Renuka Rayasam | (TNS) KFF Health News In April, just 12 weeks into her pregnancy, Kathleen Clark was standing at the receptionist window of her OB-GYN’s office when she was asked to pay $960, the total the office estimated she would owe after she delivered. Clark, 39, was shocked that she was asked to pay that amount during this second prenatal visit. Normally, patients receive the bill after insurance has paid its part, and for pregnant women that’s usually only when the pregnancy ends. It would be months before the office filed the claim with her health insurer. Clark said she felt stuck. The Cleveland, Tennessee, obstetrics practice was affiliated with a birthing center where she wanted to deliver. Plus, she and her husband had been wanting to have a baby for a long time. And Clark was emotional, because just weeks earlier her mother had died. “You’re standing there at the window, and there’s people all around, and you’re trying to be really nice,” recalled Clark, through tears. “So, I paid it.” On online baby message boards and other social media forums , pregnant women say they are being asked by their providers to pay out-of-pocket fees earlier than expected. The practice is legal, but patient advocacy groups call it unethical. Medical providers argue that asking for payment up front ensures they get compensated for their services. How frequently this happens is hard to track because it is considered a private transaction between the provider and the patient. Therefore, the payments are not recorded in insurance claims data and are not studied by researchers. Patients, medical billing experts, and patient advocates say the billing practice causes unexpected anxiety at a time of already heightened stress and financial pressure. Estimates can sometimes be higher than what a patient might ultimately owe and force people to fight for refunds if they miscarry or the amount paid was higher than the final bill. Up-front payments also create hurdles for women who may want to switch providers if they are unhappy with their care. In some cases, they may cause women to forgo prenatal care altogether, especially in places where few other maternity care options exist. It’s “holding their treatment hostage,” said Caitlin Donovan, a senior director at the Patient Advocate Foundation . Medical billing and women’s health experts believe OB-GYN offices adopted the practice to manage the high cost of maternity care and the way it is billed for in the U.S. When a pregnancy ends, OB-GYNs typically file a single insurance claim for routine prenatal care, labor, delivery, and, often, postpartum care. That practice of bundling all maternity care into one billing code began three decades ago, said Lisa Satterfield, senior director of health and payment policy at the American College of Obstetricians and Gynecologists . But such bundled billing has become outdated, she said. Previously, pregnant patients had been subject to copayments for each prenatal visit, which might lead them to skip crucial appointments to save money. But the Affordable Care Act now requires all commercial insurers to fully cover certain prenatal services. Plus, it’s become more common for pregnant women to switch providers, or have different providers handle prenatal care, labor, and delivery — especially in rural areas where patient transfers are common. Some providers say prepayments allow them to spread out one-time payments over the course of the pregnancy to ensure that they are compensated for the care they do provide, even if they don’t ultimately deliver the baby. “You have people who, unfortunately, are not getting paid for the work that they do,” said Pamela Boatner, who works as a midwife in a Georgia hospital. While she believes women should receive pregnancy care regardless of their ability to pay, she also understands that some providers want to make sure their bill isn’t ignored after the baby is delivered. New parents might be overloaded with hospital bills and the costs of caring for a new child, and they may lack income if a parent isn’t working, Boatner said. In the U.S., having a baby can be expensive. People who obtain health insurance through large employers pay an average of nearly $3,000 out-of-pocket for pregnancy, childbirth, and postpartum care, according to the Peterson-KFF