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However, some state workers failed to return to their jobs and a United Nations official said the country’s public sector had come “to a complete and abrupt halt”. Meanwhile, streams of refugees crossed back into Syria from neighbouring countries, hoping for a more peaceful future and looking for relatives who disappeared during Mr Assad’s brutal rule. There were already signs of the difficulties ahead for the rebel alliance now in control of much of the country. The alliance is led by a former senior al-Qaida militant, who severed ties with the extremist group years ago and has promised representative government and religious tolerance. The rebel command said they would not tell women how to dress. “It is strictly forbidden to interfere with women’s dress or impose any request related to their clothing or appearance, including requests for modesty,” the command said in a statement on social media. Nearly two days after rebels entered the capital, some key government services had shut down after state workers ignored calls to go back to their jobs, the UN official said, causing issues at airports and borders and slowing the flow of humanitarian aid. Rebel leader Ahmad al-Sharaa, who was known by his nom de guerre Abu Mohammed al-Golani, also met with Prime Minister Mohammad Ghazi Jalali for the first time. Mr Jalali stayed in Syria when Mr Assad fled and has sought to project normalcy since. “We are working so that the transitional period is quick and smooth,” he told Sky News Arabia TV on Monday, saying the security situation had already improved from the day before. At the court of Justice in Damascus, which was stormed by the rebels to free detainees, Judge Khitam Haddad, an aide to the justice minister in the outgoing government, said that judges were ready to resume work quickly. “We want to give everyone their rights,” Mr Haddad said outside the courthouse. “We want to build a new Syria and to keep the work, but with new methods.” But a UN official said some government services had been paralysed as worried state employees stayed at home. The public sector “has just come to a complete and abrupt halt,” said Adam Abdelmoula, UN resident and humanitarian co-ordinator for Syria, noting, for example, that an aid flight carrying urgently needed medical supplies had been put on hold after aviation employees abandoned their jobs. “This is a country that has had one government for 53 years and then suddenly all of those who have been demonised by the public media are now in charge in the nation’s capital,” Mr Abdelmoula told The Associated Press. “I think it will take a couple of days and a lot of assurance on the part of the armed groups for these people to return to work again.” In a video shared on a rebel messaging channel, Mr al-Sharaa said: “You will see there are skills” among the rebels. The Kremlin said Russia has granted political asylum to Mr Assad, a decision made by President Vladimir Putin. Kremlin spokesperson Dmitry Peskov declined to comment on Mr Assad’s specific whereabouts and said Mr Putin did not plan to meet with him. Damascus was quiet Monday, with life slowly returning to normal, though most shops and public institutions were closed. In public squares, some people were still celebrating. Civilian traffic resumed, but there was no public transport. Long lines formed in front of bakeries and other food stores. There was little sign of any security presence though in some areas, small groups of armed men were stationed in the streets.You Won’t Believe TSMC’s Transformation! Is It Still a Buy After Doubling in 2024?
LKQ Corp. stock rises Monday, outperforms marketRenuka 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 | 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 Health | Older Americans living alone often rely on neighbors or others willing to help 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.Nu Holdings Ltd. ( NYSE:NU – Get Free Report )’s stock price was down 1% during mid-day trading on Friday . The stock traded as low as $10.20 and last traded at $10.26. Approximately 9,734,276 shares traded hands during mid-day trading, a decline of 71% from the average daily volume of 33,819,328 shares. The stock had previously closed at $10.36. Analyst Ratings Changes A number of research firms recently commented on NU. KeyCorp raised their price target on NU from $15.00 to $17.00 and gave the company an “overweight” rating in a research report on Thursday, November 14th. Citigroup cut NU from a “neutral” rating to a “sell” rating and decreased their price objective for the company from $14.60 to $11.00 in a report on Monday, December 2nd. The Goldman Sachs Group upped their target price on NU from $17.00 to $19.00 and gave the stock a “buy” rating in a research note on Thursday, November 14th. Itau BBA Securities lowered shares of NU from an “outperform” rating to a “market perform” rating in a report on Thursday, November 14th. Finally, Susquehanna upped their price objective on shares of NU from $16.00 to $18.00 and gave the company a “positive” rating in a research note on Thursday, November 14th. One research analyst has rated the stock with a sell rating, four have assigned a hold rating and five have issued a buy rating to the stock. Based on data from MarketBeat.com, NU presently has a consensus rating of “Hold” and a consensus target price of $15.63. Check Out Our Latest Stock Analysis on NU NU Price Performance Institutional Investors Weigh In On NU Several institutional investors and hedge funds have recently bought and sold shares of the business. Principal Financial Group Inc. raised its holdings in shares of NU by 315.8% during the third quarter. Principal Financial Group Inc. now owns 1,153,464 shares of the company’s stock valued at $15,745,000 after acquiring an additional 876,039 shares in the last quarter. Franklin Resources Inc. raised its holdings in NU by 5.7% in the 3rd quarter. Franklin Resources Inc. now owns 5,060,504 shares of the company’s stock worth $74,288,000 after purchasing an additional 271,903 shares in the last quarter. Tidal Investments LLC lifted its position in shares of NU by 25.1% in the 3rd quarter. Tidal Investments LLC now owns 2,312,956 shares of the company’s stock worth $31,572,000 after purchasing an additional 463,866 shares during the period. Blankinship & Foster LLC bought a new stake in shares of NU during the 3rd quarter valued at about $3,212,000. Finally, Wilmington Savings Fund Society FSB bought a new position in NU in the third quarter worth about $148,000. Hedge funds and other institutional investors own 84.02% of the company’s stock. About NU ( Get Free Report ) Nu Holdings Ltd. provides digital banking platform and digital financial services in Brazil, Mexico, Colombia, and internationally. It offers Nu credit and debit cards; Ultraviolet credit and debit cards; and mobile payment solutions for NuAccount customers to make and receive transfers, pay bills, and make everyday purchases through their mobile phones. 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Rolling out new criminal laws, CAA major tasks of MHA in 2024
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