A blog covering the health/care ecosystem and people.

Among 127 health determinants, two rank highest: digital divides in the era of tech-enabled health  and care: digital divides that shape a person’s political, economic, and social environment, and the person’s health/disability status.               The digital transformation of health and care compel us to re-consider and re-frame social determinants of health in the “digital age,” which is what the World Health Organization in collaboration with the London School of Economics have done in research, published this week in the report, Addressing health determinants in a digital age. The report was funded by the European

In our home, we’re feeling very grateful for our healthy lives and work-flows right now, being very mindful about seeing blessings around me and within me…. So I’m sharing the love (or “scaling the love” as I recently coined at OSF’s Digital Health Symposium!) to honor American Thanksgiving 2024 here in Health Populi pointing out several sources highlighting the evidence on gratitude and health….underpinned with love, the ultimate driver of health and well-being.           Leslie Sarasin, President and CEO of FMI, the Food Industry Association, reminds us that, “Our immigrant ancestors, the pilgrim settlers, worked hard

For health care, there are many uncertainties as we reflect, one week after the 2024 U.S. elections, on probably policy and market impacts that we can expect in 2025 and beyond. In today’s Health Populi post, I’ll reflect on the first of several certainties we-know-we-know about U.S. health citizens and key factors shaping the American health ecosystem. In this first of several posts on “What Stays True for U.S. Health Care Post #Election2024,” I’ll focus on U.S. consumer dissatisfaction with drug prices — across political party identification.          Let’s set the context with data from a recently-published

As the annual HLTH conference convenes this week in Las Vegas, numerous reports have been published to coincide with the meeting updating various aspects of technology, health care, providers and patients. In this post, I’m weaving together several of the papers that speak to the intersection of health care, consumers, and technology – the sweet spot here on Health Populi. I hope to provide attendees of HLTH 2024 along with my readers who aren’t in Vegas useful context for assessing the new ideas and business model announcements as well as a practical summary for those of you in planning mode for

Today I am keynoting the OSF Digital Health Symposium in Peoria, IL, discussing The State(s) of Digital Health. A double-entendre intended, one of the states I’ll be discussing is the migration of acute care back to peoples’ homes, embedded with sensors, householders donning smart rings, and rooms fitted with Internet-of-Things for health and well-being.             In this context, news that Samsung has begun to partner with Ashley, the national furniture dealer, struck me as interesting and important. I visited the Samsung Health House at CES 2024 last January: here is my write-up about what I

Only 2 in 5 people in the U.S. strongly trust science concerning food, nutrition, or diet, we learn from the 2024 IFIC Spotlight Survey: Americans’ Trust in Food & Nutrition Science, published in October.             IFIC is the International Food Information Council, a non-profit organization with a mission of communicating science-based information about food safety, nutrition, and sustainable food systems. IFIC surveyed 1,000 U.S. adults online in July to gauge consumers’ views on food and science.             The most-trusted sources of food information are the scientists involved in researching nutrition,

Lululemon has published the 2024 Global Well-Being Report, a study into peoples’ perspectives on their personal health from the company best known for athleisure wear and self-care. This year’s report is titled, The Pressure to Be Well. That pressure is coming from peoples’ experiencing “well-being burnout.” In the company’s fourth annual report on well-being, Lululemon learned that most people have tried to adopt personal strategies to bolster their health, and one-half of these folks are confronting “well-being burnout.” Lululemon collaborated with Edelman Data & Intelligence to field the study in April and May 2024 in 15 markets where the company

I’m off to Florence, Italy, soon, where about 10 years ago I happened upon a vending machine sited outside of a pharmacy just a few blocks from the Duomo — the Farmacia Della Condotta. And in that vending machine, accessible at all hours (especially overnight when the pharmacy was closed), were all manners of direct-to-consumer self-care goods….including condoms. What distinguished this from other vending machines that might have channeled condoms at the time was that those tended to be located in men’s rooms in, say, bars — not openly on a city street. You can see the Italian vending machine

“Voter registration in hospitals is the new frontier in health care.” That’s the headline in a WBUR story last week detailing the efforts of health care professionals in “amplifying” their patients’ voices inside and outside of the hospital walls by advocating for their health citizenship — through voter registration and public health policy advocacy.                  I’m a long-time evangelist for health citizenship and the role that a person’s engagement in the civic commons plays in one’s own health, the health of their communities and of the nation as a whole. I’m not alone