Health System Tracker . In addition, many people are opting for high-deductible health insurance plans, leaving them to shoulder a larger share of the costs. Of the 100 million U.S. people with health care debt, 12% attribute at least some of it to maternity care, according to a 2022 KFF poll . Families need time to save money for the high costs of pregnancy, childbirth, and child care, especially if they lack paid maternity leave, said Joy Burkhard , CEO of the Policy Center for Maternal Mental Health, a Los Angeles-based policy think tank. Asking them to prepay “is another gut punch,” she said. “What if you don’t have the money? Do you put it on credit cards and hope your credit card goes through?” Calculating the final costs of childbirth depends on multiple factors, such as the timing of the pregnancy , plan benefits, and health complications, said Erin Duffy , a health policy researcher at the University of Southern California’s Schaeffer Center for Health Policy and Economics. The final bill for the patient is unclear until a health plan decides how much of the claim it will cover, she said. But sometimes the option to wait for the insurer is taken away. During Jamie Daw’s first pregnancy in 2020, her OB-GYN accepted her refusal to pay in advance because Daw wanted to see the final bill. But in 2023, during her second pregnancy, a private midwifery practice in New York told her that since she had a high-deductible plan, it was mandatory to pay $2,000 spread out with monthly payments. Daw, a health policy researcher at Columbia University, delivered in September 2023 and got a refund check that November for $640 to cover the difference between the estimate and the final bill. “I study health insurance,” she said. “But, as most of us know, it’s so complicated when you’re really living it.” While the Affordable Care Act requires insurers to cover some prenatal services, it doesn’t prohibit providers from sending their final bill to patients early. It would be a challenge politically and practically for state and federal governments to attempt to regulate the timing of the payment request, said Sabrina Corlette , a co-director of the Center on Health Insurance Reforms at Georgetown University. Medical lobbying groups are powerful and contracts between insurers and medical providers are proprietary. Because of the legal gray area, Lacy Marshall , an insurance broker at Rapha Health and Life in Texas, advises clients to ask their insurer if they can refuse to prepay their deductible. Some insurance plans prohibit providers in their network from requiring payment up front. If the insurer says they can refuse to pay up front, Marshall said, she tells clients to get established with a practice before declining to pay, so that the provider can’t refuse treatment. Related Articles Health | Which health insurance plan may be right for you? Health | California case is the first confirmed bird flu infection in a US child Health | UC campus and hospital worker strike continues across university system Health | Phillips 66 indicted on charges it dumped tainted water from Carson refinery into sewer system Health | US towns plunge into debates about fluoride in water Clark said she met her insurance deductible after paying for genetic testing, extra ultrasounds, and other services out of her health care flexible spending account. Then she called her OB-GYN’s office and asked for a refund. “I got my spine back,” said Clark, who had previously worked at a health insurer and a medical office. She got an initial check for about half the $960 she originally paid. In August, Clark was sent to the hospital after her blood pressure spiked. A high-risk pregnancy specialist — not her original OB-GYN practice — delivered her son, Peter, prematurely via emergency cesarean section at 30 weeks. It was only after she resolved most of the bills from the delivery that she received the rest of her refund from the other OB-GYN practice. This final check came in October, just days after Clark brought Peter home from the hospital, and after multiple calls to the office. She said it all added stress to an already stressful period. “Why am I having to pay the price as a patient?” she said. “I’m just trying to have a baby.” ©2024 KFF Health News. Distributed by Tribune Content Agency, LLC.
