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Researchers thought they had a way to keep hard-to-treat patients from constantly returning to the hospital and racking up big medical bills. Health workers visited homes, went along to doctor appointments, made sure medicines were available and tackled social problems including homelessness, addiction and mental health issues.Readmissions seemed to drop. The program looked so promising that the federal government and the MacArthur Foundation gave big bucks to expand it beyond Camden, New Jersey, where it started. But a more robust study released Wednesday revealed it was a stunning failure on its main goal: Readmission rates did decline, but by the same amount as for a comparison group of similar patients not in the costly program.“There’s real concern that the response to this would be to just throw up our arms” and say nothing can be done to help these so-called frequent fliers of the medical system, said study leader Amy Finkelstein.Instead, researchers need to seek better solutions and test them as rigorously as new drugs, said Finkelstein, of the Massachusetts Institute of Technology and the National Bureau of Economic Research.Federal grants and research groups at MIT paid for the study, which was 1236

Several soon-to-be-married Valley couples say they're worried they've lost the thousands of dollars they invested on their wedding venue.NOAH's Event Center in Chandler, Arizona, sent an email to couples who booked the venue off Cooper and the Loop 202 saying they were canceling their highly anticipated events. “I had to re-read it again honestly. I was like, 'What? Is this real?'" said Melanie Stephenson, whose wedding was set for March of 2020. “I just mailed out my invites in November, so I had to re-message everyone like, 'Sorry wedding is postponed until I don’t even know when.'"Stephenson says she paid off the cost of the venue last December forking over ,000 to rent the entire building for the night and for NOAH to provide bartenders for her big day.“It just really sucks," she added. "This is like a hit in the face pretty much for all of us." Stephenson says NOAH's story doesn't add up. “I made sure to choose a company that I thought was solid because they have 30 other buildings throughout the United States," she said. Court records show NOAH 1082

Since the Trump administration announced it would end its practice of separating families apprehended at the southern border last June under its "zero tolerance" immigration policy, at least 245 children have been separated from their parents, according to a new court filing.Between late June 2018 and early February of this year, the administration identified 245 children who had been separated, though four of them are under additional review. The administration said the basis for the separation in the majority of cases was "criminality, prosecution, gang affiliation or other law enforcement purpose."The court document is a status report in an ongoing family separation lawsuit. The court will hold a hearing Thursday.The American Civil Liberties Union originally filed the case against the Trump administration last year on behalf of a Congolese woman, referred to as "Ms. L," who was seeking asylum in the US and was separated from her 7-year-old daughter. The case was later expanded to become a class-action lawsuit.District Judge Dana Sabraw issued a preliminary injunction last June blocking most family separations at the US-Mexico border and ordering that those already separated be reunited.As of February 13, the government has discharged 2,735 of 2,816 possible children who fell under the Ms. L lawsuit, according to Wednesday's court filing. There are also five children in the care of the Office of Refugee Resettlement, which is required to place kids with a sponsor in the US, proceeding toward reunification "or other appropriate discharge." Four of those children have parents who are not in the US.Of the children who were separated as of last June, 62 are no longer in Office of Refugee Resettlement care, according to the court filing. It adds: "Based on the information available to date, in the 245 identified separations the parent was either excluded from the Ms. L class or was separated for a reason consistent with the Court's preliminary injunction."The government is still reviewing the cases of four separations.Plaintiffs in the case have requested additional information on the new separations. The government, per the filing, is working on putting that together.The administration has come under renewed scrutiny for the handling of separations following a 2311

