralgia , he said. This long-term nerve pain occurs where the shingles rash appeared and can last for months or even years. Older adults are more likely to develop postherpetic neuralgia and have longer lasting and more severe pain, Fellin said. Luckily, there is something you can do to avoid shingles altogether: get vaccinated. The U.S. Centers for Disease Control and Prevention recommends the Shingrix vaccine, given in two doses, with the second dose given two to six months after the first. People who get shingles can still receive the vaccine, which can lower the chances of another outbreak, Fellin noted. Most family doctors and pharmacies stock the vaccine, which is covered by Medicare, he added. “Most insurance programs are covering it because it has been out long enough and shows a real benefit,” Fellin said in a Penn State news release. “There’s a lot of misinformation about vaccines circulating out there. My message is this: Don’t be afraid of this or any vaccine.” SOURCE: Penn State Health, news release, Dec. 5, 2024Jake Paul’s Most Valuable Promotions said he’s “embracing the doubt” amid rumours that his and Mike Tyson’s showdown was rigged. In a lengthy statement released Monday, Paul, 27, vehemently denied that his unanimous decision win over 58-year-old Tyson on Nov. 15 was manipulated through their contractual agreements after both fighters faced backlash for putting on a lacklustre event. BOXING: INOUE VS GOODMAN | TUE 24 DEC 7PM AEDT | Australia’s Sam Goodman is set for a blockbuster Christmas Eve fight against undefeated Naoya ‘The Monster’ Inoue in Tokyo | Order Now with Main Event on Kayo Sports. “Rigging a professional boxing match is a federal crime in the United States of America. Paul vs. Tyson was a professional match sanctioned by the Texas Department of Licensing and Regulations (TDLR),” MVP said. “Both fighters in good faith performed to the best of their abilities with the goal of winning the fight. “There were absolutely no restrictions – contractual or otherwise – around either fighter. Each boxer was able to use his full arsenal to win the fight. Any agreement to the contrary would violate TDLR boxing rules.” MVP went on to say that it’s insulting to Paul and Tyson to suggest they didn’t go all out in the ring at AT&T Stadium in Arlington, Texas, where Cowboys owner Jerry Jones sat ringside. The company added that it wouldn’t have jeopardized what they are hoping to become a long-term partnership with Netflix. “Trash talk and speculation are common in sports, and athletes and promoters need to tolerate nonsensical commentary, jokes and opinions,” MVP said. “But suggesting anything other than full effort from these fighters is not only naïve but an insult to the work they put into their craft and to the sport itself. “It is further illogical and inane that MVP, in the debut of a hopeful long-term partnership with the world’s biggest streamer — an organization that made its first-ever foray into live professional sports with Paul vs. Tyson — would even so much as consider such a perverse violation of the rules of competition.” MVP co-founder Nakisa Bidarian added suggestions that the fight was rigged “is just the latest backhanded compliment to come [Paul’s] way” and that Paul has proved himself as a serious fighter.“ This event, which broke attendance and viewership milestones for a professional sporting event, is yet another example of his ability to deliver on the biggest stage,” Bidarian said. “As long as Jake continues to exceed expectations, there will always be those who try to discredit his achievements. We embrace the doubt—it only fuels Jake to work harder and achieve greater success.” Many believed Paul and Tyson’s highly anticipated showdown was a snoozefest because both fighters didn’t appear to give it their all in the ring. The former heavyweight champ seemed off balance and gassed in the final rounds. After the bout, Paul explained that he didn’t want to hurt the former heavyweight champ further. “I wanted to give the fans a show, but I didn’t want hurt someone who didn’t need to be hurt,” Paul said. “I didn’t wanna hurt someone that didn’t need to be hurt.” NFL Hall of Famer Michael Irvin, who was sitting in the second row behind Jones, claimed he heard people talking about a contract containing a clause that Tyson couldn’t utilize his famous uppercut — and that both fighters couldn’t go all out in the ring. DJ Whoo Kid, who said he spoke with Paul at an afterparty following the fight, claimed there were rules for the fight. Tyson landed 18 punches out of 97 and Paul connected on 78 out of 278 punches, according to