US agencies should use advanced technology to identify mysterious drones, Schumer saysAlexander: Dodgers’ signing of Blake Snell creates the traditional uproarRenuka Rayasam | (TNS) KFF Health News In April, just 12 weeks into her pregnancy, Kathleen Clark was standing at the receptionist window of her OB-GYN’s office when she was asked to pay $960, the total the office estimated she would owe after she delivered. Clark, 39, was shocked that she was asked to pay that amount during this second prenatal visit. Normally, patients receive the bill after insurance has paid its part, and for pregnant women that’s usually only when the pregnancy ends. It would be months before the office filed the claim with her health insurer. Clark said she felt stuck. The Cleveland, Tennessee, obstetrics practice was affiliated with a birthing center where she wanted to deliver. Plus, she and her husband had been wanting to have a baby for a long time. And Clark was emotional, because just weeks earlier her mother had died. “You’re standing there at the window, and there’s people all around, and you’re trying to be really nice,” recalled Clark, through tears. “So, I paid it.” On online baby message boards and other social media forums , pregnant women say they are being asked by their providers to pay out-of-pocket fees earlier than expected. The practice is legal, but patient advocacy groups call it unethical. Medical providers argue that asking for payment up front ensures they get compensated for their services. How frequently this happens is hard to track because it is considered a private transaction between the provider and the patient. Therefore, the payments are not recorded in insurance claims data and are not studied by researchers. Patients, medical billing experts, and patient advocates say the billing practice causes unexpected anxiety at a time of already heightened stress and financial pressure. Estimates can sometimes be higher than what a patient might ultimately owe and force people to fight for refunds if they miscarry or the amount paid was higher than the final bill. Up-front payments also create hurdles for women who may want to switch providers if they are unhappy with their care. In some cases, they may cause women to forgo prenatal care altogether, especially in places where few other maternity care options exist. It’s “holding their treatment hostage,” said Caitlin Donovan, a senior director at the Patient Advocate Foundation . Medical billing and women’s health experts believe OB-GYN offices adopted the practice to manage the high cost of maternity care and the way it is billed for in the U.S. When a pregnancy ends, OB-GYNs typically file a single insurance claim for routine prenatal care, labor, delivery, and, often, postpartum care. That practice of bundling all maternity care into one billing code began three decades ago, said Lisa Satterfield, senior director of health and payment policy at the American College of Obstetricians and Gynecologists . But such bundled billing has become outdated, she said. Previously, pregnant patients had been subject to copayments for each prenatal visit, which might lead them to skip crucial appointments to save money. But the Affordable Care Act now requires all commercial insurers to fully cover certain prenatal services. Plus, it’s become more common for pregnant women to switch providers, or have different providers handle prenatal care, labor, and delivery — especially in rural areas where patient transfers are common. Some providers say prepayments allow them to spread out one-time payments over the course of the pregnancy to ensure that they are compensated for the care they do provide, even if they don’t ultimately deliver the baby. “You have people who, unfortunately, are not getting paid for the work that they do,” said Pamela Boatner, who works as a midwife in a Georgia hospital. While she believes women should receive pregnancy care regardless of their ability to pay, she also understands that some providers want to make sure their bill isn’t ignored after the baby is delivered. New parents might be overloaded with hospital bills and the costs of caring for a new child, and they may lack income if a parent isn’t working, Boatner said. In the U.S., having a baby can be expensive. People who obtain health insurance through large employers pay an average of nearly $3,000 out-of-pocket for pregnancy, childbirth, and postpartum care, according to the Peterson-KFF Health System Tracker . In addition, many people are opting for high-deductible health insurance plans, leaving them to shoulder a larger share of the costs. Of the 100 million U.S. people with health care debt, 12% attribute at least some of it to maternity care, according to a 2022 KFF poll . Families need time to save money for the high costs of pregnancy, childbirth, and child care, especially if they lack paid maternity leave, said Joy Burkhard , CEO of the