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Health Care in the 2022 U.S. Midterm Elections – Considerations for Conversations at HLTH

You and I are ending this week looking back three days, Friday morning quarterback style, wondering how the U.S. 2022 midterm elections could impact health and health care in America. We can never know with 101% certainty the answer to this question following any U.S. election. This year’s midterms leave us especially in need of scenario planning, especially as on this day, we still do not know what the final balance of power in the U.S. Congress will be. Nor can we ascertain, just yet, what the jockeying for power within both the Democratic party and the Republican party will

 

Black Panther: Wakanda Forever Inspires an NHS Blood Donor Campaign

Lately we’ve been talking a lot in THINK-Health’s workflows with clients about trust and health citizenship: how inspiring positive individual health behaviors can initiate a flywheel of public health goodness. The UK’s National Health Service is acting on this concept through a new campaign to inspire people in the Black community to give blood. The NHS is linking the campaign to Marvel’s Black Panther: Wakanda Forever movie launch, which drops in UK cinemas on 11 November. Here’s the NHS video so you can get a sense of the public health message… The call-to-action: It’s #InOurBlood to save lives, together.  

 

Irrational Exuberance for Hospital-To-Home? Care About the Caregivers, the House, the Fridge.

Home, Sweet Hospital-At-Home?  It depends, I hedge in my latest essay for Medecision.           In our bullish and, on its face, compassionate and cost-rational embrace of the migration of acute care from hospital beds to peoples’ living and bedrooms, there are several guardrails to consider beyond sheer payment and reimbursement calculations. Consider, The caregivers for the folks heading home from hospital The state of the physical home — for safety, comfort, environmental health, and emotional security, and, Food security and nutritional access. On caregiving: I spend extra time detailing research in which Alexandra Drane, founder of

 

The Patient as Prescription Drug Payer – The GoodRx Playbook

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

 

Home Is Where the Health Is: An Update on Connectivity, Food, and Retail

Virtually every closed-door meeting I have had in the U.S. with a client group in the past several months has had a line item on the agenda to brainstorm the impact and opportunity of care-at-home, hospital-to-home, or Care Everywhere. This has happened across many stakeholders in the evolving health/care ecosystem of suppliers, including hospital systems, health plans, grocery chains, retail pharmacy, consumer technology, digital health and tech-enabled providers, pharma and medical supply companies. On October 10, Dr. Robert Pearl, former CEO of The Permanente Medical Group, published a provocative post on Forbes noting that Amazon, CVS, Walmart Are Playing Healthcare’s

 

Health Care Costs Are a Driver of Health Across All of America – Especially for Women

Three in four people in America grade health care costs a #fail, at grade “D” or lower. This is true across all income categories, from those earning under $24,000 a year to the well-off raking in $180K or more, we learn in Gallup’s poll conducted with West Health, finding that Majorities of people rank cost and equity of U.S. healthcare negatively. Entering the fourth quarter of 2022, several studies were published in the past week which reinforce the reality that Americans are facing high health care costs, preventing many from seeking necessary medical services, and hitting under-served health citizens even harder

 

It’s Mental Illness Awareness Week: “What I Wish I Had Known” About Mental Health

It’s Mental Illness Awareness Week: annually NAMI, the National Alliance on Mental Illness, devotes the first week of October to advocate for people facing managing a mental illness every day and to raise public consciousness on the pervasiveness of mental illness in America. This year, NAMI’s key themes address the over-arching message of  “What I wish I had known,” each day looking into: Monday Oct. 3: Stigma Tuesday Oct. 4: Medication [National Day of Prayer for Mental Illness Recovery and Understanding] Wednesday Oct. 5: Therapy Thursday Oct. 6: Disclosing [National Depression Screening Day], and, Friday Oct. 7: Caregiving. To track

 

Connected Wellness Growing As Consumers Face Tighter Home Economics

“Consumers are using the Internet to take their health into their own hands,” at least for 1 in 2 U.S. consumers engaging in some sort of preventive health care activity online in mid-2022.                 The new report on Connected Wellness from PYMNTS and Care Credit profiles American health consumers’ use of digital tools for health care promotion and disease prevention. The bottom-line here is that the most connected 10% of consumers were 1.65 times more likely to be engaged in preventive digital health activities than the average person. Peoples’ engagement with digital health

 

Remember the Social Determinants of Health When Prescribing Drugs

Thinking about the social determinants of prescription drugs, how people take medicines in real life in my latest post in Medecision’s Liberate Health blog.           I had one of those special lightbulb moments when listening to Mauricio Gonzalez-Arias, M.D. of NYC Health + Hospitals and Suvida Healthcare discussing medication adherence and what prevents us from taking our meds as prescribed. His discussion on social determinants’ role in shaping our relationship with prescriptions was powerful, and the jumping off point for this essay.           Medication adherence is a challenge that fiscally costs the

 

The Direct Link Between Value-Based Health Care, Digital Transformation and Social Determinants – Insights from Innovaccer and Morning Consult

