A blog covering the health/care ecosystem and people.

With the urgent need to identify more efficient and lower-cost health care delivery models, we look to growing evidence for digital health technologies that support the Hospital at Home (HaH) model, considered in a new review article published in late February in npj Digital Medicine, The hospital at home in the USA: current status and future prospects. Clinicians from Scripps Research and Johns Hopkins School of Medicine collaborated on this work, calling out the relatively fast adoption of HaH programs during the peak of the COVID-19 pandemic. In some parts of the world, such as Australia and Norway, “in-person at-home

Three in four U.S. health citizens say the spread of false information about health issues is a major problem, found in Kaiser Family Foundation’s Health Misinformation Tracking Poll Pilot published earlier this month.           KFF’s press release on the study summarized the top-line with, “Most Americans Encounter Health Misinformation, and Most Aren’t Sure Whether It’s True or False.” Explaining the implications of the broad reach of health misinformation in the U.S., Dr. Geeta Nayyar has written the book Dead Wrong: Diagnosing and Treating Healthcare’s Misinformation Illness, due out on October 17th and available now for pre-purchase

Due to their delayed return to medical services and diagnostic testing in the COVID-19 pandemic era, U.S. employees are expected to sustain serious health impacts that will drive employers’ health care costs, envisioned in the 2024 Large Employer Health Care Strategy Survey from the Business Group on Health (BGH).               Dealing with mental health issues is the top health and well-being impact workers in large companies are addressing in 2023. Looking forward, large employers foresee their workers will be seeking care for chronic conditions and later-stage cancers that are diagnosed due to delayed screenings.

Health care cost trend will spike up another percentage point to 7.0% in 2024, according to the annual report from the PwC Health Research Institute, Medical cost trend: Behind the numbers 2024.                 Every year, the PwC HRI team goes behind those numbers to assess cost inflators and deflators which underpin annual medical inflation. As the first line chart illustrates, the peak of medical trend in the last 18 years was in 2007 when the U.S. saw double-digit cost growth of nearly 12%. Here’s a link to PwC’s 2007 study looking behind the

The ten most trusted brands in the U.S. have to do with health, well-being, and hygiene in everyday life — from convenient package delivery to financial health, mindful self-care, and taking care of our kids’ boo-boos. Welcome to this year’s portfolio of the Most Trusted Brands 2023, a special report from Morning Consult that, annually, paints a picture of what everyday life for everyday people is about.         For the second year in a row, Band-Aid® brand bandages ranked top of all brands assessed among U.S. consumers from data gathered in March-April 2023. Net trust in this study

In the organization’s annual study into physicians’ wellbeing, Medscape has diagnosed worsening burnout and depression among America’s doctors.               Over one-half of U.S. physicians say they are burned out or depressed, the chart from the U.S. Physician Burnout & Depression Report for 2023 calls out. “I cry but not one cares,” is one of the represented color comments provided by one of the physicians included in the survey of 9,175 physicians polled online between June and October 2022. The study covered 29 specialties, finding most burned out physicians worked in emergency medicine (65% saying

In the annual 2023 Gallup poll on honesty and ethics in professions in the U.S., the good news for the human capital of health care is that nurses, physicians and pharmacists continue to lead Americans’ ratings across professions in first, second, and third place respectively. The bummer is that that trust equity has eroded in the past year — especially among health citizens who identify as Republican voters.                   Start with the upside, which is the perennial Gallup finding that health care’s front-line workers are the most-trusted professions in the U.S. And

We’ve all been morphing our homes into our personal HealthQuarters since the start of the coronavirus era. Millions of global health citizens have taken to telehealth who never used a health care “digital front door” before. Other patients adopted remote health monitoring to avoid perennial visits to doctors for managing chronic conditions like diabetes or heart disease. From the kitchen to the bedroom, our homes have become our health hubs. And now, to the bathroom and specifically, the toilet. Withings, maker of my personally favorite connected weight scale, announced U-Scan, a direct-to-consumer lab test platform that analyzes our urine from