Policy Center for Maternal Mental Health, a Los Angeles-based policy think tank. Asking them to prepay “is another gut punch,” she said. “What if you don’t have the money? Do you put it on credit cards and hope your credit card goes through?” Calculating the final costs of childbirth depends on multiple factors, such as the timing of the pregnancy , plan benefits, and health complications, said Erin Duffy , a health policy researcher at the University of Southern California’s Schaeffer Center for Health Policy and Economics. The final bill for the patient is unclear until a health plan decides how much of the claim it will cover, she said. But sometimes the option to wait for the insurer is taken away. During Jamie Daw’s first pregnancy in 2020, her OB-GYN accepted her refusal to pay in advance because Daw wanted to see the final bill. But in 2023, during her second pregnancy, a private midwifery practice in New York told her that since she had a high-deductible plan, it was mandatory to pay $2,000 spread out with monthly payments. Daw, a health policy researcher at Columbia University, delivered in September 2023 and got a refund check that November for $640 to cover the difference between the estimate and the final bill. “I study health insurance,” she said. “But, as most of us know, it’s so complicated when you’re really living it.” While the Affordable Care Act requires insurers to cover some prenatal services, it doesn’t prohibit providers from sending their final bill to patients early. It would be a challenge politically and practically for state and federal governments to attempt to regulate the timing of the payment request, said Sabrina Corlette , a co-director of the Center on Health Insurance Reforms at Georgetown University. Medical lobbying groups are powerful and contracts between insurers and medical providers are proprietary. Because of the legal gray area, Lacy Marshall , an insurance broker at Rapha Health and Life in Texas, advises clients to ask their insurer if they can refuse to prepay their deductible. Some insurance plans prohibit providers in their network from requiring payment up front. If the insurer says they can refuse to pay up front, Marshall said, she tells clients to get established with a practice before declining to pay, so that the provider can’t refuse treatment. Related Articles Health | Which health insurance plan may be right for you? Health | Mercy Health celebrates National Rural Health Day Health | Your cool black kitchenware could be slowly poisoning you, study says. Here’s what to do Health | Does fluoride cause cancer, IQ loss, and more? Fact-checking Robert F. Kennedy Jr.’s claims Health | US towns plunge into debates about fluoride in water Clark said she met her insurance deductible after paying for genetic testing, extra ultrasounds, and other services out of her health care flexible spending account. Then she called her OB-GYN’s office and asked for a refund. “I got my spine back,” said Clark, who had previously worked at a health insurer and a medical office. She got an initial check for about half the $960 she originally paid. In August, Clark was sent to the hospital after her blood pressure spiked. A high-risk pregnancy specialist — not her original OB-GYN practice — delivered her son, Peter, prematurely via emergency cesarean section at 30 weeks. It was only after she resolved most of the bills from the delivery that she received the rest of her refund from the other OB-GYN practice. This final check came in October, just days after Clark brought Peter home from the hospital, and after multiple calls to the office. She said it all added stress to an already stressful period. “Why am I having to pay the price as a patient?” she said. “I’m just trying to have a baby.” ©2024 KFF Health News. Distributed by Tribune Content Agency, LLC.
Canada environment minister warns oil and gas companies against withholding emissions dataLosses for big technology stocks pulled major indexes lower on Wall Street. The S&P 500 fell 0.4% Wednesday. The Dow Jones Industrial Average slipped 0.3% from its record high a day earlier, and the Nasdaq composite lost 0.6%. Losses for Nvidia, Microsoft and Broadcom were the biggest weights on the market. Dell sank 12.2% after reporting revenue that fell shy of forecasts, and HP dropped 11.4% after giving a weaker-than-expected outlook. Treasury yields fell in the bond market. U.S. financial markets will be closed Thursday for Thanksgiving, and will reopen for a half day on Friday. On Wednesday: The S&P 500 fell 22.89 points, or 0.4%, to 5,998.74. The Dow Jones Industrial Average fell 138.25 points, or 0.3%, to 44,722.06. The Nasdaq composite fell 115.10 points, or 0.6%, to 19,060.48. The Russell 2000 index of smaller companies rose 1.88 points, or 0.1%, to 2,426.19. For the week: The S&P 500 is up 29.40 points, or 0.5%. The Dow is up 425.55 points, or 1%. The Nasdaq is up 56.83 points, or 0.3%. The Russell 2000 is up 19.52 points, or 0.8%. For the year: The S&P 500 is up 1,228.91 points, or 25.8%. The Dow is up 7,032.52 points, or 18.7%. The Nasdaq is up 4,449.12 points, or 27%. The Russell 2000 is up 399.12 points, or 19.7%.Chhattisgarh Set To Implement Eco-Restoration Policy To Boost Environmental SustainabilityAn effort to promote traditional technique of miniature painting