With 70 different clinical trials for GLP-1 drugs in process with the FDA, payers — and other stakeholders in the health care ecosystem — have the semaglutide-SENSE top of mind, based on my ongoing updating of this fast-moving market space.               For overall market context on pace-of-growth in adoption, check out this chart from a JAMA Health Forum research letter on Prescription Fills for Semaglutide Products by Payment Method, published August 2nd. The study was based on the IQVIA National Prescription Audit PayerTrak data which captures 92% of Rx’s filled at retail pharmacies in

Globally, patients are growing consumer muscles leaning into trust that’s building on communications that connect with them, based on insightful research from Smart Communications. This consumer research was fielded by Toluna and Harris Interactive in February and March 2024.                     In The State of Customer Conversations, the report assesses input from global consumers from the APAC region (Australia, New Zealand, China, Hong Kong, Taiwan, Japan, and Singapore), German-speaking markets (Austria, Germany, Switzerland), the United Kingdom, and the U.S. The research revealed five key findings, shown in the first exhibit: Communications are increasingly important

“’A reform,’ wrote a 19th-century British parliamentarian, ‘is a correction of abuses. A revolution is a transfer of power. As we celebrate the American Revolution, catalyzed by men who broke ranks with their peers to overthrow a power structure that seemed immutable, let’s also celebrate those physicians who broke with their peers and declared independence for American patients.”                  So begins an informative, timely essay on participatory medicine and patient engagement researched and beautifully written by Michael Millenson, whom I am blessed to call both dear friend and professional colleague. Michael’s essay on the

Most Americans follow some kind of eating regime, seeking energy, more protein, and healthy aging, according to the annual 2024 Food & Health Survey published this week by the International Food Information Council (IFIC). But a person’s household finances play a direct role in their ability to balance healthful food purchases and healthy eating, IFIC learned.              In this 19th annual fielding of this research, IFIC explored 3,000 U.S. consumers’ perspectives on diet and nutrition, trusted sources for food information, and new insights into peoples’ views on the GLP-1 weight-loss drugs and the growing sense

If people’s feelings about AI were a Wall Street market, we’d find both bulls and bears, simultaneously, viewing AI’s role in health care. We can see this from many consumer surveys published in the past year about the growing role and adoption of AI in health care, and some wariness found in a new study from Deloitte on Building and maintaining health care consumers’ trust in generative AI.                 Here’s the top-line from the Deloitte team, with particular growth in the question of trusting the information forming the AI for health or wellness related

“The greatest opportunity offered by AI is not reducing errors or workloads, or even curing cancer: it is the opportunity to restore the precious and time-honored connection and trust,” Dr. Eric Topol wrote in his 2019 book, Deep Medicine: How Artificial Intelligence Can Make Healthcare Human Again. In the five years since Dr. Topol looked for AI to bolster the human-touch in health care, we’ve lived, worked, and muddled our way through the COVID-19 pandemic and witnessed the growing epidemic of burnout among clinicians, the front-line of medical care. I recalled Dr. Topol’s assertion on AI’s promise for humanizing health

“If data is everywhere, how do you protect it?”  This thought has been on my mind well before the Change Healthcare hacks (that’s plural) with which U.S. health care stakeholders are still dealing as this post goes live on the Health Populi blog. It’s a question posed to me in conversation with Richard Kaufmann, Chief Information Security Officer (CISO) with Amedisys. I’m grateful for the opportunity to explore in depth the many facets of cybersecurity in health care  with Richard – the growing threats, the impact on providers, the state of technology and innovations to manage risks, and his evolving

Three trends underpin health consumers’ evolving demands for service: spending more but getting less satisfaction and innovation; trusting health care with data but underwhelmed by the use of that personal information; and, growing “shopping” behavior seeking quality, availability, proximity, cost, and options across channels for health care. That’s the current read from McKinsey & Company’s team noting that Consumers rule: Driving healthcare growth with a consumer-led strategy.                 In this health consumer update, McKinsey spoke with three consumer marketing experts from other industries to learn best practices on how best to “be there”