the final results. Tyson reportedly earned $20 million for the fight, while Paul received $40 million. This story appeared on New York Post.ST. PAUL, Minn. (AP) — Josh Norris broke a tie on a power play with 7:18 left, Leevi Merilainen made 30 saves in his fifth NHL game and the Ottawa Senators beat the Minnesota Wild 3-1 on Sunday night. Ottawa has won seven of its past nine games, while the Wild have lost five of their past seven. The Senators won in Minnesota for the first time since 2016. With starter Linus Ullmark and backup Anton Forsberg out with injuries, the Senators have been relying on Merilainen and Mads Sogaard since before the NHL holiday break. Frederick Gaudreau opened the scoring for Minnesota late in the first period. Ridly Greig tied it early in the second. Claude Giroux added an empty-netter. Takeaways Senators: A team that finds itself surprisingly in a playoff position after missing the postseason the past six seasons topped a Western Conference contender in Minnesota. Norris has been a big part of the Senators' surge and now ranks second on the team with 14 goals. Wild: A lower-body injury kept Kirill Kaprizov out of his second straight game, but Joel Eriksson Ek returned after missing 11 games with a lower-body injury. The Wild are 17-5-4 with Eriksson Ek in the lineup and 5-6-0 without him. Key moment The Wild killed one penalty midway through the third, but Jared Spurgeon went to the box seconds later on a holding call. Norris scored on the power play. Up next The Senators’ nine-game trip continues Thursday at Dallas night. The Wild host Nashville on Tuesday night. ___ AP NHL: https://apnews.com/hub/nhl Phil Ervin, The Associated Press
Fresh protests in Georgia after PM vows to 'eradicate' oppositionMore Scots business owners anticipate higher turnover in 2025, poll suggestsWASHINGTON D.C., DC — A top White House official on Wednesday said at least eight U.S. telecom firms and dozens of nations have been impacted by a Chinese hacking campaign. Deputy national security adviser Anne Neuberger offered new details about the breadth of the sprawling Chinese hacking campaign that gave officials in Beijing access to private texts and phone conversations of an unknown number of Americans. Neuberger divulged the scope of the hack a day after the FBI and the Cybersecurity and Infrastructure Security Agency issued guidance intended to help root out the hackers and prevent similar cyberespionage in the future. White House officials cautioned that the number of telecommunication firms and countries impacted could still grow. The U.S. believes that the hackers were able to gain access to communications of senior U.S. government officials and prominent political figures through the hack, Neuberger said. “We don’t believe any classified communications has been compromised,” Neuberger added during a call with reporters. She added that Biden has been briefed on the findings and that the White House “has made it a priority for the federal government to do everything it can to get to the bottom this.” The Chinese embassy in Washington on Tuesday rejected the accusations that it was responsible for the hack after the U.S. federal authorities issued new guidance. “The U.S. needs to stop its own cyberattacks against other countries and refrain from using cyber security to smear and slander China,” embassy spokesperson Liu Pengyu said. The embassy did not immediately respond to messages on Wednesday. White House officials believe that the hacking was regionally targeted and the focus was on very senior government officials. Federal authorities confirmed in October that hackers linked to China targeted the phones of then-presidential candidate Donald Trump and his running mate, Sen. JD Vance, along with people associated with Democratic candidate Vice President Kamala Harris. The number of countries impacted by the hack is currently believed to be in the “low, couple dozen,” according to a senior administration official. The official, who spoke on the condition of anonymity under ground rules set by the White House, said they believed the hacks started at least a year or two ago. The suggestions for telecom companies released Tuesday are largely technical in nature, urging encryption, centralization and consistent monitoring to deter cyber intrusions. If implemented, the security precautions could help disrupt the operation, which has been dubbed Salt Typhoon, and make it harder for China or any other nation to mount a similar attack in the future, experts say. Neuberger pointed to efforts that have been made to beef up cybersecurity in the rail, aviation, energy