( MENAFN - Jordan Times) AMMAN - Gaza Sky Geeks, a programme of the international organisation Mercy Corps, has formed a strategic partnership with Edraak, the non-profit educational initiative of the Queen Rania Foundation for Education and Development, aimed at equipping Palestinian youth with essential digital skills to thrive for today's job market. Announced on Sunday by Edraak, the collaboration combines the expertise and networks of both organisations to offer new opportunities for young Palestinians, the Jordan News Agency, Petra, reported. Established in collaboration with google for Startups, Gaza Sky Geeks has been a leader in training Palestinian youth in programming and digital skills in the West Bank and Gaza Strip for nearly a decade, preparing them for the demands of the rapidly evolving digital economy. Chairman of Edraak's Board of Directors Bassem Saad highlighted the significance of this collaboration in advancing the platform's mission to provide accessible, high-quality and free online education. He emphasised that Edraak's core vision is to create long-lasting, positive change in Arab communities by empowering youth through continuous learning opportunities. Saad added that the partnership with Gaza Sky Geeks is a key step in helping Palestinian youth overcome economic challenges and position themselves better in the global workforce. He highlighted that this initiative comes at a critical time for Gaza's youth, many of whom have faced educational disruption due to more than 15 months of instability. The collaboration seeks to deliver specialised training programmes tailored to the specific needs of young people in Gaza, supporting them in navigating current challenges while providing access to advanced education and professional opportunities. Executive Director of Gaza Sky Geeks Alan Kadhi acknowledged the urgency of forming both local and international partnerships, particularly in light of the ongoing hardships in the region, including the recent war in Gaza and escalating violence in the West Bank. He underlined that expanding the programme's reach and opening up new opportunities for Palestinian businesses and youth is essential to overcoming these challenges and unlocking new economic prospects. The collaboration also aims to boost ties between Palestinian and Jordanian institutions in the fields of economic and technological empowerment. Both sides share the belief that technology is a powerful enabler of economic growth, particularly through remote work opportunities, and that empowering young people with the necessary skills is crucial for long-term economic resilience. In 2023, Gaza Sky Geeks trained over 3,000 graduates and more than 7,000 trainees in Gaza, but the organisation's activities were suspended following the escalation of war in the Strip in October of the previous year. MENAFN15122024000028011005ID1108995667 Legal Disclaimer: MENAFN provides the information “as is” without warranty of any kind. We do not accept any responsibility or liability for the accuracy, content, images, videos, licenses, completeness, legality, or reliability of the information contained in this article. If you have any complaints or copyright issues related to this article, kindly contact the provider above.
The AP Top 25 men’s college basketball poll is back every week throughout the season! Get the poll delivered straight to your inbox with AP Top 25 Poll Alerts. Sign up here . HEMPSTEAD, N.Y. (AP) — Jamal Mashburn Jr.'s 12 points helped Temple defeat Hofstra 60-42 on Sunday. Mashburn shot 4 for 14 (0 for 3 from 3-point range) and 4 of 4 from the free-throw line for the Owls (6-4). Quante Berry added 10 points while going 4 of 6 (2 for 3 from 3-point range) while he also had five rebounds. Lynn Greer III had nine points and went 4 of 8 from the field. The Pride (8-4) were led by Jean Aranguren, who finished with 16 points, 14 rebounds, five assists and three blocks. Hofstra also got nine points and two steals from Kijan Robinson. Silas Sunday finished with five points, 11 rebounds and three blocks. Temple took the lead with 15:04 remaining in the first half and did not give it up. The score was 33-20 at halftime, with Mashburn racking up 12 points. Temple outscored Hofstra by five points over the final half, while Greer led the way with a team-high seven second-half points. ___ The Associated Press created this story using technology provided by Data Skrive and data from Sportradar .Target Corp. stock rises Wednesday, still underperforms market
