A blog covering the health/care ecosystem and people.

Oh, how quickly people forget…and slow to forgive. U.S. consumers’ positive views for healthcare, pharma and retail have significantly fallen in just one year, the latest annual Gallup poll of industry rankings in America found as of August 2023. This stat for the pharma industry was the lowest Gallup ever recorded for the sector since 2001.                     I can’t help hearing Paul Simon’s lyrics to Slip Slidin’ Away….”you know the nearer your destination, the more you’re slip slidin’ away” when it comes to health citizens’ perceptions of pharma and the healthcare

“I’m in Berlin, and we don’t like walls,” Bart De Witte responded in a concluding Q&A session yesterday at the 2nd Symposium on the Future of Health Systems, convened by the World Health Organization (WHO) in Porto on 5th September.               Over two days, this meeting convened stakeholders focused on WHO’s European Region to support the Organization’s digital health action plan for 2023-2030 – which fosters cross-nation health planning covering the EU space. AI’s promise in health care to automate and streamline administration, and augment diagnosis and treatment, comes with accompanying risks that can

This week ALDI, the global food discount group, announced they would acquire Winn-Dixie and Harveys Supermarket stores.           In response to the deal, Supermarket News said that ALDI “is shaking up the grocery sector with its acquisition” of the Winn-Dixie chain. That statement was focused on the overall food chain landscape, where Winn-Dixie has played a significant role in the traditional brick-and-mortar grocery business. ALDI has generally served a value-oriented segment of consumers, which industry analyst have categorized as a separate food channel based on consumer segmentation. In addition to the overall “shaking up” of the

Statin therapy has been used for decades to lower cholesterol with the goal of reducing mortality and preventing cardiovascular problems such as heart attacks and strokes. Hims & Hers announced a new service offering for health consumers and clinicians concerned about heart health called Heart Health by Hims.               This is Hims & Hers’ first foray into cardiovascular health, working in collaboration with the American College of Cardiology (ACC). ACC clinical guidelines will inform the Hims’ provider platform for the program. “Prevention is the ideal mechanism to decrease cardiovascular events and ensure optimal heart

“Brick-and-mortar pharmacies forge meaningful connections with customers” through conversations between pharmacists and patients, “on a first-name basis.” This quote comes from Christopher Lis, managing director of global healthcare intelligence at J.D. Power who released the company’s annual 2023 U.S. Pharmacy Study today, the 15th year the research has been conducted.                           Each year, J.D. Power gauges U.S. consumers’ views on retail pharmacies in four channels: brick and mortar chain drug stores, brick and mortar mass merchandisers, brick and mortar supermarkets, and mail order. Across all four channels, the

Barbie is having a moment, marketers agree. This weekend, many of us will buy movie tickets (yes, to see “real” movies in “real” brick-and-mortar cinemas) to see both the new film Oppenheimer along with the Barbie movie.           So many movie-goers will be making it a double-feature experience that started as a meme, the portmanteau “Barbenheimer,” to mark the cultural-phenomenon moment. And the marketing frenzy accompanying the release of Greta Gerwig’s film has been an astonishing plethora of collaborations with consumer-goods companies and retailers. To join the pink-inspired fray, I’m featuring Barbie’s health care lives in

Now in Aisle E(commerce) – get your one-year membership to One Medical for $149. Today and tomorrow are Amazon Prime Days, 2023 style, when you can fetch bargains on lots of electronics (esp. deeply-discounted Amazon-branded devices), sporting goods, kitchen gear, pet supplies, and even groceries (saving with Amazon Fresh getting $20 off $100+ orders on Prime Day).                       And among a vast menu of health, medical, and well-being offerings from collagen to gym equipment and blood pressure monitors is that One Medical membership good for a year of services. “On-demand

The definition of “convenience” in the eyes of patients, consumers, and caregivers is multi-faceted, with the concept of “location” shifting both physically and digitally. We learn this in new research from JLL, the global real estate services company. “Why is a real estate services company doing research into consumers’ views on health care?” you might ask. See my Hot Points below, discussing my views on the morphing of health care real estate from Pill Hill and inpatient hospitals to the home and closer-to-home sites.             In the 2023 Patient Consumer Survey report, the topline lesson