and other sectors following the May 2021 ransomware attack on Colonial Pipeline . “So, to prevent ongoing Salt typhoon type intrusions by China, we believe we need to apply a similar minimum cybersecurity practice,” Neuberger said. The cyberattack by a gang of criminal hackers on the critical U.S. pipeline, which delivers about 45% of the fuel used along the Eastern Seaboard, sent ripple effects across the economy, highlighting cybersecurity vulnerabilities in the nation’s aging energy infrastructure. Colonial confirmed it paid $4.4 million to the gang of hackers who broke into its computer systems as it scrambled to get the nation's fuel pipeline back online. ___ Associated Press writer David Klepper contributed reporting.
NoneLondon, Dec. 04, 2024 (GLOBE NEWSWIRE) -- Pixalate, the market-leading ad fraud protection, privacy, and compliance analytics platform, today released the Brazil Programmatic Ad Seller Quality Rankings Q3 2024 for Web and Mobile to rank programmatic ad sellers across desktop and mobile web and mobile apps . The first-of-its-kind rankings, using SupplyChain Object (SCO) data, offer a comprehensive global view of programmatic ad sellers based on quality across the advertising supply chain, as measured by Pixalate. Pixalate’s Seller Trust Indexes feature country-level seller ratings in 140+ countries for 580+ sellers. The rankings are based on an analysis of over 50 billion monthly programmatic advertising impressions from Q3 2024. Top Programmatic Web Ad Sellers in Brazil (Q3 2024) See more in the Web Seller Trust Index . Top Programmatic Mobile Ad Sellers in Brazil (Q3 2024) See more in the Mobile Seller Trust Index . Pixalate’s Seller Trust Indexes provide a full view of the ad supply chain ecosystem. In doing so, the Indexes aim to foster economic fairness, encourage competition, and highlight the full range of sellers available to buyers, including each sellers’ relative strengths and weaknesses in each country. Explore all of Pixalate’s Seller Trust Indexes: Web Seller Trust Index Mobile Seller Trust Index CTV Seller Trust Index About Pixalate Pixalate is a global platform specializing in privacy compliance, ad fraud prevention, and digital ad supply chain data intelligence. Founded in 2012, Pixalate is trusted by regulators, data researchers, advertisers, publishers, ad tech platforms, and financial analysts across the Connected TV (CTV), mobile app, and website ecosystems. Pixalate is accredited by the MRC for the detection and filtration of Sophisticated Invalid Traffic (SIVT). pixalate.com Disclaimer The content of this press release, and the Seller Trust Indexes (collectively, the "Indexes"), reflect Pixalate's opinions with respect to factors that Pixalate believes may be useful to the digital media industry. As cited in the Indexes, the ratings and rankings in the Indexes are based on a number of metrics and Pixalate's opinions regarding the relative performance of each seller with respect to the metrics. The data is derived from buy-side, predominantly open auction, programmatic advertising transactions, as measured by Pixalate. The Indexes examine global advertising activity. Any insights shared are grounded in Pixalate's proprietary technology and analytics, which Pixalate is continuously evaluating and updating. Any references to outside sources in the Indexes and herein should not be construed as endorsements. Pixalate's opinions are just that, opinions, which means that they are neither facts nor guarantees; and neither this press release nor the Indexes are intended to impugn the standing or reputation of any person, entity or app. Per the MRC , “'Fraud' is not intended to represent fraud as defined in various laws, statutes and ordinances or as conventionally used in U.S. Court or other legal proceedings, but rather a custom definition strictly for advertising measurement purposes. Also per the MRC , “‘Invalid Traffic’ is defined generally as traffic that does not meet certain ad serving quality or completeness criteria, or otherwise does not represent legitimate ad traffic that should be included in measurement counts. Among the reasons why ad traffic may be deemed invalid is it is a result of non-human traffic (spiders, bots, etc.), or activity designed to produce fraudulent traffic.”The masked gunman who stalked and killed UnitedHealthcare CEO Brian Thompson outside a Manhattan hotel used ammunition emblazoned with the words “deny,” “defend” and “depose,” a law enforcement official said Thursday. The gunman is still at large and a manhunt is underway. Here's the latest: Just minutes before the shooting, the suspect