People are sick of being sick, the New York Times tells us. “Which virus is it?” the title of the article updating the winter 2022-23 sick-season asked. Entering 2023, U.S. health citizens face physical, financial, and mental health challenges of a syndemic, inflation, and stress – all of which will shape peoples’ demand side for health care and digital technology, and a supply side of providers challenged by tech-enabled organizations with design and data chops. Start with pandemic ennui The universal state of well-being among us mere humans is pandemic ennui: call it languishing (as opposed to flourishing), burnout, or

Health is “made” where we live, work, play, pray, learn….and shop. I spend a lot of time these days in the growing health/care ecosystem where retail health is broadening to address social determinants and drivers of health – namely food, transportation, broadband access, education, environment, and financial wellness – all opportunities for self-care and health engagement. For many years, I have followed the activities of CHPA, the Consumer Healthcare Products Association, and have participated in some of their conferences. Their recent announcement of a collaboration with Dollar General speaks to the growing role of self-care for all people.    

Due to gender pay gaps, time away from the workforce for raising children and caring for loved ones, women in the U.S. face a risky retirement outlook according to Emerging from the COVID-19 Pandemic: Women’s Health, Money, and Retirement Preparations from the Transamerica Center for Retirement Studies (TCRS).               As Transamerica TCRS sums up the top-line, “Societal headwinds are undermining women’s retirement security.” Simply said, by the time a woman is looking to retire, she has saved less than one-half of the money her male counterpart has put away for aging after work-life. The

Patients have more financial skin-in-their-healthcare-games facing high-deductibles and direct out-of-pocket costs for medical bills…including prescription drugs. I collaborated with GoodRx on a “yellow paper” discussing The Health Consumers as Payer, with implications and calls-to-action for pharma and life science companies. You can download the paper at this link.               The report is intended to be a playbook for understanding patients’ growing role as consumers and health care payers, providing insights into peoples’ home economic mindsets and how these impact a patient’s adherence to medication based on cost and perceived value. With inflation facing household

The concept that all companies are “health care companies” takes on greater import in the wake of the pandemic. The 2023 Large Employers’ Health Care Strategy and Plan Design Survey from the Business Group on Health (BGH) found that two in three large employers see their health and well-being strategy as an integral part of their overall workforce strategy. This is our annual go-to study guiding us on the private sector’s big thinking about health care plans and investments on workers’ behalf.           The first line chart illustrates how this phenomenon shot up in importance for

In another factor to add into the retail health landscape, Dollar General (DG) the 80-year old retailer known for selling low-priced fast-moving consumer goods in peoples’ neighborhoods appointed a healthcare advisory panel this week. DG has been exploring its health-and-wellness offerings and has enlisted four physicians to advise the company’s strategy. One of the advisors, Dr. Von Nguyen, is the Clinical Lead of Public and Population Health at Google….tying back to yesterday’s post on Tech Giants in Healthcare.         Just about one year ago, DG appointed the company’s first Chief Medical Officer, which I covered here in

Supply chain challenges, inflation, and plummeting consumer economic sentiment are setting the stage for a decline in consumer electronics revenues for 2022. However, there will be some bright spots of growth for consumer tech spending, for 5G smartphones, smart home applications, gaming, and health technologies, noted in the Consumer Technology Association’s CTA U.S. Consumer Technology One-Year Industry Forecast, 2018-2023.             Underneath the overall industry spend of $503 billion, a 0.2% drop from 2021, CTA expects software, gaming, video and audio streaming spending will grow by 3.5% and hardware to fall by 1.4% this year. With

With only 1 in 10 people in the U.S. thinking their lives are the same as they were before the COVID-19 pandemic, about one-half of Americans believe that remote work, virtual community events, and telehealth should continue “once the pandemic ends.” As of mid-May 2022, most people in the U.S. have resumed activities like socializing with friends and neighbors in person, going to restaurants and bars, traveling, meeting with older relatives face-to-face, and returning to exercising in gyms.                     But a return-to-nearly-normal isn’t a universal phenomenon across all people in America:

While inflation and financial stress is depressing consumer demand for many purchases the “legacy of COVID-19” is having lost-lasting impacts on how people see their homes — especially as sites for health and wellness.                 GfK highlights the growing interest in wellbeing and device demand in The State of Consumer Technology and Durables 2002 insights from GfK. In 2021, peoples’ spending on technology and durable goods (like home appliances) grew by 15%, with several categories seeing spectacularly high growth rates — most notably entertainment and health, a category in which core wearables purchases