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

Patagonia, Costco, John Deere, and Trader Joe’s are loved; Twitter, Fox Corp., FTX and The Trump Organization? Not so much. Welcome to 2023 Axios Harris Poll 100 list of companies U.S. consumers rate from excellent in terms of reputation to very poor and, one in particular, “critical.” Exploring the list, we can find insights into consumers’ preferred touchpoints for health, health care, and well-being curated in their daily lives. In this, today’s, Health Populi blog, I consider The 2023 Axios Harris Poll 100 reputation rankings in light of what we learned from the Morning Consult Most Trusted Brands 2023 study

Our pets can be personal and family drivers of health and health care cost savings, according to a new study from  according to a new report from researchers at George Mason University published in their paper, Health Care Cost Savings of Pet Ownership. Reviewing this new paper inspired me to explore the current state of the pet/health market and implications for their human families, my weaving of various stories explored in this Health Populi blog post. Some of the key signposts we’ll cover are: The report on pet ownership driving owners’ health care cost savings A new market analysis of

“It seemed like an odd pairing: shampoo and a throat swab,” observes a new report on the growth of retail health from Definitive Healthcare. But retail clinics are no longer, as the paper explains, “an experiment of a few grocery stores….they’re becoming a major force in the U.S. healthcare system,” asserts the thesis of Retailers in healthcare: A catalyst for provider evolution.                 While the use of emergency departments fell by 1% in the past five years, the use of retail clinics expanded by 70%, Definitive Healthcare calculated. Most retail clinics are owned by

We continue to track to evolving, expanding landscape of retail health — which we see as the expanding ecosystem of health/care accessible to people-as-health consumers. This week, three intriguing examples are resonating with us: The ever-evolving weight-loss industry FDA favors OTC use for Perrigo’s Opill daily oral contraceptive birth control pill The convergence of fashion and health — specifically, how an over-the-counter medicine converges with clothing that helps us feel better.                   Let’s start with weight-loss, as several aspects of health/care come together in the consumer’s retail health sandbox. Dr. Eric Topol

As implemented in the COVID-19 era and its immediate wake, the most obvious environmental benefits offered by telehealth visits replacing in-person patient encounters have been achieved through reduced patient travel, considering The Role of Virtual Consulting in Developing Environmentally Sustainable Health Care, a systematic literature review published in the Journal of Medical Internet Research. This study, led by researchers at the University of Oxford, UK, and the University of Oslo, Norway, identified over 1,600 scientific papers, narrowing the most rigorous and relevant to 23 papers focusing on virtual consulting and carbon emissions. This is an important question for two major

With May being Mental Health Awareness Month, there’s no shortage of press releases promoting a wide range of services and programs emerging from both the public and private sectors. In the wake of the COVID-19 public health crisis, the exposed epidemic-beyond-the-pandemic of mental health has inspired many collaborations between public, private commercial and not-for-profit organizations. These have begun to embed mental health into the larger retail health ecosystem. I’ll point to several examples as signposts for this phenomenon.           Walgreens and Mental Health America – This collaboration expands Walgreens’ work with Mental Health America focusing in

The COVID-19 pandemic re-shaped European Union leaders to reimagine healthcare, public health, and health citizenship in the EU. Welcome to #HealthUnion, the hashtag that the European Commission has adopted with the vision of assuring access to medicines for all people living in the 27-nation EU area — regardless of socioeconomic status.             On 26th April 2023, the EC unveiled the most significant reforms for the region’s pharmaceutical industry in twenty years. It’s really a package or “toolkit” in the words of EC Health and Food Safety Commissioner Stella Kyriakides for addressing several strategic health pillars

Food is a basic need, fundamental to our lives and well-being. And for millions of people around the world, and innumerable health citizens in the U.S., food security is part of daily life in 2023. Furthermore, as the U.S. Congress faces voting on the debt ceiling, the issue of SNAP benefits for nutritional assistance (aka “food stamps”) has been identified as a negotiating line-item by certain Federal budget-cut minded folks. That’s why the Food Is Medicine Initiative, launched collaboratively between the American Heart Association and The Rockefeller Foundation, is so timely and welcome.         “The vision for