was seen on surveillance footage purchasing the two items from a nearby Starbucks. Both the water bottle and protein bar wrapper were later recovered from a trash can in the vicinity of the killing, according to a police spokesperson. They’ve been sent to the city’s medical examiner for expedited fingerprint testing. As the suspect remained at large Thursday afternoon, New York police were sorting through a growing number of leads coming in through a public hotline. Many have been unfounded, including a tip from a commuter who claimed to have spotted the shooter on a Long Island Rail Road train Wednesday evening. Police searched the train, but found no sign of the gunman. Members of the public have also provided police with several different names of people who bear a resemblance to the gunman — though they have yet to confirm the shooter’s identity. NYPD spokesperson Carlos Nieves urged anyone with information to contact the department “even if it seems trivial.” “We ask you to call the tip line because that little piece of information could be the missing piece of the puzzle that ties everything together,” he said. Users’ reactions — and in many cases jokes — populated comment sections teeming with frustration toward health insurers broadly and UnitedHealthcare in particular. “I would be happy to help look for the shooter but vision isn’t covered under my healthcare plan,” one comment read on Instagram. “Thoughts and prior authorizations!” wrote another user. Images released by police of a person they say is wanted for questioning in connection with the shooting match the lobby of the HI New York City hostel on Manhattan’s Upper West Side. Both feature a black-and-white checkered floor and a distinctive bench in the shape of a semicircle. Matheus Taranto, a guest at the hostel who’s visiting from Brazil, says he saw police at the lodging Wednesday evening. He said an officer wouldn’t let him access a bathroom where he wanted to brush his teeth. “I asked why, he was like, no, nothing happened,” said Taranto, 24. He didn’t connect the dots with the shooting until later. In Minnesota, police in the Minneapolis suburb of Maple Grove, where Thompson lived, said Thursday they believe a bomb threat on Wednesday night was a hoax. Maple Grove police put out a statement Thursday saying a “suspected swatting investigation” was underway. The department said it received a report of a bomb threat directed at two addresses around 7 p.m. CT Wednesday. The Minneapolis Bomb Squad and the Hennepin County Sheriff’s Office assisted, but investigators found no suspicions devices or other items. “The case is considered an active investigation, while the incident appears to be a hoax. No further comments will be made at this time,” the police statement said. Police reports provided to The Associated Press by the department show that officers made contact with family members at one of the homes and were told they had seen nothing suspicious and had received no direct threats. Back in Thompson’s home state of Minnesota, authorities were investigating a bomb threat that reportedly was made against his home Wednesday night, after his death. It was first reported by TMZ. City Prosecutor Andrew Draper confirmed to The Associated Press via email Thursday that he received an email Wednesday night “regarding a bomb threat. I reported it to the Maple Grove Police Department and do not have any additional information.” Maple Grove police officials did not immediately respond to requests for details Thursday. Local ATF spokesperson Ashlee Sherrill said: “ATF was made aware of the incident in Maple Grove last night, but no ATF resources were deployed. We are unable to confirm any further details.” A local FBI spokesperson did not immediately respond to a request for information on the FBI’s involvement in the investigation. The words emblazoned on the ammunition used in the shooting – “deny,” “defend” and “depose” – were written in permanent marker, according to a law enforcement official. The official wasn’t authorized to publicly discuss details of the ongoing investigation and spoke to The Associated Press on the condition of anonymity. — Jake Offenhartz As of Thursday morning, police were still searching for the shooter. They released new photos of a person they said is wanted for questioning in connection with the shooting. The images match the lobby of the HI New York City hostel on Manhattan’s Upper West Side, including its black-and-white checkered floor and a distinctive bench in the shape of a semi-circle. An employee at the hostel said police had visited but declined to provide further