The best U.S. states to live in for health and health care are Hawaii, Massachusetts, Connecticut, Washington, Vermont, Rhode Island, and Maryland…             Those are the top health system rankings in the new 2022 Scorecard on State Health System Performance annual report from the Commonwealth Fund. If you live in Mississippi, Oklahoma, West Virginia, Texas, Missouri, Alabama, Georgia, or Arkansas, your health care and outcomes are less likely to be top-notch, the Fund’s research concluded.                 The Commonwealth Fund has conducted this study since 2006, assessing a range

Consumers continued to invest in and use several technologies that supported self-care at home in 2021, with plans to purchase connected health devices, sports and fitness equipment in the next year.                 But these purchases will be made with greater attention to budget and value consumer mindsets firmly focused on (and stressed by) inflation. The 24th Annual Technology Ownership & Market Potential Study from the Consumer Technology Association (CTA) tells us that Americans in 2022 will have to manage challenging economic headwinds, shopping for technology is preparing people for their new normal —

For millions of older people in America, health and well-being got worse in the wake of the COVID-19 pandemic. Physical, mental and behavioral health took hits, depending on one’s living situation, social determinants of health risks, and even health plan, I write in the Medecision Liberate Health blog.                     In this essay on health disparities and equity for older adults, I weave together new data from, The United Health Foundation’s study on seniors’ health status in America’s Health Rankings for 2022 RAND and CMS research into seniors health disparities among Medicare Advantage

Year 3 into the COVID-19 pandemic, health citizens are dealing with coronavirus variants in convergence with other challenges in daily life: price inflation, civil and social stress, anxiety and depression, global security concerns, and the safety of their families. Add on top of these significant stressors the need to deal with medical bills, which is another source of stress for millions of patients in America. I appreciated the opportunity to share my perspectives on “The Patient As the Payer: How the Pandemic, Inflation, and Anxiety are Reshaping Consumers” in a webinar hosted by CarePayment on 25 May 2022. In this

With peoples’ anxiety about COVID-19 at its lowest point since 2020, folks are most anxious in spring 2022 about current global events and the safety of their families, based on the latest Healthy Minds study from the American Psychiatric Association (APA).           Morning Consult conducted the poll for the APA in March and April 2022 among 2,210 U.S. adults. The survey covered peoples’ perspectives on mental health care, anxiety, COVID-19, children’s mental health, and the workplace. The results were published May 22, 2022. The key findings of the study were that, 3 in 4 people are

We’ve hit a great “healthcare trust” recession around the world, translating into lower multiple points of medical ‘facts’ and pseudoscience, lower adherence to therapeutic regimens, and clinician burnout that has compromised medicine as the team sport it ideally should be. And that’s just one of five inconvenient truths unearthed in The Truth About Our Relationships with Health, the first in a series of papers that MRM is developing to, in their words, “look at the truths pr7eventing us from achieving a better relationship with our own health and with those along our health journey.” This report from MRM analyzes research

Four in five U.S. physicians were using telehealth to care for patients at the end of 2021.             Among those doctors who were not providing telehealth by late 2021, just over one half never did so during the COVID-19 pandemic, according to the 2021 Telehealth Survey Report from the AMA. This report provides insightful  context for the upcoming annual ATA Conference for 2022, being held in-person in Boston kicking off May 1st. The meeting will be a strategically important, as the title of the conference asks: “What Now? Creating An Opportunity in a Time of

Too many dollars, stimulated by an influx of COVID-19 government stimulus, are chasing too few goods in economies around the world. Couple this will labor, material shortages, and disrupted supply chains, the exogenous shock of the Ukraine crisis amplifying cost increases and shortage driving higher prices for food and commodities, and global consumers are faced with strains in household budgets. This is impacting grocery stores and. through my lens, will impact health consumers’ spending, as well. In their discussion of Customer First Retailer Responses to Inflationary Times, dunnhumby, retail industry strategists, covered an update on inflation with the top-line that

