It was a fine first win for Ruud van Nistelrooy , and perhaps one final defeat for Julen Lopetegui. Leicester marked Van Nistelrooy’s first match in charge of the team by surging to a 3-1 win over Lopetegui's West Ham in the Premier League on Tuesday. Van Nistelrooy, the former Manchester United striker, is back in English soccer this time as a manager, with Leicester taking something of a gamble on the Dutchman after his brief and impressive spell as interim coach at United this season following Erik ten Hag's departure. He faces the tough task of keeping Leicester, one of the top candidates for relegation, in the top division. For that to happen, he’s likely to need goals from Jamie Vardy — and the 37-year-old former England international delivered immediately. Nine years after breaking Van Nistelrooy’s record for scoring in consecutive games, Vardy scored the first goal of the Dutchman’s tenure at Leicester by beating the offside trap and slotting home a finish with less than two minutes gone. Morocco midfielder Bilal El Khannouss supplied the pass for Vardy’s goal and scored himself with a low shot in the 61st minute to make it 2-0. Patson Daka added a third for Leicester in the 90th minute, before a stoppage-time consolation by West Ham substitute Niclas Füllkrug. “We are very happy with the new manager," El Khannouss said of Van Nistelrooy. “He arrived two days ago, and there’s a new dynamic in the group.” Van Nistelrooy praised the “spirit and energy” in his team. “The foundation for us going forward is everyone working their socks off, fighting for every inch and defending together,” he said. “We can look further then, and they did that in an unbelievable way.” This dismal result for West Ham came three days after its 5-2 thrashing at home by Arsenal , which piled more pressure of Lopetegui early in the former Spain and Real Madrid coach's first season with the London club. West Ham's disgruntled traveling fans chanted "You’re getting sacked in the morning” toward Lopetegui during the second half — even if his team dominated large parts of the game but only had one goal to show from 31 shots on goal. “We're very frustrated but in the same way I can say nothing about the players — they fight until the end,” Lopetegui said. "It’s not easy to explain football some days.” West Ham has lost seven of its 14 games so far and is in 14th place in the 20-team league, one spot above Leicester. Crystal Palace won for just the second time in the league this season, beating relegation rival Ipswich 1-0 to pull clear of the bottom three. Jean-Philippe Mateta scored the goal in the 59th minute. Palace’s only other league victory was against Tottenham in October. While Ipswich stayed in next-to-last place, Palace moved three points above the relegation zone. Much of the focus ahead of the game was on the teams’ captains , Sam Morsy of Ipswich and Marc Guehi of Palace, during another round when the Premier League was celebrating LGBTQ+ inclusion in its campaign to promote equality and diversity. For the second straight game, Morsy chose against wearing a rainbow armband issued to the captain of each of the 20 teams in the league. He has made the decision “due to his religious beliefs,” Ipswich says. Guehi did wear the rainbow armband but defied Football Association rules by writing a religious message on the item. The message read “Jesus loves you” — using a heart sign instead of the word “loves.” During the match against Newcastle on Saturday, Guehi wrote “I love Jesus” — and was later contacted by the FA for acting in contravention of its regulations. AP soccer: https://apnews.com/hub/soccer
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Thanksgiving Travel Latest: Airport strike, staff shortages and weather could impact holiday travelJulie 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 | Boston Logan officials reach out to CDC after ‘various illnesses’ reported on incoming flights Health | Mayo Clinic: Understanding your cholesterol numbers Health | What can Fido have at Thanksgiving feast? Health | More foods are making us sick: What to know as foodborne outbreaks hit 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.In a significant breakthrough, Uttar Pradesh Special Task Force (STF) has arrested two more people involved in the question paper leak of UPPSC Review Officer/Assistant Review Officer (RO/ARO) (Preliminary) Exam 2023, which was conducted on February 11 of this year, it said. The arrested men were identified as Rajneesh Kumar from Azamgarh and Dharmesh Seth from Prayagraj. The arrests took place on December 22, 2024 in Kanpur and Gorakhpur, according to STF. While Kumar was detained in Gorakhpur, Seth was apprehended at Har Sahai Jagdamba College in Kanpur. The leak was first detected when the question paper went viral on social media before the exam. This led to the state government cancelling the examination and asking the STF to investigate the matter. A case was registered at the Civil Lines police station in Prayagraj. The STF probe revealed that the accused had received the question paper from Sandeep Pandey, who had arranged for the exam material to be delivered in Bhopal. Sandeep Pandey, along with several accomplices, had reportedly sold the paper for ₹ 12-15 lakh. Pandey and his associates were arrested earlier in June. The arrested suspects face charges under multiple sections of the IPC, including cheating, forgery, and conspiracy, as well as violations of the Uttar Pradesh Public Examination Act. Further legal proceedings are underway.