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Happy Birthday for Thursday, Nov. 28, 2024: You are complex. You are playful, warm and friendly, but you are also intense and impulsive. You care. This is a slower paced year. Focus on your closest relationships and make sure you are with people who have your back. Take time to rejuvenate yourself. The stars show the kind of day you’ll have: 5-Dynamic; 4-Positive; 3-Average; 2-So-so; 1-Difficult ARIES (March 21-April 19)  Be patient with children and young people in the morning, because they might annoy you or test you in some way, especially by refusing to accept responsibility for something. Or perhaps their values differ from yours. Tonight: Welcome support. TAURUS (April 20-May 20)  Minor disputes or spats with partners, spouses and close friends might occur this morning. This is natural if there is tension in the air. Fortunately, these people will help and support you later in the day. Tonight: Agreement. GEMINI (May 21-June 20)  Squabbles about work, duties and possibly a pet might annoy you this morning. Nevertheless, after this happens, you will be productive in all your efforts because you’re willing to do whatever is necessary to make things work. In fact, it will all unfold with dignity and tradition. Tonight: You’re organized. CANCER (June 21-July 22)  Difficulties with your kids or younger people who are present might be a challenge this morning. For some of you, this difficulty will be with a romantic partner. Fortunately, this is temporary. The rest of the day will be a delight in pageantry and tradition that all will welcome. Tonight: Socialize! LEO (July 23-Aug. 22)  In your zeal to make this day unfold according to your hopes and plans, you might be at odds with a parent or a family member this morning. Let this go. Move on. In fact, everyone will respect traditional ways of doing things and be willing to put their wishes second to the needs of the group. Tonight: Relax. VIRGO (Aug. 23-Sept. 22)  You might feel irritated this morning because you have a lot on your plate. Unexpected guests or news from family members you haven’t seen for a while might catch you off guard. Fortunately, you will rise to the task and keep things orderly and practical. Planning always pays off. Tonight: Conversations! LIBRA (Sept. 23-Oct. 22)  Morning squabbles with a friend or a group, perhaps about money or possessions, might irritate you. Fortunately, whatever the problem is it will be resolved. Later in the day, you feel calm, in control and capable of running everything smoothly. Tonight: Everything’s orderly. SCORPIO (Oct. 23-Nov. 21)  Someone might challenge you this morning, especially an authority figure who tries to get in your way. (Bad move.) Later in the day, things will flow smoothly, and you will take on chores and duties with grace and a willing acceptance of duty. Tonight: You win! SAGITTARIUS (Nov. 22-Dec. 21)  Ignore worries and challenges with travel or controversial politics this morning. Everything will come together in one way or another. By the end of the day, with the sun in your sign and your strong sense of duty, you will be pleased with how this day unfolds. Tonight: Quiet times. CAPRICORN (Dec. 22-Jan. 19)  Squabbles about shared values, shared costs and inheritances might be a challenge to your morning. However, there is no sign that reveres tradition more than you. Furthermore, you have unwavering family values. Tonight: Friendships. AQUARIUS (Jan. 20-Feb. 18)  Don’t let morning squabbles with partners, friends, parents or bosses ruin your day. It’s not going to happen. Au contraire! Today you will be respected because of the unflagging energy and support you are giving to everyone. You will spare no effort. Tonight: You’re noticed. PISCES (Feb. 19-March 20)  Steer clear of controversial subjects or travel problems this morning. You need to stay calm and clear today, which you will, because you’re willing to put your own comfort second so that everything comes off in a way that pleases everyone. Tonight: Explore! — King Features Syndicate Get local news delivered to your inbox!Presley Ann/Getty; Netflix would bet on Tony Stark in a competition. At premiere event in Los Angeles on Thursday, Dec. 12, the hit show’s director revealed exclusively to PEOPLE which famous figure would do well in the deadly competition. “Iron Man — without the suit,” Hwang says, referring to Tony Stark, the central hero played by in Marvel's Infinity Saga. Hwang believes Stark, who is considered one of the smartest characters in the Marvel Cinematic Universe, would stand the best chance at winning even without his technologically-advanced body armor. Courtesy Everett Collection Related: 's first season followed Seong Gi-hun, played by , as he sought to win the high-stakes competition filled with deadly versions of children's games. Out of 456 contestants that started in the competition, Seong was one of two people who left aliv Season 1’s games