Without trust, people do not engage with health care providers, health plans, or life science companies….nor do many people accept “science fact.” I explore the sad state of Trust and Health Care. published in the Medecision Liberate Health blog, with a positive and constructive call-to-action for health care industry stakeholders to consider in re-building this basic driver of well-being. That is, trust as a determinant of health. Edelman’s 2022 Trust Barometer came out in January 2022, coinciding as it annually does with the World Economic Forum’s meeting in Davos, Switzerland. Every year, WEF convenes the world’s biggest thinkers to wrestle with the

If you made your living in commercial real estate — and especially, working with hospitals’ and health systems’ office space — would the concept of telehealth be freaking you out right now? If you heed the words of JLL’s 2022 Patient Consumer Survey, you’d chill (at least a bit). The tagline on this paper is, “Convenience and choice drive patient decisions as new digital options take hold.” I was particularly keen to dig into this study based on its sponsoring organization: JLL is a real estate services company serving over a dozen vertical markets — including health care, life sciences,

“Social distancing is great. Medical distancing? Not so much,” I observe in Medical Distancing in America: A Lingering Pandemic Side Effect., my essay published this week in Medecision’s Liberate Health blog. Since we learned to spell “coronavirus,” we also learned the meaning and risk-managing importance of physical distance early in the COVID-19 pandemic. But medical distancing became a corollary life-flow of the physical version, and for our collective health and well-being, it hasn’t been good for our health in ways beyond keeping our exposure to the virus at bay. For health care providers — physicians, hospitals, ambulatory clinics, diagnostic centers —

Trust, or really lack thereof, is a killer app for people’s coronavirus health outcomes. That is the through-line found in a very deep dive into 177 countries’ health data published in The Lancet in a research article on pandemic preparedness and COVID-19. The Lancet study, published on 1 February 2022, was funded by the Gates Foundation in partnership with The Bloomberg Philanthropies et al. The study was researched and written up by a team of COVID-19 National Preparedness Collaborators, led by Dr. Joseph Dieleman of the University of Washington’s Institute for Health Metrics and Evaluation, a group that has been long-tracking

A new study from CIGNA and its subsidiary MDLive touts the cost-effectiveness of telehealth to improve health outcomes, reducing the need for unnecessary lab work, reducing duplication of care, and connecting patients with  high-performing providers. It is expected that one in three patient visits will be virtual, CIGNA quotes from an Accenture forecast. As more consumers used telehealth channels during the early phase of the COVID-19 pandemic, patients experienced virtual care. For many people, these visits matched or exceeded expectations compared with in-person encounters with clinicians, as well as satisfying on convenience and access values. How will virtual care play

People around the world have made health a “proactive priority,” most important to live a longer, healthier life, to avoid preventable diseases, to protect against disease, and to look and feel healthier, according to NielsenIQ’s latest health and wellness report. As the triangle here illustrates, NielsenIQ has turned Maslow’s Hierarchy of Needs upside down, shifting protective and physical needs to the top rung and altruistic — the “me-to-we” ethos — at the base. Note the translations of these needs, on the ride, into the “care” flows — moving from urgent care down to self-care, preventive care, innovative care, and selfless

The four top trends to watch for this week at CES 2022 are transportation, space tech, sustainable technology, and digital health, based on Steve Koenig’s annual read-out that kicks off this largest annual conference featuring innovations in consumer electronics. Last night, Steve discussed these trends for media attendees, of which I am one (gratefully) participating in #CES2022 virtually from the hygienic comfort and safety of my home health hub (more on that later in this post). All four of these mega-themes impact health and well-being in some way. “Space Tech?” you  might wonder. Yes. My friend Dorit Donoviel can be

One of my favorite Dr. Seuss characters is the narrator featured in the book, I Had Trouble In Getting to Solla-Sollew. I frequently use this book when conducting futures and scenario planning sessions with clients in health/care. “The story opens with our happy-go-lucky narrator taking  a stroll through the Valley of Vung where nothing went wrong,” the Seussblog explains. Then one day, our hero (shown here on the right side of the picture from the book) is not paying attention to where he is walking….thus admitting, “And I learned there are troubles of more than one kind, some come from