This post follows up Part 1 of a two-part series I’ve prepared in advance of the AHIP 2024 conference where I’ll be brainstorming these scenarios with a panel of folks who know their stuff in technology, health care and hospital systems, retail health, and pharmacy, among other key issues. Now, let’s dive into the four alternative futures built off of our two driving forces we discussed in Part 1.             The stories: 4 future health care worlds for 2030 My goal for this post and for the AHIP panel is to brainstorm what the person’s

Whether you’re a patient or a physician in the U.S., you’re burned out, tapped out, stressed out, timed out. While the 118th U.S. Congress can’t agree on much before the 2024 summer recess, there’s one bipartisan stroke of political pens in Washington, DC, that could provide some satisfaction for both patients and doctors: bring telehealth back to patients and providers permanently. Those pens would do two things to modernize American health care for both patients and doctors: first, Congress would pass the CONNECT for Health Act (HR 4189. S 2016) and second, re-introduce and sign the Telehealth Modernization Act.   

Three major milestones marked March 2024 which compel us to note the growing role of patients-as-consumers — especially for self-prescribing medicines and medical devices. This wave of self-prescribed healthcare is characterized by three innovations: the Opill, GLP-1 receptor agonists, and Dexcom’s Continuous Glucose Monitoring (CGM) system that’s now available without a prescription. Together, these products reflect a shift in health care empowerment toward patients as consumers with greater autonomy over their health care when the products and services are accessible, affordable, and designed with the end-user central to the value proposition and care flows. Let’s take a look at each

Three in four people in the U.S. have used virtual care, now, “Table-stakes…here to stay for patients and providers. However, that ubiquity comes with its own set of market pressures…shifting from pandemic-responsiveness to market- and consumer- responsiveness,” according to The new era of consumer engagement, Rock Health’s ninth annual Consumer Adoption Survey published 18 March.            Convenience and waiting time are the top two reasons for choosing virtual over in-person care, Rock Health found. While virtual care is ubiquitous across the U.S. health care delivery landscape, patients-as-health care consumers are becoming more savvy and discriminating based

There’s a gender-health gap that hits women particularly hard when she is of working age — negatively impacting her own physical and financial health, along with that of the community and nation in which she lives.               March being Women’s History Month, we’ve got a treasure-trove of reports to review — including several focusing on health. I’ll dive into two for this post, to focus in on the women’s health gap that’s especially wide during her working years. The reports cover research from the McKinsey Health Institute collaborating with the World Economic Forum on

A “rebel” is both a noun and a verb. As a noun, Merriam-Webster tells us that a rebel is a person who opposes or takes up arms against a government or a ruler. As a verb, “to rebel” is to oppose or disobey one in authority or control, or otherwise renounce and resist by force the authority of one’s government.” An additional definition of the verb is, “to feel or exhibit anger or revulsion.” If you’ve been a patient facing a diagnosis of an illness, whether rare or common, you may well have felt these various feelings stirring inside your self.

Target announced that the retail chain would grow its aisles of wellness-oriented products by at least 1,000 SKUs. The products will span the store’s large footprint, going beyond health and beauty reaching into fashion, food, home hygiene and fitness. The title of the company’s press release about the program also included the fact that many of the products would be priced as low as $1.99. So financial wellness is also baked into the Target strategy. Globally, the wellness market is valued at a whopping $1.8 trillion according to a report published last week by McKinsey. McKinsey points to five trends

You’ve heard of food-as-medicine and exercise-as-medicine. Now we see the emergence of telecomms-as-medicine — or more specifically, a driver of health, access, and empowerment. Elevance Health, the health plan organization serving 117 million members, launched a program to channel mobile phones and data plans into the hands of some Medicaid plan enrollees, explained in the organization’s press release on the program. To implement this program and get connectivity into consumers’ hands and homes, Elevance Health is collaborating with several telecomms companies including Verizon, AT&T, Samsung, and T-Mobile. Funding is supported by the FCC’s Affordable Connectivity Program.        