SpaceX completed the last big test of its crew capsule before launching astronauts in the next few months, mimicking an emergency escape shortly after liftoff Sunday.No one was aboard for the wild ride in the skies above Cape Canaveral, just two mannequins. The nine-minute flight ended with the Dragon crew capsule parachuting safely into the Atlantic, after separating and speeding away from the exploding rocket.“I’m super fired up,” Elon Musk, the company’s founder and chief executive, told reporters. “It’s just going to be wonderful to get astronauts back into orbit from American soil after almost a decade of not being able to do so. That’s just super exciting.”NASA astronauts have not launched from the U.S. since the space shuttle program ended in 2011. Musk and NASA Administrator Jim Bridenstine said the next Crew Dragon could launch with a pair of NASA astronauts in the second quarter of this year — as early as April.The Falcon 9 rocket blasted off as normal, but just over a minute into its supersonic flight, the Dragon crew capsule catapulted off the top 12 miles (20 kilometers) above the Atlantic. Powerful thrusters on the capsule propelled it up and out of harm’s way, as the rocket engines deliberately shut down and the booster tumbled out of control and exploded in a giant fireball. The capsule reached an altitude of about 27 miles (44 kilometers) before parachuting into the ocean just offshore to bring the test flight to a close. Everything appeared to go well despite the choppy seas and overcast skies. Within minutes, a recovery ship was alongside the capsule.Recycled from three previous launches, the SpaceX rocket was destroyed as it burst apart in flight and slammed in pieces into the sea. SpaceX normally tries to recover its boosters to drive down launch costs, landing them upright on a floating platform or back at the launch site.NASA’s commercial crew program manager, Kathy Lueders, said the launch abort test was “our last open milestone” before allowing SpaceX to launch Doug Hurley and Robert Behnken to the International Space Station. Their launch date will depend, in part, on whether NASA decides to keep them for months at the orbiting lab, versus just a week or two. A longer mission will require more training before flight.The astronauts monitored Sunday’s flight from the firing room. Hurley said it was “pretty neat to see” the capsule aboard the recovery ship within two hours. By all early accounts, the test was successful.“We’ll see what the data show and go from there,” Hurley said. “But it certainly is a confidence builder from the standpoint if you ever got into that situation, that Dragon can get us away from the booster quickly.”The astronauts also will have access to speed before liftoff. During a launch dress rehearsal Friday, Hurley and Behnken rode in a white Tesla Model X from Kennedy Space Center’s crew quarters to the launch pad, their sleek white and black spacesuits matching the electric sports car with wing-like doors. Musk, who also runs Tesla, used the cars to get around the space center Sunday.Delayed a day by bad weather, Sunday’s launch from Kennedy brought together hundreds of SpaceX, NASA and Air Force employees on land, at sea and in the air. Tourists and locals alike packed the adjoining visitor complex and nearby beaches to see the dramatic fiery spectacle of an out-of-control rocket. Musk brought along his own family, including his brother.NASA hired SpaceX and Boeing a decade ago to transport astronauts to and from the space station for billions of dollars. Both companies struggled with technical problems, adding years of delay and forcing NASA to shell out hundreds of millions of dollars extra for Russian rocket rides.After multiple cargo deliveries for NASA, SpaceX successfully flew an enhanced crew capsule to the space station last March without anyone on board, but it exploded a month later during ground testing. The emergency escape thrusters — the kind used in Sunday’s test — had to be retooled. In all, SpaceX has tested these powerful Super Draco thrusters some 700 times.Last month, meanwhile, Boeing’s Starliner crew capsule ended up in the wrong orbit on its first test flight and had to skip the space station. The previous month, only two of the Starliner’s three parachutes deployed during a launch abort test.Lueders said it’s too soon to know whether Boeing will need to send another Starliner to the space station without a crew or go straight to launching astronauts later this year. An investigation team is still looking into why the Starliner’s automated timer was off by 11 hours during the December test flight.The importance of launch escape was demonstrated in 2017 when two astronauts, an American and a Russian, were pulled to safety during a failed launch from Kazakhstan. They experienced up to seven times the force of gravity during the abort, but walked away from the accident.The SpaceX in-flight abort system, Musk pointed out, should be gentler for the crew and is good from the launch pad all the way to orbit.Musk said the Dragon’s escape system should work — in principle — even if the capsule is still attached when the rocket erupts in a fireball. He said that could look like “something out of ‘Star Wars’” with the capsule flying right out of a fireball.“Obviously we want to avoid doing that,” he quickly added, taking note of all the NASA personnel around him.___The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institute’s Department of Science Education. The AP is solely responsible for all content. 5629

ST. LOUIS, Mo. – A jury awarded about million to an officer who filed and won a discrimination lawsuit against the St. Louis County Police Department. In the suit, Sgt. Keith Wildhaber alleged that he was denied promotions because he was gay. The 25-year veteran of the department claimed he had received “extremely positive feedback” during his career as a cop, but had been passed over for a promotion no less than 23 times for not abiding to traditional gender norms, 487