Only 4% of health care payments in the U.S. are pure fee-for-service (FFS) these days. “The end of pure FFS is near,” according to The State and Science of Value-Based Care, a report-out of survey research from Innovaccer and Morning Consult.             Innovaccer, a health cloud/data analytics company, worked with Morning Consult to do deep-dive interviews with 75 senior health care executives; research was conducted in November and December 2021, so these perspectives represent those of health system leaders at the start of 2022. The full report is worth your read; my focus in this Health

 

Virtual Care and Mental Health Top of Mind for Employers’ Workplaces in 2023

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

 

Partnering Up in the Health Care Ecosystem to Drive Transformation – for Organizations and Health Consumers Alike

“Partnerships, including JVs and alliances with other healthcare organizations and with new entrants, are just one way to access new capabilities, unlock speed to market, and achieve capital, scale, and operational efficiencies” in health care transformations. “In an environment with continued competition for attractive assets and significant capital in play from institutional investors, these partnerships may also be the most accessible way for organizations to capture value in expanding healthcare services and technology value pools,” we learn in Overcoming the cost of healthcare transformation through partnerships from a team of health care folks with McKinsey & Company.      

 

The Retail Health Battle Royale, Day 5 – Consumer Demands For a Health/Care Ecosystem (and What We Can Learn from Costco’s $1.50 Hot Dog)

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

 

The Retail Health Battle Royale in the U.S. – A Week-Long Brainstorm, Day 1 of 5

I’ve returned to the U.S. for a couple of months, having lived in and worked from Brussels, Belgium, since October 2021 (save for about ten days in March 2022). Work and life slow down in Europe in July and August, giving us the opportunity to return to our U.S. home base, reunite with friends and family, and re-join life and living this side of the Atlantic. The timing of my return to the U.S. coincides with a retail health hurricane of big announcements shaking up the health/care ecosystem. Among these events are Amazon’s plan to acquire One Medical, Apple’s publication of

 

Gas ‘N Healthcare – How Transportation Links to Health Care Access and Financial Health

Some patients dealing with cancer at Mercy Health’s Lourdes Hospital have been supplied with gas cards. This gesture is enabling families to get to medical appointments around Paducah, Kentucky where, this week, car drivers faced regular gas priced at an average of $4.16 a gallon compared with $2.92 one year ago.           Here’s the Hospital’s Facebook page featuring their gratitude to FiveStar Food Mart, the American Cancer Society, and the Mercy Health Foundation. “By providing cancer patients with gas cards, the cancer care team at Mercy Health Lourdes Hospital in Paducah hopes to mitigate financial challenges

 

Your State as a Determinant of Health: Sharecare’s 2021 Community Well-Being Index

People whose sense of well-being shifted positively in the past two years are finding greater personal purpose and financial health, we see in Sharecare’s Community Well-Being Index – 2021 State Rankings Report.                   Sharecare has been annually tracking well-being across the 50 U.S. states since 2008. When the study launched, Well-Being Index evaluated five domains: physical, social, community, purpose, and financial. In 2020, Sharecare began a collaboration with the Boston University School of Public Health to expand the Index, including drivers of health such as, Healthcare access (like physician supply per 1,000

 

More Americans Trust Small Biz and the Military than the Medical System, Gallup Finds

The most trusted institutions in the U.S. are small business and the military, the only two sectors in which a majority of Americans have confidence. Americans’ trust in institutions hit new historic lows in 2022, Gallup found in its latest poll of U.S. sentiment across all major sectors.                 Today, more Americans have faith in the police than in the medical system, according to a Gallup poll finding that Confidence in U.S. Institutions Down; Average at New Low. published this week of Independence Day 2022. Confidence runs from a higher of 68% for

 

Consumers’ Dilemma: Health and Wealth, Smartwatches and Transparency

Even as spending on healthcare per person in the United States is twice as much as other wealthy countries in the world, Americans’ health status ranks rock bottom versus those other rich nations. The U.S. health system continues to be marred by health inequalities and access challenges for man health citizens. Furthermore, American workers’ rank top in the world for feeling burnout from and overworked on the job.             Welcome to The Consumer Dilemma: Health and Wellness,, a report from GWI based on the firm’s ongoing consumer research on peoples’ perspectives in the wake of

 

Use of Preventive Health Services Declined Among Commercially Insured People – With Big Differences in Telehealth for Non-White People, Castlight Finds

Declines in preventive care services like cancer screenings and blood glucose testing concern employers, whose continued to cover health insurance for employees during the pandemic.                       “As we enter the third year of the COVID-19 pandemic, employers continue to battle escalating clinical issues, including delayed care for chronic conditions, postponed preventive screenings, and the exponential increase in demand for behavioral health services,” the Chief Medical Officer for Castlight Health notes in an analysis of medical claims titled Millions of People Deferred Crucial Care During the Pandemic, published in June. The