Consider the key drivers of supply and demand in health care, globally, right now: On the medical delivery supply side, the shortage of staff is a limiting factor to continuing to deliver care based on the usual work-flows and payment models. On the demand side, patients are taking on more demanding roles as consumers with high expectations for service, convenience, and safe care delivered closer to home — or at home. This dynamic informs The Future Health Index 2023 report from Philips, launched this week at HIMSS 2023. This is the eighth annual global FHI report, with detailed country-specific analyses to

You’ve heard of the social determinants of health (SDoH), the driving factors that shape a person’s health beyond medical care. These include lifestyle behaviors such as smoking and food consumption, education, job security and wage stability, transportation and safe/clean physical environments, among other issues. There’s another lens on drivers of health that impact our well-being, the commercial determinants of health (CDoH). The Lancet‘s collection of research published online on March 23, 2022 explores CDoH’s role in shaping public and individual health, along with potential calls-to-action for addressing these challengres.               Start with a definition of

The U.S. spends more on health care than any other nation in the world. Yet Americans’ health outcomes rank relatively low compared with other wealthy peer nations on Planet Earth, manifesting a low return-on-investment for this huge financial spend. Nowhere is this more evident than in America’s place in equity compared with nine countries, shown in the graph on health care system performance from The Commonwealth Fund’s perennial study, Mirror, Mirror – the latest version of which was subtitled, “reflecting poorly” on health care in the U.S.             Equity is an over-arching concept that the

Most U.S. health citizens think AI is being adopted in American health care too quickly, feeling “significant discomfort…with the idea of AI being used in their own health care,” according to consumer studies from the Pew Research Center.                  The top-line is that 60% of Americans would be uncomfortable with [their health] provider relying on AI in their own care, found in a consumer poll fielded in December 2022 among over11,000 U.S. adults. Most consumers who are aware of common uses of AI know about wearable fitness trackers that can analyze exercise and sleep

Ten years ago, ECRI named the top 10 health technology hazards  for 2013: they were alarm hazards, medication administrative errors using infusion pumps, unnecessary exposure and radiation burns from diagnostic radiology procedures, patient/data mismatches in EHRs and other HIT systems, interoperability failures with medical devices and health IT systems, and five other tech-related hazards. In 2014, ECRI pivoted the title of this annual report to “patient safety concerns,” a nuance away from health technology. Fast forward to 2023 and ECRI’s latest take on the Top 10 Patient Safety Concerns 2023. While technology is embedded in this list, the headlines have more

Many health citizens in the U.S. would likely skip receiving preventive health care services if the Affordable Care Act’s (ACA) coverage for them goes away, a Morning Consult survey found.                   The first chart illustrates the top-line of this research: that most U.S. adults would not pay out of pocket for several preventive services including tobacco cessation, drug use screening, weight loss measures to prevent obesity-related illnesses, as well as screening for depression or HIV. One of the key benefits embedded in the ACA was “free” without co-pay shares for  preventive care. These

I am grateful to have been given the opportunity to brainstorm omnichannel health care for people to enable better health care for all, anywhere and everywhere, with Team Microsoft. Key opinion leader Molly McCarthy and I covered a lot of ground in this webcast conversation as part of Microsoft’s series of three “Expert  perspectives on trends driving change in healthcare.”             Molly and I covered a lot of ground here, starting with the key forces shaping and accelerating virtual care across the continuum. While these were in place before the COVID-19 pandemic, the public health

Ever since Clayton Christensen explained the concept of disruptive innovation in 1995, health care became one of the poster children emblematic of an industry ripe for disruption. Nearly 30 years later, disrupting health care continues to be a theme which, in 2023, seems open for those slow-moving tectonic driving forces to finally re-form and re-imagine health care delivery. So in today’s Health Populi we turn to a new report, Health Care Disruption 2023 Outlook, part of AHA’s “The Buzz” market scan initiative. The American Hospital Association is taking disruption seriously right here, right now, as the U.S. hospital sector is

Joke if you must about Big Game cuisine being typically packed with calories and fat and carbs….and as such, not-so-great for health. For me, the ads are the attraction during The Big Game (along with the Philadelphia Eagles). In this year’s ad line-up, health will be featured in high-priced spots as it has for the past few years. Last year, I was intrigued by a female-focused 30-second spot from Hologic, educating viewers on cervical cancer, discussed here in Health Populi.         This year, my eyes are on Bayer Aspirin’s campaign “encouraging sports fans to keep their heart

