AHIP Solutions SmartBrief
Plus: Purdue bankruptcy settlement
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November 17, 2025
 
 
AHIP Solutions SmartBrief
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Efforts to renew ACA tax credits face hurdles in Congress
The renewal of Affordable Care Act tax credits is facing challenges as the deadline approaches, with the Senate Finance Committee taking the lead. Finance Committee Chairman Mike Crapo, R-Idaho, and Ranking Member Ron Wyden, D-Ore., are key figures in the discussions. Democrats want a clean extension, but Republicans are pushing for changes, including an income cap and minimum premium payments.
Full Story: Axios (11/17), Politico (11/16)
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At-Home Testing ROI Analysis
Interested in improving compliance with key clinical outcome ratings? Our team can run an ROI analysis for your organization using our proprietary calculator to show projected lift in gaps closed, program ROI, and more.
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Emerging Trends
 
Experts worry about decrease in COVID-19 vaccination rates
About 23% of US adults received a COVID-19 vaccination last season, compared with 47% who got a flu shot, according to the CDC, and health experts are concerned that vaccination rates may decrease even more this year due to conflicting advice and new, narrower federal recommendations. “A lot of misinformation is going around regarding COVID,” said Alein Haro-Ramos, an assistant professor at the University of California-Irvine. “Vaccine hesitancy is going to increase.”
Full Story: KFF Health News (11/14)
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Almost 1 in 3 people have a headache disorder
Nearly one-third of people worldwide have a headache disorder, with women experiencing more than double the related health problems than men, according to a study published in The Lancet Neurology. Migraines account for about 90% of headache-related years lived with disability, even though they are less common than tension headaches. The study also found that medication overuse contributes to the disability associated with headaches.
Full Story: HealthDay News (11/13)
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Dealing with rising medical costs?
Insurers, medical costs are outpacing inflation due to factors like increasing prices for medical supplies, surgeries, and pharmaceuticals. Get the guide to 5 AI-powered strategies to manage increasing medical costs. Download now.
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Medical Update
 
Weight regain common after stopping GLP-1 drugs
A study presented at a meeting of the Obesity Society found that more than half of patients who stop taking GLP-1 drugs regain weight within a year. The analysis of data from more than 1.2 million patients found people with type 2 diabetes were more likely to persist using the medications than those without type 2 diabetes.
Full Story: Medscape (11/13)
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US measles cases reach highest level since 1992
Measles cases in the US have reached a 33-year high, with 1,723 cases reported in 42 states, according to the CDC. Most cases involve unvaccinated individuals, and there have been three deaths and numerous hospitalizations. Dr. Adam Ratner, director of pediatric infectious diseases at Hassenfeld Children's Hospital at New York University Langone, emphasizes the importance of vaccination and shares insights on diagnosing and treating measles, highlighting the disease's high contagiousness and potential complications such as subacute sclerosing panencephalitis.
Full Story: Healio (free registration) (11/16)
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Exploring non-hormonal treatments for menopause relief
For women who cannot use hormone therapy, non-hormonal options like prescription medications and over-the-counter products are available to alleviate menopause symptoms. Antidepressants and drugs such as oxybutynin, Veozah and Lynkuet can help manage hot flashes and related issues, though they may come with side effects. Non-drug therapies, include increasing physical activity, adopting a plant-forward diet, cognitive behavioral therapy and clinical hypnosis to help manage symptoms.
Full Story: The Associated Press (11/16)
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Benchmark Your Behavioral Health Strategy
Mental health services can drastically improve outcomes and reduce costs. Take our confidential survey now to inform the industry report on best practices. Help us redefine care and learn the critical steps needed to establish behavioral health as a core, value-driven benefit. Take the Survey Today.
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Health Plan Company News
 
 
Aflac: Caring for your whole-being - Taking a complete look at your wellness picture
 
 
Blue Shield of California Promise Health Plan: Leading the Way - Celebrating San Diego Health Leaders
 
 
Dalton Humphries Named Cigna Healthcare General Manager for South Texas
 
 
Health Net: More than 500 Unhoused Angelenos to find Housing and Get Medical, Behavioral Health and other Services thanks to $2 Million Investment by Health Net in LA Family Housing
 
 
Healthfirst Empowers New Yorkers at Diabetes Health Education Events
 
 
Molina Healthcare Awarded New Florida Medicaid Contract
 
The Three Pillars of COB Success for Health Plans
Reduce medical costs and improve member satisfaction with a stronger coordination of benefits program and a complete payment integrity strategy. Read the eBook.
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Solutions Provider News
 
 
Cotiviti eBook: Setting up for coordination of benefits (COB) success
 
 
Edifecs Introduces Enterprise Member Consent Management