information. Danielle Brumfitt, a spokesperson for the lodging, said in an emailed statement that they are cooperating with the NYPD but can’t comment due to the active investigation. According to the official who spoke to AP about the ammunition messaging, investigators are running DNA and fingerprint analysis on items found near the shooting, including a water bottle, that they believe the suspect may have discarded. Additionally, they’re looking into whether the suspect had pre-positioned a bike as part of an escape plan. Doctors and patients have become particularly frustrated with prior authorizations, which are requirements that an insurer approve surgery or care before it happens. UnitedHealthcare was named in an October report detailing how the insurer’s prior authorization denial rate for some Medicare Advantage patients has surged in recent years. The report from the U.S. Senate Permanent Subcommittee on Investigations also named rivals Humana and CVS. Insurers say tactics like prior authorization are needed to limit unnecessary care and help control spiraling medical costs. Frustrations extend beyond the coverage of care. Expensive breakthrough medications to slow Alzheimer’s disease or help with obesity are frequently not covered or have coverage limits. In the U.S. health care system, patients get coverage through a mix of private insurers such as UnitedHealthcare and government-funded programs such as Medicaid and Medicare. That can prove particularly frustrating for doctors and patients because coverage often varies by insurer. Polls reflect those frustrations with the U.S. health care system in general and insurance companies in particular. About two-thirds of Americans said health insurance companies deserve “a lot of blame” for high health care costs, according to a KFF poll conducted in February . Thompson’s wife, Paulette Thompson, told NBC News that he told her “there were some people that had been threatening him.” She didn’t have details but suggested the threats may have involved issues with insurance coverage. Eric Werner, the police chief in the Minneapolis suburb where Thompson lived, said his department had not received any reports of threats against the executive. A message left at the scene of an insurance executive’s fatal shooting — “deny,” “defend” and “depose” — echoes a phrase commonly used to describe insurer tactics to avoid paying claims. The three words were emblazoned on the ammunition a masked gunman used to kill UnitedHealthcare CEO Brian Thompson , a law enforcement official told The Associated Press on Thursday. They’re similar to the phrase “delay, deny, defend” — the way some attorneys describe how insurers deny services and payment, and the title of a 2010 book that was highly critical of the industry. Police haven’t officially commented on the wording or any connection between them and the common phrase. But Thompson’s shooting and the messages on the ammunition have sparked outrage on social media and elsewhere, reflecting a deepening frustration Americans have over the cost and complexity of getting care. ▶ Read more about the messaging left behind by the shooter The New York Police Department released photos Thursday morning, asking for the public’s assistance in identifying the individual pictured. Police say the person is wanted for questioning in connection with the shooting of the UnitedHealthcare CEO. A Senate panel has been investigating how frequently three major insurers, including UnitedHealthcare, deny care to patients who are enrolled in Medicare Advantage plans. It has also investigated the use of artificial intelligence in deny those claims. Medicare Advantage is the private version of Medicare, which provides health insurance to millions of older Americans. The Senate’s Permanent Subcommittee’s report released earlier this year found that as UnitedHealthcare relied more on its automated system to review claims denials increased for post-acute treatment, which includes nursing home or rehabilitation care. The insurer denied nearly a quarter of claims, a rate that doubled over just a two-year period from 2020 to 2022. Joseph Kenny, the NYPD chief of detectives, says the shooter wore a black face mask, black-and-white sneakers and a distinctive gray backpack. He arrived outside the hotel about five minutes before UnitedHealthcare CEO Brian Thompson did, then waited and ignored other pedestrians before he approached Thompson from behind. After the assailant began to fire, his 9 mm pistol jammed but he quickly fixed it and kept firing, Kenny said, another sign of the shooter’s professionalism. “From watching the video, it does seem that he’s proficient in the use of firearms as he was able to clear the malfunctions pretty quickly,” Kenny said. The hostels were on Manhattan’s Upper West Side and police were following a tip that the suspect may have stayed at one of the residences, according to a law enforcement official briefed on the investigation. The official requested anonymity because they weren’t authorized to discuss the ongoing search. According to an employee of Kama Central Park, two detectives arrived at the hostel at 7 a.m. Thursday with a photo of the shooter and asked staff if they recognized the man. They did not, the employee said, and the detectives left soon after. An employee at the nearby HI New York City hostel also confirmed that police had visited the location Thursday, but declined to provide further information. — Jake Offenhartz New York Mayor Eric Adams said Thursday the shooter used a silencer — something he’d never encountered in his 22 years as a police officer. “In all of my years in law enforcement I have never seen a silencer before,” Adams, a retired NYPD captain, said in an appearance on MSNBC’s “Morning Joe.” “And so that was really something that was shocking to us all.” The masked gunman used ammunition emblazoned with the words “deny,” “defend” and “depose,” a law enforcement official said Thursday. The official was not authorized to publicly discuss details of the ongoing investigation and spoke to The Associated Press on the condition of anonymity. The words on the ammunition may have been a reference to strategies insurance companies use to try to avoid paying claims. Investigators recovered several 9 mm shell casings from outside the hotel, NYPD Chief of Detectives Joseph Kenny had said earlier. — Mike Balsamo, Jake Offenhartz and Michael R. Sisak The chief executive of UnitedHealthcare, one of the nation’s largest insurers, was killed Wednesday in midtown Manhattan in what police described as a targeted attack by a shooter outside a hotel where the company was holding a conference. ▶ Read more about the key things to know about the fatal attack
The masked gunman who stalked and killed UnitedHealthcare CEO Brian Thompson outside a Manhattan hotel used ammunition emblazoned with the words “deny,” “defend” and “depose,” a law enforcement official said Thursday. The gunman is still at large and a manhunt is underway. Here's the latest: Just minutes before the shooting, the suspect was seen on surveillance footage purchasing the two items from a nearby Starbucks. Both the water bottle and protein bar wrapper were later recovered from a trash can in the vicinity of the killing, according to a police spokesperson. They’ve been sent to the city’s medical examiner for expedited fingerprint testing. As the suspect remained at large Thursday afternoon, New York police were sorting through a growing number of leads coming in through a public hotline. Many have been unfounded, including a tip from a commuter who claimed to have spotted the shooter on a Long Island Rail Road train Wednesday evening. Police searched the train, but found no sign of the gunman. Members of the public have also provided police with several different names of people who bear a resemblance to the gunman — though they have yet to confirm the shooter’s identity. NYPD spokesperson Carlos Nieves urged anyone with information to contact the department “even if it seems trivial.” “We ask you to call the tip line because that little piece of information could be the missing piece of the puzzle that ties everything together,” he said. Users’ reactions — and in many cases jokes — populated comment sections teeming with frustration toward health insurers broadly and UnitedHealthcare in particular. “I would be happy to help look for the shooter but vision isn’t covered under my healthcare plan,” one comment read on Instagram. “Thoughts and prior authorizations!” wrote another user. Images released by police of a person they say is wanted for questioning in connection with the shooting match the lobby of the HI New York City hostel on Manhattan’s Upper West Side. Both feature a black-and-white checkered floor and a distinctive bench in the shape of a semicircle. Matheus Taranto, a guest at the hostel who’s visiting from Brazil, says he saw police at the lodging Wednesday evening. He said an officer wouldn’t let him access a bathroom where he wanted to brush his teeth. “I asked why, he was like, no, nothing happened,” said Taranto, 24. He didn’t connect the dots with the shooting until later. In Minnesota, police in the Minneapolis suburb of Maple Grove, where Thompson