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Medicaid paid more than $200 million to dead people, and Trump is rewriting privacy laws to fix it

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Medicaid programs made more than $200 million in improper payments to health care providers between 2021 and 2022 for people who had already died, according to a new report from the independent watchdog for the Department of Health and Human Services.

But the department’s Office of Inspector General said it expects a new provision in Republicans’ One Big Beautiful Bill requiring states to audit their Medicaid beneficiary lists may help reduce these improper payments in the future.

These kinds of improper payments are “not unique to one state, and the issue continues to be persistent,” Aner Sanchez, assistant regional inspector general in the Office of Audit Services told The Associated Press. Sanchez has been researching this issue for a decade.

The watchdog report released Tuesday said more than $207.5 million in managed care payments were made on behalf of deceased enrollees between July 2021 to July 2022. The office recommends that the federal government share more information with state governments to recover the incorrect payments — including a Social Security database known as the Full Death Master File, which contains more than 142 million records going back to 1899.

Sharing the Full Death Master File data has been tightly restricted due to privacy laws which protect against identity theft and fraud.

The massive tax and spending bill that was signed into law by President Donald Trump this summer expands how the Full Death Master File can be used by mandating Medicaid agencies to quarterly audit their provider and beneficiary lists against the file, beginning in 2027. The intent is to stop payments to dead people and improve accuracy.

Tuesday’s report is the first nationwide look at improper Medicaid payments. Since 2016, HHS’ inspector general has conducted 18 audits on a selection of state programs and had identified that Medicaid agencies had improperly made managed care payments on behalf of deceased enrollees totaling approximately $289 million.

The government had some success using the Full Death Master File to prevent improper payments earlier this year. In January, the Treasury Department reported that it had clawed back more than $31 million in federal payments that improperly went to dead people as part of a five-month pilot program after Congress gave Treasury temporary access to the file for three years as part of the 2021 appropriations bill.

Meanwhile, the SSA has been making unusual updates to the file itself, adding and removing records, and complicating its use. For instance, the Trump administration in April moved to classify thousands of living immigrants as dead and cancel their Social Security numbers to crack down on immigrants who had been temporarily allowed to live in the U.S. under programs started during the Biden administration.

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Advocacy group slams Trump’s plan to garnish wages of student loan borrowers in default

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The Trump administration said on Tuesday that it will begin garnishing the wages of student loan borrowers who are in default early next year.

The department said it will send notices to approximately 1,000 borrowers the week of January 7, with more notices to come at an increasing scale each month.

Millions of borrowers are considered in default, meaning they are 270 days past due on their payments. The department must give borrowers 30 days notice before their wages can be garnished.

The department said it will begin collection activities, “only after student and parent borrowers have been provided sufficient notice and opportunity to repay their loans.”

In May, the Trump administration ended the pandemic-era pause on student loan payments, beginning to collect on defaulted debt through withholding tax refunds and other federal payments to borrowers.

The move ended a period of leniency for student loan borrowers. Payments restarted in October of 2023, but the Biden administration extended a grace period of one year. Since March 2020, no federal student loans had been referred for collection, including those in default, until the Trump administration’s changes earlier this year.

The Biden administration tried multiple times to give broad forgiveness to student loans, but those efforts were eventually stopped by courts.

Persis Yu, deputy executive director for the Student Borrower Protection Center, criticized the decision to begin garnishing wages, and said the department had failed to sufficiently help borrowers find affordable payment options.

“At a time when families across the country are struggling with stagnant wages and an affordability crisis, this administration’s decision to garnish wages from defaulted student loan borrowers is cruel, unnecessary, and irresponsible,” Yu said in a statement. “As millions of borrowers sit on the precipice of default, this Administration is using its self-inflicted limited resources to seize borrowers’ wages instead of defending borrowers’ right to affordable payments.”


The Associated Press’ education coverage receives financial support from multiple private foundations. AP is solely responsible for all content. Find AP’s standards for working with philanthropies, a list of supporters and funded coverage areas at AP.org.