I cannot recall a season when so many health consumer studies have been launched into my email inbox. While I have believed consumers’ health engagement has been The New Black for the bulk of my career span, the current Zeitgeist for health care consumerism reflects that futurist mantra: “”We tend to overestimate the effect of a technology in the short run and underestimate the effect in the long run,” coined by Roy Amara, past president of Institute for the Future. That well-used and timely observation is known as Amara’s Law. This feels especially apt right “now” as we enter 2022,

Approaching nearly two years into the pandemic, nearly one-half of Americans cite viruses and COVID-19 as the top health problem facing the U.S. In a Gallup poll published 30 November, COVID-19 (is) Still Widely Named as Biggest U.S. Health Problem, I added the “Is” to Gallup’s press release title because the proportion of people in America citing the coronavirus as the top health care problem facing the nation fell by about one-third — from 69% of health citizens to 47%. At the same time, the percentage of peopled most concerned about access to health care and costs more than doubled

Best Buy continues to grow its health/care market footprint and service portfolio through remote health monitoring, first announced in the press release, Best Buy to acquire Current Health to help make home the center of health. The financial deal was disclosed yesterday at £300 million, about $400 million US dollars (FYI, Current Health is based in Scotland, thus value given in pounds sterling, with a particularly strong US $ exchange right now at 1.34). Remote monitoring has been part of Best Buy Health’s vision from the time the company explained its big audacious goals for the health ecosystem in 2018

Compared with the rest of the developed world, people living in the U.S. may be concerned about income inequality, but their demand for income redistribution is the lowest among peer citizens living in 31 other OECD countries. In their  latest report, Does Inequality Matter? the OECD examines how people perceive economic disparities and social mobility across the OECD 32 (the world’s developed countries from “A” Australia to “U,” the United Kingdom). Overall the OECD 32 average fraction of people who believe it is the government’s responsibility to reduce income differences among those who think disparities are too large is 80%

Even with growing inflation in the U.S. and post-pandemic job growth in 2021, the cost of health insurance premiums rose faster than either the price of goods or wages. That family health plan premium reached $22,221, an increase of 22% since 2016, we learn in the annual report from Kaiser Family Foundation, 2021 Employer Health Benefits Survey. This report is our go-to encyclopedia of statistics on health insurance year-after-year, surveying companies’ annual health insurance strategies for coverage and tactics for managing spending and workers’ health outcomes. This 2021 update takes into account the impacts and influence of COVID-19 on workers’

A coalition of health care providers, health plans, technology innovators, NGOs, and medical societies has come together as the Public Health Tech Initiative (PHTI), endorsed by the Consumer Technology Association (CTA) with the goal of advancing the use of trustworthy digital health to proactively meet the challenge of future public health emergencies….like pandemics. At the same time, CTA has published a paper on Advancing Health Equity Through Technology which complements and reinforces the PHTI announcement and objective. The paper that details the PHTI program, Using Heath Technology to Response to Public Health Emergencies, identifies the two focus areas: Digital health

“Americans remain in limbo between lives once lived and whatever the post-pandemic future holds,” the American Psychological Association observes in their latest read into Stress in America 2021, with this phase of the perennial study focused on Stress and Decision-Making During the Pandemic. The top-line: people face a daily web of risk assessment, up-ended routines, and endless news about the coronavirus locally and globally. While most people in the U.S. believe that “everything will work out” after the pandemic ends, the mental, emotional, and logistical daily distance between “now” and “then” brings uncertainty and indeed, prolonged stress. More Millennials, who

Before the coronavirus emerged, the top causes of death in developed countries were heart disease, cancers, diabetes, and accidents. Then COVID-19 joined the top-10 list of killers in the U.S. and the issue of pandemic preparedness for the next “Disease X” became part of global public health planning. But the biggest health threat to human life is climate change, according to a new report from the World Health Organization titled The Health Argument for Climate Action. It’s WHO’s special report on climate change and health, dedicated to the memory of Ella Kissi-Debrah — a child who died succumbing to impacts