included tug of war, marbles, hopscotch, honeycomb carving and red light, green light. Hwang says season 2 will feature some different games. "There were some [games] left over from the list of games that I had thought of for season 1," he says. "So at least for season 2, it wasn't as hard to come up with the new games." Presley Ann/Getty Related: Hwang admits he would excel most at the honeycomb challenge. When he was a kid, re recalls he used Seong's lifesaving trick seen in season 1 — licking the honeycomb to weaken the shape's outline for easier removal. , first recorded in Korean and later translated into 31 languages, became a worldwide hit after its September 2021 release. , including for lead actor, directing, production design, guest actress, special visual effects and stunt performance. Netflix Even though season 2 doesn't debut for another two weeks, it earned a in the best drama series category. "They gave us a nomination even before it come out," Hwang says. "So it was a big surprise and big compliment. I'm so happy. I cannot be happier." premieres on Netflix on Dec. 26. Read the original article onArne Slot was pleased to beat a Real Madrid team who have been a “pain in the ass” for Liverpool for several years but played down the significance of the 2-0 victory. After seven defeats and a draw – including losses in the 2018 and 2022 finals – the Reds gained their first success over their European nemesis since 2009 with goals from Alexis Mac Allister and Cody Gakpo. Liverpool top the Champions League with five wins from five and are on the verge of securing a place in the last 16 but Slot said the win would mean much more if it came in the knockout stages. “I wouldn’t say it is the same as any other one because you know how special it is to play against a club that won this Champions League so many times and are the reigning champions as well, dominated Europe for the last few years and were a pain in the ass for Liverpool many times as well,” he told TNT Sports. In his post-match press conference Slot added: “I think it is always good to win a game and especially a big game like this, you know you face so many quality players. “This is such a strange and different setup in the Champions League it is difficult to judge how important these wins are. “If we meet them in the last 16 and then we are able to beat them it would be a bigger statement.” Liverpool were well worth their long-awaited victory as they dominated throughout and kept generational talents Kylian Mbappe – who missed a penalty – and Jude Bellingham quite for almost the entire game. They could even afford for Mohamed Salah to miss a spot-kick of his own but it did not affect the outcome as Real were restricted to 37 per cent possession and just three shots on target. Asked whether his side were currently the best in Europe, Slot said: “The ones (players) here for a long time are almost used to playing a final, this team has always been there. “The last two years have maybe been different but it was only a few adjustments and we are only five games in in a new format. “We are happy where we are but not getting carried away by winning a group-stage game. This club wants more.” The only blemish on the night were injuries to Ibrahima Konate and the excellent 21-year-old Conor Bradley , who kept Mbappe quiet and then provided the assist for Mac Allister’s opener. “I know where they have pain but how bad or good it is difficult to judge so close after the game but this happens,” said Slot, who has four days to prepare his Premier League leaders for the visit of Manchester City. “I am really hoping both are available but if not someone else has to step up.” On the performance of Bradley, deputising for Trent Alexander-Arnold who was on the bench after returning from a hamstring injury, the Liverpool boss added: “Conor did very well but I am totally not surprised, he showed it last season and this as well.” Real manager Carlo Ancelotti accepted they were beaten by the better team. “I think that to be totally honest it is a fair result, Liverpool deserved to win,” he said. “I think Mbappe it is a difficult moment. We have to support him and give him our love, he will soon be fine. “It could be a lack of confidence maybe, sometimes maybe when you have moments when things aren’t working out, the idea is to keep things simple, don’t complicate life. “You don’t need to blame him for missing penalties, people miss penalties, it happens a lot.” A third group-stage defeat for the first time in the club’s history leaves them right on the cut line of 24th to progress to at least a play-off for the last 16 – but Ancelotti has no doubts. “This game today wasn’t a decisive game in terms of our league position,” he said. “It was always going to be tough to finish in the top eight, we have to make sure we are in the next 24 as high as we can and we will be there.”
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