NHCAA SmartBrief
Plus: Trump administration says federal law preempts state medical debt laws
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October 29, 2025
 
 
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Ind. treatment center owner charged with Medicaid fraud
Kevin Calvert, owner of TRUTH Treatment Centers in Indiana, has been charged with Medicaid fraud and theft for allegedly falsifying documents and billing more than $2.7 million for counseling that was not provided or overseen by a qualified physician. Calvert allegedly hired recent treatment program graduates who were not licensed to provide counseling services, and the anesthesiologist listed as the rendering provider on bills denies having any role in the business.
Full Story: WISH-TV (Indianapolis) (10/28)
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Law Enforcement & The Courts
 
Utah treatment center director to pay $2.5M for Medicaid fraud
Lillian Kaye Simiskey, a board member and administrator at the Measures of Affect Theoretically Relative behavioral health clinic in Utah, was sentenced to serve nearly a year in jail and to pay more than $2.6 million in restitution and tax penalties for her role in defrauding Medicaid of nearly $13 million and failing to pay taxes. Simiskey pleaded guilty to charges including unlawful activity, tax evasion and public assistance fraud. She allegedly allowed unqualified individuals to provide substance use disorder treatment, falsified records and received public assistance benefits but earned $1.7 million from 2019 through mid-2022.
Full Story: KUTV-TV (Salt Lake City) (10/28)
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Ore. disability services provider settles fraud case
 
White card with Probation written in red, beside a wooden gavel
(Andrii Yalanskyi/Getty Images)
Rever Grand, a disability services firm in Oregon, has settled a health care fraud case by agreeing to pay $100 and hire an independent monitor. The probation settlement allows the company to continue serving about 1,400 people with developmental disabilities across Oregon. The company's founding owners, who no longer have a stake in the firm, still face racketeering charges.
Full Story: The Lund Report (Portland, Ore.) (10/28)
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Policy & Regulatory News
 
 
Trump administration: Federal law preempts state medical debt laws
KFF Health News (10/28)
 
 
Enhancing regulatory compliance in health care billing
ICD10Monitor (10/27)
 
 
Experts say cuts to equity programs will widen health disparities
Stateline (10/28)
 
 
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Tools & Technology
 
Why can't AI just say "I don't know?"
 
Woman shrugging, holding a question mark in each hand
(Pixabay)
OpenAI's restructuring into a public benefit corporation comes amid ongoing challenges with AI hallucinations, where large language models like ChatGPT provide factually incorrect information. Researchers from OpenAI and the Georgia Institute of Technology suggest that these errors stem from training processes that reward confident guesses over admitting uncertainty. They propose revising benchmarks to prioritize accuracy and self-awareness.
Full Story: Science (10/28)
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OpenAI reveals mental health data on ChatGPT users
OpenAI has disclosed data indicating that 0.07% of ChatGPT users active in a given week show signs of mental health emergencies, such as mania or suicidal thoughts, which could equate to hundreds of thousands of individuals, given the platform's 800 million weekly users. The company has engaged over 170 global mental health experts to develop responses encouraging users to seek real-world help. OpenAI also estimates 0.15% of ChatGPT users have conversations that include "explicit indicators of potential suicidal planning or intent."
Full Story: BBC (10/27)
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Health Insurance Industry News
 
House GOP works on health care plan as shutdown continues
House Speaker Mike Johnson said Republicans are developing a health care plan as the government shutdown approaches one month. Expiring Affordable Care Act subsidies are a key issue in the shutdown. Johnson criticized the subsidies and called for reforms instead of extending what he sees as a flawed system.
Full Story: The Hill (10/27)
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Medical News
 
 
Obesity rate falls as more Americans use weight-loss drugs
National Public Radio (10/27)
 
 
Opioid scripts common for patients with rheumatic diseases
MedPage Today (free registration) (10/27)
 
 
Claims data suggest US stillbirth rate higher than reported
NewsNation/Reuters (10/27)
 
 
 
 
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