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Hoping AI will give you more work-life balance in 2026? Fortune 500 CEOs warn otherwise

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Workers may be hoping that AI can finally take over their drudge work in the new year—ease their loads and shorten the workweek, or at least make more space for life outside the office. 

And it’s something young people in particular are eager to have: 74% of Gen Z rank work-life balance as a top consideration when choosing a job in 2025—the highest of any generation—according to Randstad. And in the more than 20 years of producing its Workmonitor report, it’s the first time work-life balance outranked pay as the top factor for all workers.

But as AI has reshaped corporate structures and enhanced productivity levels, many executive leaders are working harder than ever—and expecting everyone else to follow.

From pushing return to office mandates to praising around-the-clock availability, CEOs are modeling a culture where the lines between work and life blur. Nvidia’s CEO Jensen Huang, for example, said he worked seven days a week this year—including holidays. Zoom’s CEO Eric Yuan conceded simply: “work is life.” 

And looking toward 2026, it’s unclear whether dreams of work-life balance will come true.

Nvidia CEO Jensen Huang

As the leader of the world’s most valuable company, Nvidia CEO Jensen Huang has a lot on his mind. Relaxation, however, does not appear to be part of the plan.

His work schedule is nothing short of rigorous—beginginng from from the moment he wakes up until he’s back on the pillow—seven days a week, including holidays. It’s a grind fueled not only by the intensity of the AI race, but by a lingering fear of what happens if he ever lets up.

“You know the phrase ’30 days from going out of business,’ I’ve used for 33 years,” Huang said on an episode of The Joe Rogan Experience released in December. “But the feeling doesn’t change. The sense of vulnerability, the sense of uncertainty, the sense of insecurity—it doesn’t leave you.”

That mindset extends beyond Huang himself. His two children, who both work at Nvidia, follow in his footsteps and work every day for the semiconductor giant. For the Huang family, work isn’t just a job—it’s a way of life.

Zoom CEO Eric Yuan

Video communications giant Zoom has had one of the biggest indirect impacts on the work-life balance debate, thanks to making it possible for workers to log on from the comfort of a bed, beach, or anywhere in between. 

However, the journey to scaling the company to over $25 billion in market capital has revealed to Zoom CEO Eric Yuan that work-life balance is a farce.

“I tell our team, ‘Guys, you know, there’s no way to balance. Work is life, life is work,’” Yuan said in an interview with the Grit podcast over the summer.

Yuan even admitted that he doesn’t have hobbies, with everything he does dedicated to “family and Zoom.” However, when there’s a clash and he has to choose between the two, the 55-year-old gives life some slack: “Whenever there’s a conflict, guess what? Family first. That’s it.”

TIAA CEO Thasunda Brown Duckett

Thasunda Brown Duckett, the CEO of financial services company TIAA, has long not been a fan of the term “work-life balance”—often calling it an outright “lie”—and this year was no exception.

On a Mother’s Day social media post this past spring, Duckett doubled down on the assessment once more.

“Let’s drop the work-life balance charade,” she wrote. “The truth? Balance suggests perfect—and that’s a trap.”

“Instead, think of your life like a diversified portfolio. You only have 100% to give, and many places to allocate. So give with intention. If motherhood gives 30% today, make it a powerful, present 30%,” she added.

For Duckett, having a constant evaluation of how much time to dedicate to everything needing attention in her life is what true a healthy relationship between work and life looks like.

“Some days you won’t feel like the best mom, leader, partner, or friend. But over time, when you lead with purpose—you’re more than enough.”

Palantir CEO Alex Karp

This year has been a breakout year for Palantir, with its stock price up some 140%. 

For young people looking to get their careers off the ground, CEO Alex Karp sent a word of warning this year: skip out on some of life’s superfluous things if you want a shot at success.

“I’ve never met someone really successful who had a great social life at 20,” Karp said at the Economic Club of Chicago in May.

“If that’s what you want, that’s what you want, that’s great, but you’re not going to be successful and don’t blame anyone else.”

While Karp’s comments might sting for Gen Z—especially since they are the generation who place the most value on work-life balance, Karp believes that if you put in the time when you’re young, it’ll all be worth it when you’re older and have a more cushy job.