Not known for its salubrious qualities, Las Vegas will nonetheless be a locus for health, medical care, and well-being inspiration next week when the Consumer Technology Association convenes the annual CES featuring innovations in consumer technology.               Ten years ago here in Health Populi, I wrote about New Year’s Resolutions for Health and the 2013 Consumer Electronics Show. Then, one-third of consumers were keen to buy health tracking technology but most of those people were healthy, CTA’s research found. I talked about the “battle of the (wrist)bands” witnessed at CES 2013, and spotted the

It is about time that a healthcare journal features examples of patient-leaders who have pioneered activism, innovation, and The first exemplar in this vein is Casey Quinlan, whom we lost all-too-soon earlier this year on 24th August. A team of her appreciative colleagues and friends wrote up the first in a new series called “Extraordinary Lives” published in the Journal of Participatory Medicine (JPM) titled “An Extraordinary Voice Expressed Through Humor: A Tribute to Casey Quinlan.” I played a minor role in getting this essay to the finish line, and am grateful to have had the opportunity to do so

“Thanksgiving.” Merriam-Webster’s dictionary defines the word, first, as “the act of giving thanks.” Second, it’s “a prayer of expressing gratitude.” And, third, the word means a public acknowledgment or celebration of divine goodness. We each have our own stories about how a loved one’s life has ended. If we’re lucky, that beloved person had a good death: in sleep, perhaps, or simply of old age with no hospital events or trauma. Then there are the Rest-of-Us who share family stories and experience of long and painful endings, in institutional settings often coupled with costly, so-called “heroic” but unwanted futile care.

While there are barriers preventing health systems and care providers from adopting consumer-focused measures for patient experience, those who have deployed these metrics can provide solid role models for advancing consumer-centered care.             Welcome to Kaufman Hall’s eighth  annual study culminating in the 2023 State of the Healthcare Consumer Report. This year, the report’s subtitle “Measuring What Matters” speaks to the importance of achieving an ROI on consumer-facing investments while facing real, pragmatic headwinds such as cost and margin management and staffing pressures, among other forces that can stifle investments in new-new things.    

The latest read from ONC, the Office of the National Coordinator for Health IT, tells a story about patients’ growing use of online portals, medical records, and smartphone apps to access personal health information. We now have solid evidence empowering us to disagree with Col, Nathan Jessup, the iconic character played by Jack Nicholson in A Few Good Men, who responded to Tom Cruise’s Lt. Kaffee’s demand for “the truth” as the villainous Colonel raged, “You can’t handle the truth.” But ONC data belies that: as it happens, patients can handle the truth, as we learn that 9 in 10

“Simplicity is the ultimate sophistication,” Leonardo DaVinci wrote through his lens on innovation. Simplicity can be a transformational cornerstone of health/care innovation, we learn from Siegel+Gale’s report on the World’s Simplest Brands Tenth Edition (WSBX). Siegel+Gale found the most consumers are willing to pay more for simpler brand experiences and are more likely to recommend a brand for those simpler experiences, as well.             Across the 15,000 consumers the firm polled globally (across nine countries), five key factors underpin peoples’ experiences with the enchantingly “simple” companies: they are, Easy to understand Transparent and honest Caring for

What if….you were given the opportunity to build a health system from scratch in this new era of platforms, cloud computing, AI and machine learning, curious-digital-empowered consumers, and collaborators in retail and community settings operating close to peoples’ homes and workplaces? With the HLTH 2023 Conference meeting up in Vegas these past couple of days, this “what if” scenario can be constructed with announcements coming out of the meeting, coupled with recent developments in the larger health/care ecosystem.             Start with General Catalyst’s news of engaging Dr. Marc Harrison, most recently CEO of Intermountain Health,

In U.S. health care’s negative-sum game, stakeholders who survive and win that game will have to deliver value-for-money, we learn from Trilliant Health’s 2023 Trends Shaping the Health Economy Report.                 “Report” is one word for this nearly 150-page compendium of health care data that is an encyclopedic treasure trove for health service researchers, marketers, strategists, journalists, and those keen to explore questions about the current state of health care in America. As Sanjula Jain points out in the Report’s press release, the publication resembles another huge report many of us appreciated for

One-half of clinicians working in the U.S., doctors and nurses alike, are considering leaving their current role in the next two to three years. That 1 in 2 clinicians is significantly greater than the global 37% of physicians and nurses thinking about leaving their roles in the next 3 years, according to the report Clinician of the Future 2023 from Elsevier.             Elsevier first conducted research among doctors and nurses for the Clinician of the Future report in 2022, following up this year’s survey research online among 2,607 clinicians working around the world: Elsevier polled

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

You may not be able to get that ear-worm jingle that goes “O O O Ozempic” out of your musical mind, but I’m happy to tell you there’s a new “O” in town: the Opill. Welcome to the first OTC contraceptive for sale in the USA.                     I wrote about Perrigo’s Opill here in Health Populi in May 2023 as a “signpost on the road to retail health.” It’s official: “The U.S. Food and Drug Administration (FDA) approved Opill®, a progestin-only daily oral contraceptive, for over-the-counter (OTC) use for all ages.