A new look into Americans’ views on health privacy from Morning Consult provides a current snapshot on citizens’ concerned embrace of technology — worried pragmatism, let’s call it. This ambivalence will flavor how health citizens will adopt and adapt to the growing digitization of health care, and challenge the healthcare ecosystem’s assumption that patients and caregivers will universally, uniformly engage with medical tools and apps and technologies. More Boomers are concerned with health data app privacy than Gen Z consumers, as the chart illustrates. 46% of U.S. adults said that health monitoring apps were not an invasion of privacy; 32%

Years before we knew how to spell “coronavirus,” I gained Italian citizenship while retaining my U.S. citizenship. My family’s plan was to, soon thereafter, split time for work and life between the U.S. and the E.U. Then, COVID-19 emerged as a pandemic the world over, and the move to Brussels in January 2020 was quite short-lived. Now, the plan is in play and I’m writing this post from our home in Brussels, Belgium. Why Brussels? Among many smart reasons, the city is welcoming, our farm-to-table food style is doable, the walkability is brilliant, and the transportation options are accessible to

In the fourth quarter of 2021, U.S. hospital margins will still be lower than before the COVID-19 pandemic, Kaufman, Hall & Associates project in their latest read on hospital finances. Kaufman Hall has been monitoring hospitals’ financial health in the coronavirus era since March 2020, month-by-month. This new report looks into the Financial Effects of COVID-19: Hospital Outlook for the Remainder of 2021. This report was conducted on behalf of the American Hospital Association (AHA), who succinctly summarized the forecast saying, “COVID-19 [is] expected to drive continued hospital losses throughout 2021.” That projection is further couched in the concern that

“The simple fact is that the federal and state governments are doing almost nothing to help people who have a broadband service available that partially meets their needs but abuses them with regular price hikes, spotty reliability, and poor customer service. Local governments will continue to step in to build better networks because communities have very few other options.” That “necessity is the mother” motivation to build broadband comes from Christopher Mitchell, Director of the Community Broadband Networks Initiative at the Institute for Local Self-Reliance (ILSR). [FYI, Mitchell’s Twitter handle is @communitynets]. Mitchell is quoted in the story, New data

The Catholic Health Association (CHA) is urging Americans to “love thy neighbor” by getting the COVID-19 vaccine, Sister Mary Haddad wrote in an editorial published in Modern Healthcare, published on September 3, 2021. Sister Mary is CEO and President of CHA. “Some may suggest that there are moral and religious concerns to receiving the COVID-19 vaccine,” Sister Mary observed. “We strongly affirm the position of the leaders of the Catholic Church: the vaccines are morally acceptable and getting vaccinated is “an act of love.” she asserted. CHA launched a portal on the act of love, featuring lots of science-based articles

“Racial and ethnic inequities in the US health care system have been unremitting since the beginning of the country. In the 19th and 20th centuries, segregated black hospitals were emblematic of separate but unequal health care,” begins the editorial introducing an entire issue of JAMA dedicated to racial and ethnic disparities and inequities in medicine and health care, published August 17, 2021. This is not your typical edition of the Journal of the American Medical Association. The coronavirus pandemic has changed so many aspects of American health care for so many people, including doctors. Since the second quarter of 2020,

There is one health care public policy issue that unites U.S. voters across political party: that is the consumer-facing costs of prescription drugs. With the price of medicines in politicians’ and health citizens’ cross-hairs, the pharmaceutical and biotech industries have responded in many ways to the Rx pricing critiques from consumers (via, for example, Consumer Reports/Consumers Union and AARP), hospitals (through the American Hospital Association), and insurance companies (from AHIP, America’s Health Insurance Plans). The latest poll from the University of Chicago/Harris Public Policy and the Associate Press-NORC Center for Public Affairs Research quantifies the issue cross-party, finding that 74%

As connected devices proliferate within health care enterprises and across the health care ecosystem, cybersecurity risks abound. During the first year of the COVID-19 pandemic, the health care sector was profoundly affected by cyber-attacks on connected devices, we learn in the report, Rise of the Machines 2021: State of Connected Devices – IT, IoT, IoMT and OT from Ordr. For this annual report, Ordr analyzed security risks across over 500 deployments in healthcare, life sciences, retail, and manufacturing sectors for the 12 months June 2020 through June 2021. In health care, outdated operating systems present some of the greatest risks: