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blackjack symbol Like sands through the hourglass, so are the days of Gavin’s political careerJulie 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 | How to stay healthy during the holidays Health | More foods are making us sick: What to know as foodborne outbreaks hit Health | Which health insurance plan may be right for you? Health | Pay first, deliver later: Some women are being asked to prepay for their baby 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.

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NoneNEW ORLEANS (AP) — Aidan O'Connell and the Las Vegas Raiders played with a lot of energy — and looked pretty sharp — for a last-place team that had every excuse to be sluggish and sleep-deprived. O'Connell passed for two touchdowns, tight end Brock Bowers , and the Raiders won for just the fourth time this season, 25-10 over the struggling New Orleans Saints on Sunday. The convincing victory came after flight delays so long on Saturday that players didn't get into their New Orleans hotel until after midnight — less than 12 hours before kickoff. “These guys didn’t blink, flinch," Raiders coach Antonio Pierce said with a satisfied grin. "We got in at 1 o'clock in the morning, got up this morning and rolled.” Bowers' seven catches for 77 yards gave him 108 receptions for 1,144 yards this season, eclipsing Mike Ditka's 1961 rookie tight end mark of 1,067 yards receiving and Puka Nacua's 2023 mark of 105 catches by a rookie at any position. Bowers also surpassed Darren Waller's franchise mark of 107 receptions in a season, which had stood since 2020. “It's pretty shocking to me,” Bowers said of his records, saying he had “no clue what to expect, coming from college to the NFL.” Ameer Abdullah rushed for 115 yards for the Raiders (4-12) — the journeyman running back's first 100-yard game in his 10 NFL seasons. “I'm not surprised by it,” Abdullah said. “I put a lot of work in. I'm very consistent. ... I'm happy for it, but I still think there's a lot more out there for me.” O'Connell finished with 242 yards passing, including a 3-yard TD pass to Jakobi Meyers and an 18-yarder to Tre Tucker as the Raiders won their second straight on the heels of a 10-game skid. “Better late than never,” O'Connell said. “We have a resilient bunch of guys and I'm sure it was probably harder for people to believe that when we were losing a lot of games.” Daniel Carlson kicked four field goals — his longest from 54 yards — for Las Vegas. With former Raiders QB Derek Carr unable to suit up for the Saints (5-11) because of his injured left, non-throwing hand, rookie Spencer Rattler received his fifth career start. He remained winless as a starter after completing 20 of 36 passes for 218 yards and one TD with two interceptions. Saints interim coach Darren Rizzi cited dropped passes, untimely penalties and breakdowns in pass blocking as the leading causes of his team's offensive anemia. “I felt like Spencer really never got settled in there, and he was moving around,” Rizzi said. “And he made some plays moving around, to his credit.” Rattler also rushed for 46 yards to finish as New Orleans' leading rusher for a second straight week. “It’s no secret our team is in a dark time right now,” Saints linebacker Demario Davis said. The Saints . Running back Kendre Miller took what looked like a toss sweep to the right before throwing a lateral back to his left, where Rattler caught it and threw 30 yards downfield to wide-open tight end Foster Moreau in the end zone. Las Vegas moved in front for good on O'Connell's short scoring pass to Meyers with a minute left in the second quarter. Travel trouble After congregating for their flight on Saturday, only to learn of mechanical issues with their plane, Raiders players were sent home for several hours. “It was pretty weird,” O’Connell said. “I kind of got back home and my wife and my dog both looked at me like, ‘What are you doing here?’ It was fun to be home for an extra couple hours but last night was a late night.” The Raiders returned to team headquarters for meetings that normally would have been held in their New Orleans hotel before finally flying two times zones east. “It was kind of funny when we came in this morning," O'Connell said. “It was really a lot of juice from a lot of guys that I think kind of saw it as a challenge and tried to just enjoy it.” Injuries Saints: Miller left the game with concussion symptoms in the second quarter. LB Jaylan Ford appeared to seriously injure his lower right leg on punt coverage in the fourth quarter. DE Payton Turner left with an ankle injury. WR Marquez Valdes-Scantling briefly went down, but walked off on his own, after a hard collision over the middle. Up next Raiders: Host the Los Angeles Chargers on Sunday. Saints: Visit Tampa Bay on Sunday. ___ AP NFL: Brett Martel, The Associated PressAP Sports SummaryBrief at 5:21 p.m. EST

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BROOKLYN, N.Y. , Dec. 24, 2024 /PRNewswire/ -- This New Year's Eve, elevate your celebrations with the world's most luxurious cookie cake: The Dank Decadence Cookie Cake , by Laced Bakes , the innovative infusion bakery redefining indulgence. Designed for the adventurous palate, this decadent treat pairs rich chocolate flavors with customizable terpenes, offering a curated experience to elevate your mood, focus, or relaxation. Available in 250mg ($145) , 500mg ($275) , and 1000mg ($550) doses, the Dank Decadence Cookie Cake is crafted for enthusiasts who demand both flavor and function. Unlike overpriced and underwhelming competitors, this cookie cake doesn't just sit pretty—it delivers tangible effects tailored to you. Customize Your Experience: "Why settle for empty luxury when you can have indulgence that actually does something?" says Crystal Grant , founder of Laced Bakes. "We wanted to create a cookie that doesn't just taste amazing but elevates your entire experience—whether it's a party or a quiet night in." Pre-Order Now: Pick up your Dank Decadence Cookie Cake on December 30th and 31st to kickstart your New Year's celebration on the perfect high note. Quantities are limited—don't miss out on this one-of-a-kind treat. Coming Soon: Stay tuned for the grand opening of Laced Bakes' members-only lounge in Brooklyn , offering exclusive events, infused menu items, and a community space for food and cannabis enthusiasts alike. For more details, visit www.lacedbakes.com or follow us on social media: Instagram: @laced.bakes | TikTok: @lacedbakes | Facebook: Laced Bakes | X: @lacedbakes | Discord: @lacedbakes Elevate your indulgence with Laced Bakes. Contact: Crystal Grant , Founder of Laced Bakes, press@lacedbakes.com Location : 1096 Broadway, Brooklyn, NY 11221 Website : www.LacedBakes.com View original content to download multimedia: https://www.prnewswire.com/news-releases/laced-bakes-launches-the-dank-decadence-cookie-cake-the-ultimate-luxury-treat-that-delivers-302339021.html SOURCE Laced Bakes

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FRANKFORT, Ky. (AP) — Looking for hard-to-find bottles of Kentucky bourbon to toast the holidays or add to a collection? Get your bids ready as the Bluegrass State launches its first online auction of confiscated alcohol. Whiskeys up for sale include two bottles of Old Rip Van Winkle, a Blanton’s Single Barrel Gold in box with Japanese markings and a bottle of Four Roses Small Batch Barrel Strength 2011. The sale is the result of a new Kentucky law, which allows alcohol confiscated from closed criminal investigations by the state's alcoholic beverage control agency to be auctioned. Online bidding opens Wednesday and closes at midnight on Dec. 11. Proceeds will support programs promoting responsible alcohol use by adults and awareness programs for youths. “This is a really good auction,” Eric Gregory, president of the Kentucky Distillers’ Association, said by phone Tuesday. “There are some hard-to-find and rare bottles on there.” No estimate has been given on how much the auction might raise. “We look forward to seeing the response to this auction and have started planning additional auctions for 2025,” said Allyson Taylor, commissioner of the Kentucky Department of Alcoholic Beverage Control. The auction features 32 bottles of alcohol and includes a “stock the bar” bundle with bottles of wine, vodka, rum and whiskey, the agency said. But the stars are the hard-to-find and rare bourbons up for sale. “It’s not every day you go to a liquor store and find a bottle of Blanton’s Gold," Gregory said. “You never go to a liquor store and find a bottle of Four Roses 2011.” The lineup includes bottles of E.H. Taylor bourbon, Blanton’s Single Barrel, Eagle Rare 10 yr., Weller Antique 107, Willett Family Estate Single Barrel Rye, Michter’s, an Old Forester gift set and more. A link to the online auction is available at ABC.ky.gov . Auction items cannot be shipped, so winning bidders must pick up items in Frankfort, the state said. The auctions will become a “can't miss opportunity” for bourbon connoisseurs, Gregory said. Previously, confiscated bourbon or other spirits could end up being destroyed, he said. “We don't like to see good bourbon poured down the drain,” Gregory said. Kentucky distillers produce 95% of the global bourbon supply, the Kentucky distillers’ group says.

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