Consumers’ wellness life-flows and demands in 2023 will go well beyond exercise resolutions, eating more greens, and intermittent fasting as a foodstyle. It’s time for us to get the annual update on health consumers from the multi-faceted team who curated the Global Wellness Summit’s annual report on The Future of Wellness 2023 Trends.                   In this year’s look into wellness for the next few years, we see that health-oriented consumers are seeking solutions for dealing with loneliness and mental health, weight and hydration, travel-as-medicine as health destinations, and — not surprisingly —

Two announcements this week add important initiatives to patients’ growing choices that speak to their consumer-sides’ sense of value and personal healthcare cost-containment: Amazon launched RxPass, a generic medicines subscription service; and, Dollar General promoted its mobile health service powered by DocGo on demand for health visits, “right outside the store.”             These two programs come from outside of the legacy health care system of so-called incumbents — hospitals, health systems, health insurance — leveraging two brand-names beloved to many consumers for convenience, price transparency, and sheer cost. First, check out Amazon Pharmacy’s RxPass. Amazon

As we enter the week’s brainstorms and deal-making prospects this week at the annual JP Morgan meet-up for healthcare, I’m kicking off Health Populi’s posts this week by diving into two major reports published in sync with this meeting that’s so pivotal and important for the digital health community: the Silicon Valley Bank (SVB) 2022 Annual Report on Healthcare Investments and Exits and the 2022 Global State of Digital Health Report from FINN Partners and Galen Growth               SVB notes that venture funding in healthcare fell in terms of both deals and dollars each quarter

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

Every health/care industry stakeholder will be in search of value in 2023, I explain in my latest post written on behalf of Medecision. In this essay, I forecast what’s ahead for hospitals, digital health innovators and investors, employers, pharma, and patients-as-consumers — all firmly focused on value in the new year. “Inflation may make consumers and the healthcare system sicker,” Deloitte expects, signaling a sort of “unrest” for the healthcare ecosystem.         One of the most telling data points I include in my assessment of 2023 comes from GSR Ventures, which polled major health care investors on

For over ten years, digital health technology has been a fast-growing area at the annual CES, the largest convention covering consumer electronics in the world.           When the meet-up convenes over 100,000 tech-folk in Las Vegas at the start of 2023, we’ll see even more health and self-care tools and services at #CES23 — along with new-new things displayed in aisles well outside of the physical space on the Las Vegas Convention Center map labeled “digital health” at this year’s CES in the North Hall.         Some context: my company has been a member

In just the past few months, we’ve seen the launch of Amazon Care, Instacart adding medical deliveries, and The Villages senior community welcoming virtual care to their homes. Welcome to the growing ecosystem of hybrid health care, anywhere and everywhere. In my latest post on the Medecision portal, I discuss the phenomenon and examples of early models, focusing in on Evernorth, a Cigna company.                 As we add new so-called “digital front doors” to health care delivery, we should be mindful to design in access and equity and avoid further fragmentation of an already-fragmented

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

While venture funding for digital health technology declined globally by 35% in the first three quarters of 2022 compared with 2021, this marks a “return to normal” based on the assessment in the Global State of Digital Health Report from FINN Partners and Galen Growth, published today and launched during the HLTH 2022 conference.                 The report analyzes data from over 12,000 digital health ventures tracked by Galen Growth’s HealthTech Alpha platform. The first chart illustrates the change in venture funding by therapeutic area, showing downturns in four of the five areas called

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

Employers covering health insurance for workers’ families will face insurance premiums reaching, on average, $22,463. That is roughly what a year at an independent college in Connecticut would cost, or a round of pay for a ref in the Stanley Cup playoffs. With that sticker-shock level of health plan costs, welcome to the 2022 Employer Health Benefits Survey from Kaiser Family Foundation, KFF’s annual study of employer-sponsored health care.                 Each year, KFF assembles data we use all year long for strategic and tactical planning in U.S. health care. This mega-study looks at

