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| 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. |  |  |  | | | |  | AI is the Future of Commerce. Stay Ahead. AI isn't hype anymore—it's here. Join EPAM, Stripe, and commercetools to learn how to harness AI—responsibly and effectively. See how AI is reshaping the shopper journey, and learn why composability is key to doing it right. The brands moving first are already winning. Register now!
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| Law Enforcement & The Courts |  
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| 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. |  |  
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| (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. |  |  |  | | | |  | The Future of Retail: What's Coming in 2026 AI personalization and seamless customer experiences defined 2025, but the retail landscape is about to shift again. Join us on November 5th for a fast-paced webinar where industry experts reveal the top trends and technologies shaping 2026. Discover how to stay ahead, boost productivity, and deliver next-level shopping experiences. Register now!
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| (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. |  |  
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| 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." |  |  |  
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| Health Insurance Industry News |  
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| 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. |  |  |  
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| What Your Colleagues Are Reading |  |  |  |  |  |