lived, said Thursday they believe a bomb threat on Wednesday night was a hoax. Maple Grove police put out a statement Thursday saying a “suspected swatting investigation” was underway. The department said it received a report of a bomb threat directed at two addresses around 7 p.m. CT Wednesday. The Minneapolis Bomb Squad and the Hennepin County Sheriff’s Office assisted, but investigators found no suspicions devices or other items. “The case is considered an active investigation, while the incident appears to be a hoax. No further comments will be made at this time,” the police statement said. Police reports provided to The Associated Press by the department show that officers made contact with family members at one of the homes and were told they had seen nothing suspicious and had received no direct threats. Back in Thompson’s home state of Minnesota, authorities were investigating a bomb threat that reportedly was made against his home Wednesday night, after his death. It was first reported by TMZ. City Prosecutor Andrew Draper confirmed to The Associated Press via email Thursday that he received an email Wednesday night “regarding a bomb threat. I reported it to the Maple Grove Police Department and do not have any additional information.” Maple Grove police officials did not immediately respond to requests for details Thursday. Local ATF spokesperson Ashlee Sherrill said: “ATF was made aware of the incident in Maple Grove last night, but no ATF resources were deployed. We are unable to confirm any further details.” A local FBI spokesperson did not immediately respond to a request for information on the FBI’s involvement in the investigation. The words emblazoned on the ammunition used in the shooting – “deny,” “defend” and “depose” – were written in permanent marker, according to a law enforcement official. The official wasn’t authorized to publicly discuss details of the ongoing investigation and spoke to The Associated Press on the condition of anonymity. — Jake Offenhartz As of Thursday morning, police were still searching for the shooter. They released new photos of a person they said is wanted for questioning in connection with the shooting. The images match the lobby of the HI New York City hostel on Manhattan’s Upper West Side, including its black-and-white checkered floor and a distinctive bench in the shape of a semi-circle. An employee at the hostel said police had visited but declined to provide further information. Danielle Brumfitt, a spokesperson for the lodging, said in an emailed statement that they are cooperating with the NYPD but can’t comment due to the active investigation. According to the official who spoke to AP about the ammunition messaging, investigators are running DNA and fingerprint analysis on items found near the shooting, including a water bottle, that they believe the suspect may have discarded. Additionally, they’re looking into whether the suspect had pre-positioned a bike as part of an escape plan. Doctors and patients have become particularly frustrated with prior authorizations, which are requirements that an insurer approve surgery or care before it happens. UnitedHealthcare was named in an October report detailing how the insurer’s prior authorization denial rate for some Medicare Advantage patients has surged in recent years. The report from the U.S. Senate Permanent Subcommittee on Investigations also named rivals Humana and CVS. Insurers say tactics like prior authorization are needed to limit unnecessary care and help control spiraling medical costs. Frustrations extend beyond the coverage of care. Expensive breakthrough medications to slow Alzheimer’s disease or help with obesity are frequently not covered or have coverage limits. In the U.S. health care system, patients get coverage through a mix of private insurers such as UnitedHealthcare and government-funded programs such as Medicaid and Medicare. That can prove particularly frustrating for doctors and patients because coverage often varies by insurer. Polls reflect those frustrations with the U.S. health care system in general and insurance companies in particular. About two-thirds of Americans said health insurance companies deserve “a lot of blame” for high health care costs, according to a KFF poll conducted in February . Thompson’s wife, Paulette Thompson, told NBC News that he told her “there were some people that had been threatening him.” She didn’t have details but suggested the threats may have involved issues with insurance coverage. Eric Werner, the police chief in the Minneapolis suburb where Thompson lived, said his department had not