What if we asked an artist to re-imagine what health care could be? How might Van Gogh redesign a patient room akin to his room at Arles, or Michelangelo re-think general surgery? How might Thoreau take us on a nature walk for our mental health, or Basquiat channel his inner Da Vinci for a version of Jean-Michel’s Anatomy? In her new book, Artists Remaking Medicine. Emily Peters confronts health care’s paralyzing complexity (her words in the introduction) to invite a community of artists and artful thinkers to share their visions for remaking health care.             

As most Americans confess to feeling stressed over the past six months, peoples’ food and beverage choices have been intimately connected with their mental and emotional well-being, we learn from the 2023 Food & Health Survey from the International Food Information Council (IFIC). For this year’s study, IFIC commissioned Greenwald Research to conduct 1,022 interviews with adults between 18 and 80 years of age in April 2023. The research explored consumers’ perspectives on healthy food, the cost of food, approaches to self-care through food consumption, the growing role of social media in the food system, and the influence of sustainability

Not all “retail health” sites are created equal, U.S. consumers seem to be saying in a new study from Wolters Kluwer Health, the company’s second Pharmacy Next: Consumer Care and Cost Trends survey. Specifically, consumers have begun to differentiate between health care delivered at a retail pharmacy versus care offered at a retail store — such as Target or Walmart (both named as sites that offer “health clinics in department stores” in the study press release). While 58% of Americans were likely to visit a local pharmacy as a “first step” when faced with a non-emergency medical situation and 79%

Reviewing the annual 2023 report from the IQVIA Institute for Human Data Science discussing The Use of Medicines in the U.S. is always a detailed, deep, and insightful dive into the state of prescription drugs. It’s a volume speaking volumes on the current picture of prescribed meds, spending and revenues, health care utilization trends, and a forecast looking out to 2027. In my read of this year’s review, I see a flashing light for U.S. health care: “Wake up, public health!” I’ve pulled out a few of the data points that speak to me about population health, prevention and early

About 180,000 deaths are attributable to burns each year, according to the World Health Organization. Non-fatal burns are a leading cause of morbidity. The good news is that burns are preventable, and we learn several terrific strategies for doing so from The Family Oops and Burns First Aid. This mighty little book, all of 28 pages and measuring 5.5 x 5.5″ square, packs a huge amount of self-care knowledge about burn prevention and treatment for home and workplace — the two sites where most burns happen, WHO attests. The Family Oops is a wonderful example of how a health literacy

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

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

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

“The future of love is bound to the institutions that have historically shaped and defined it,” Ipsos’s What the Future: Love report begins. Consider: religion, government, financial institutions….and the health care ecosystem, as well. On this Valentine’s Day 14th February 2023, it is a good time to consider this convergence as health politics, financial well-being, and emerging technologies will be re-shaping institutions and consumers in the coming months and near-term.           The Ipsos researchers have been assessing the future of many aspects of our lives over the past couple of years, such as the future of wellness,

While the same proportion of Black and White patients say they are looking for a doctor with empathy and compassion, there are relatively large differences between patients based on their race, found in the Everyday Health-Castle Connolly Physician-Consumer study.             The survey was conducted in December 2022 among a group of 1,001 U.S. consumers and 277 Castle Connolly health care professionals. As the first bar chart illustrates “where patients differ, “Black people were nearly twice as likely as white people (41 percent versus 22 percent) to completely agree that they would be more comfortable and

“Are we losing the battle against heart disease?” asks the lead article featured in the January 2023 issue of the AARP Bulletin.           “Despite breathtaking medical advancements since President Harry Truman declared war on heart disease 75 years ago, researchers have observed a disturbing trend that started in 2009: America’s death rate from heart-related conditions is climbing again,” the detailed essay explains. AARP is in fact a very visible stakeholder in the 2023 CES, collaborating on the AgeTech content track at the tech conference. The track covers all aspects of aging well, from financial health to entertainment,