“Most people have something they’re talented at and enjoy. Focus on that. Organize your whole life around that,” Karp added. “Don’t worry so much about the money—that sounds like hypocrisy now, but I never really did—and stay off the meth and you’ll do very well.”

Former Amazon CEO Jeff Bezos

Jeff Bezos may no longer run Amazon day to day, but he remains deeply involved as board chair—while also growing Blue Origin and backing new AI ventures.

Like several of his peers, Bezos has long taken issue with the idea of balance itself.

“I don’t love the word ‘balance’ because it implies a tradeoff,” Bezos said at Italian Tech Week in October. “I’ve often had people ask me, ‘How do you deal with work-life balance?’ And I’ll say ‘I like work-life harmony because if you’re happy at home, you’ll be better at work. If you’re better at work, you’ll be better at home.’ These things go together. It’s not a strict tradeoff.”

It’s not the first time Bezos has expressed his grievances with the concept of work-life balance. In 2018, Bezos called it a “debilitating phrase” because it implied that one has to give, in order for the other to thrive. Instead, he likes to use the word “harmony” and likened the concept to a “circle.”

Jamie Dimon has been one of Wall Street’s most outspoken champions of full-time, in-office work. Early this year, he called most of JPMorgan’s 300,000 employees back in-person and capped the push by opening the bank’s new $3 billion Manhattan headquarters.

Yet even as Dimon has taken a hard line on where work gets done, he has long argued that maintaining balance is ultimately an individual responsibility—not a corporate one.

“It is your job to take care of your mind, your body, your spirit, your soul, your friends, your family, your health. Your job, it’s not our job,” he said in a clip originally from 2024 that resurfaced this year.





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JPMorgan is making another big bet on crypto. The Wall Street giant is considering letting institutional clients trade cryptocurrency, according to reporting on Monday from Bloomberg. These products and services may reportedly include spot and derivatives trading, and the efforts are still in their early stages. 

JPMorgan did not immediately respond to Fortune’s request for comment. 

The move comes amid the company’s broader embrace of digital assets. In October, the bank announced that it would allow institutional clients to use Bitcoin and Ether as collateral. And earlier in December, JPMorgan’s asset management arm launched its first tokenized money fund.  

The bank’s recent expansion of crypto is notable given how CEO Jamie Dimon has long expressed contempt for the sector. As recently as last year, Dimon compared Bitcoin to a “pet rock”, and said that its only uses were for money laundering and fraud, among other illegal activities. The remarks followed other insults Dimon has heaped on crypto over the years. 

JPMorgan’s pivot towards crypto follows President Donald Trump’s more favorable policies toward the sector. In July, Trump signed the Genius Act into law, creating a regulatory framework for stablecoins. The legislation was enacted as Trump’s family profited from the industry. 

Given the new regulatory landscape for crypto, other major financial companies have also been hopping on the bandwagon. BlackRock manages close to $100 billion in Bitcoin ETF assets and more than $11 billion in Ethereum ETFs. Meanwhile, fellow financial giant Fidelity is involved in crypto staking, while Goldman Sachs has a private blockchain that is testing tokenized fund redemptions. And UBS, Citi, and HSBC have participated in tokenized bond issuances, on-chain settlement pilots, and crypto custody services. 

Wall Street’s latest digital asset adoption has not, however, translated to big price wins for the major cryptocurrencies. Bitcoin is down about 30% to roughly $87,000 since its high of $126,000 in early October. Ethereum is also down roughly 30% in the last three months to $2,919, and Solana is down roughly 43% to $123.07 during that same time period. It appears that the big banks are taking a long-term view on crypto and are not being scared off by this recent dip.    

Join us at the Fortune Workplace Innovation Summit May 19–20, 2026, in Atlanta. The next era of workplace innovation is here—and the old playbook is being rewritten. At this exclusive, high-energy event, the world’s most innovative leaders will convene to explore how AI, humanity, and strategy converge to redefine, again, the future of work. Register now.



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