received any reports of threats against the executive. A message left at the scene of an insurance executive’s fatal shooting — “deny,” “defend” and “depose” — echoes a phrase commonly used to describe insurer tactics to avoid paying claims. The three words were emblazoned on the ammunition a masked gunman used to kill UnitedHealthcare CEO Brian Thompson , a law enforcement official told The Associated Press on Thursday. They’re similar to the phrase “delay, deny, defend” — the way some attorneys describe how insurers deny services and payment, and the title of a 2010 book that was highly critical of the industry. Police haven’t officially commented on the wording or any connection between them and the common phrase. But Thompson’s shooting and the messages on the ammunition have sparked outrage on social media and elsewhere, reflecting a deepening frustration Americans have over the cost and complexity of getting care. ▶ Read more about the messaging left behind by the shooter The New York Police Department released photos Thursday morning, asking for the public’s assistance in identifying the individual pictured. Police say the person is wanted for questioning in connection with the shooting of the UnitedHealthcare CEO. A Senate panel has been investigating how frequently three major insurers, including UnitedHealthcare, deny care to patients who are enrolled in Medicare Advantage plans. It has also investigated the use of artificial intelligence in deny those claims. Medicare Advantage is the private version of Medicare, which provides health insurance to millions of older Americans. The Senate’s Permanent Subcommittee’s report released earlier this year found that as UnitedHealthcare relied more on its automated system to review claims denials increased for post-acute treatment, which includes nursing home or rehabilitation care. The insurer denied nearly a quarter of claims, a rate that doubled over just a two-year period from 2020 to 2022. Joseph Kenny, the NYPD chief of detectives, says the shooter wore a black face mask, black-and-white sneakers and a distinctive gray backpack. He arrived outside the hotel about five minutes before UnitedHealthcare CEO Brian Thompson did, then waited and ignored other pedestrians before he approached Thompson from behind. After the assailant began to fire, his 9 mm pistol jammed but he quickly fixed it and kept firing, Kenny said, another sign of the shooter’s professionalism. “From watching the video, it does seem that he’s proficient in the use of firearms as he was able to clear the malfunctions pretty quickly,” Kenny said. The hostels were on Manhattan’s Upper West Side and police were following a tip that the suspect may have stayed at one of the residences, according to a law enforcement official briefed on the investigation. The official requested anonymity because they weren’t authorized to discuss the ongoing search. According to an employee of Kama Central Park, two detectives arrived at the hostel at 7 a.m. Thursday with a photo of the shooter and asked staff if they recognized the man. They did not, the employee said, and the detectives left soon after. An employee at the nearby HI New York City hostel also confirmed that police had visited the location Thursday, but declined to provide further information. — Jake Offenhartz New York Mayor Eric Adams said Thursday the shooter used a silencer — something he’d never encountered in his 22 years as a police officer. “In all of my years in law enforcement I have never seen a silencer before,” Adams, a retired NYPD captain, said in an appearance on MSNBC’s “Morning Joe.” “And so that was really something that was shocking to us all.” The masked gunman used ammunition emblazoned with the words “deny,” “defend” and “depose,” a law enforcement official said Thursday. The official was not authorized to publicly discuss details of the ongoing investigation and spoke to The Associated Press on the condition of anonymity. The words on the ammunition may have been a reference to strategies insurance companies use to try to avoid paying claims. Investigators recovered several 9 mm shell casings from outside the hotel, NYPD Chief of Detectives Joseph Kenny had said earlier. — Mike Balsamo, Jake Offenhartz and Michael R. Sisak The chief executive of UnitedHealthcare, one of the nation’s largest insurers, was killed Wednesday in midtown Manhattan in what police described as a targeted attack by a shooter outside a hotel where the company was holding a conference. ▶ Read more about the key things to know about the fatal attack
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