What is a “pharmacy” these days? You might have recently walked into a brick-and-mortar retail pharmacy. Or, you might have refilled a prescription to help you manage a chronic condition, online. Or, perhaps, you asked the pharmacist staffing your favorite grocery store Rx counter to give you the latest vaccine to keep COVID-19 variants at-bay. The pharmacy is all these things, and increasingly digital-first, we learn in The Rx Report: A new day in retail pharmacy, a consumer survey from CVS Health.         CVS Health, one of the two largest pharmacies operating in the U.S. in 2021

What happens to a health care ecosystem when the volume of patients and revenues they generate decline? Add to that scenario a growing consensus for a likely recession in 2023. How would that further impact the micro-economy of health care?                   A report from Trilliant on the 2022 Trends Shaping the Health Economy helps to inform our response to that question. Start with Sanjula Jain’s bottom-line: that every health care stakeholder will be impacted by reduced yield. That’s the fewer patients, less revenue prediction, based on Trilliant’s 13 trends re-shaping the U.S. health

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

As consumers learn to appreciate and patronize retail touchpoints, entertainment, and financial management via omnichannel platforms, patients and health citizens are seeking more enchanting service levels for their health care. The latest view on patient preferences from Kaufman Hall is out in the firm’s annual 2022 State of the Healthcare Consumer Report.               Every year, this go-to report divines how U.S. patients continue to morph into health/care consumers. This year’s top-line is that peoples’ expectations of health care service providers exceed what those providers, health plans, and suppliers (like pharma) are serving up —

Today, the White House is convening a Conference on Hunger, Nutrition and Health. So it’s a propitious time to weave together some of the latest research and insights into food-as-medicine and a key determinant of health and well-being. This is the first White House conference focused on nutrition and food in over 50 years.               The National Strategy was released today, and covers a range of programs that bake health and nutrition into Federal policies going beyond “food” itself: we see various determinants of health embedded into the Strategy, such as supporting physical activity,

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

“The odds are against hospitals collecting patient balances greater than $7,500,” the report analyzing Hospital collection rates for self-pay patient accounts from Crowe concludes.       Crowe benchmarked data from 1,600 hospitals and over 100,00 physicians in the U.S. to reveal trends on health care providers’ ability to collect patient service revenue. And bad debt — write-offs that come out of uncollected patient bill balances after “significant collection efforts” by hospitals and doctors — is challenging their already-thin or negative financial margins.           The first chart quantifies that bad debt attributable to patients’ self-pay payments

Consumers consider health and well-being as an “essential” household spending category based on new research from Accenture.             Accenture polled over 11,000 consumers in 17 countries, considering how people are faring amid “widespread uncertainty and personal financial strains,” in the firm’s words. While two in three consumers feel financially stressed, 4 in 5 intend to grow or hold their personal spending on health and fitness steady in the next year. The first chart graphs data from Accenture’s global survey. In the U.S., more granularly, 26% of consumers intend to increase spending on health and wellness

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

“Tom Lawry reminds us that the health care industry can shift from glacial to warp speed when it needs to. Given the right tools, we can evolve from health systems to systems of health, baked with Responsible Intelligence to do good while embedded with respect, inclusion, and transparency. Health citizens deserve Tom’s vision to emerge,” I wrote in a quote on the back of Tom’s new book, Hacking Health Care: How AI and the Intelligence Revolution Will Reboot an Ailing System.                 Tom knows whereof he speaks and writes and opines: he has

When I talk about patient support programs (PSPs), I’m most often focused on supporting peoples’ access to medicines due to costs, bolstering health literacy, and addressing health citizens’ risks of drivers of health that can be obstacles to optimal health outcomes (those challenging social determinants of health). A new report from Deloitte on Intelligent post-launch patient support speaks to another crucial definition of patient support: post-market surveillance and patient safety.                 The paper’s central thesis is that improving patient support is a critical step in the biopharma value chain, illustrated in the first diagram

“Tech giants are the primary forces driving digital transformation forward,” and this is especially the case for health care systems re-imagining how health care services are delivered and “consumed.”           This observation comes from a new report, Tech Giants in Healthcare, written by four European-based experts in healthcare and bioethics. The 200-page paper details the activities of sixteen global technology companies in the health/care ecosystem, followed by a so-called “ethical analysis” of these companies’ work with health data. The report was published in Germany by Bertelsmann Stiftung, a not-for-profit think tank addressing broad  political, social and