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From Bowling Alone to Eating Alone – What the Shift to Take-Out Food Means for Our Social Well-Being and Mental Health

New data from the American Time Use Survey, research conducted by the U.S. Census Bureau and the Bureau of Labor Statistics, shows that Americans now favor eating in-home compared with eating out at restaurants. Corroborating this shift is other data from the National Restaurant Association sharing that 74% of all restaurant traffic in 2023 came from “off premises” customers — that is, from takeout and delivery — up from 61% in the pre-COVID era. What does this mean for our health, well-being, and sense of community and connectivity?             I’m preparing a new talk to

 

The New “Paging Dr. Google?” DTC-AI for Health Care

While most people in the U.S. who have used large language models (like ChatGPT) for informal learning, entertainment, and getting information about products and services, 39% of U.S. adults have also tapped into LLMs to source information about physical or mental health. This insight is brought to us in the brilliantly titled report, Close encounters of the AI kind, from the Imagining the Digital Future Center at Elon University. The principle author of the survey report is the Center’s Director, Lee Rainie, whose name many of you will know from his two+ decade career at the Pew Research Center (and

 

The Growth of DIY Digital Health – What’s Behind the Zeitgeist of Self-Reliance?

By Jane Sarasohn-Kahn on 13 March 2025 in Cardiovascular health, Caregivers, Chronic disease, Connected health, Connectivity, Consumer electronics, Consumer experience, Consumer-directed health, Corporate wellness, COVID-19, Data analytics and health, Demographics and health, Design and health, Determinants of health, Diabetes, Diagnostics, Diet and health, Digital health, Digital therapeutics, DTC health, Education and health, Employee benefits, Employers, Exercise, Fertility, Financial health, Financial toxicity, Food and health, Food as medicine, Gender equity, Gender equity and health, GLP-1s, Grocery stores, Health access, Health and Beauty, Health and wealth, Health apps, Health at home, Health benefits, Health care marketing, Health citizenship, Health Consumers, Health costs, Health Economics, Health ecosystem, Health education, Health engagement, Health equity, Health insurance, Health marketing, Healthcare access, Healthcare DIY, HealthDIY, Heart disease, Heart health, Home care, Home economics, Home health, Hospital to home, Medical innovation, Mental health, Mobile apps, Mobile health, Money and health, Nutrition, Omnichannel healthcare, Out of pocket costs, Participatory health, Patient engagement, Patient experience, Peer-to-peer health, Personal health finance, Pink tax, Popular culture and health, Prevention and wellness, Public health, Rehabilitation, Remote health monitoring, Reproductive health, Retail health, Risk management, Self-care, Seniors and health, Sensors and health, Shared decision making, Shopping and health, Sleep, Smart homes, Smartphone apps, Smartwatches, Social determinants of health, Social health, Social networks and health, Sports and health, Techquity, Telehealth, Transparency, Trust, User experience UX, Value based health

Most people in the U.S. use at least one medical device at home — likely a blood pressure monitor. used by nearly one-half of people based on a survey of 2,000 consumers conducted for Propel Software.                    The Propel study’s insights build on what we know is a growing ethos among health consumers seeking to take more control over their health care and the rising costs of medical bills and out-of-pocket expenses. That includes oral health and dental bills: 2 in 5 U.S. consumers use electric toothbrushes (a growing smart-device category at the

 

A Mis-Trust Hangover for Health Care 5 Years After COVID Began – an Edelman Trust Barometer Update

On March 11, 2020, The World Health Organization announced that the coronavirus was deemed a pandemic. WHO Director-General Dr. Tedros Adhanom Ghebreyesus asserted, “We have called every day for countries to take urgent and aggressive action. We have rung the alarm bell loud and clear.” Five years later, Edelman has fielded a survey to determine what some 4,000 health citizens living in 4 countries (Brazil, India, the UK, and the U.S.) are thinking and feeling about life after COVID-19 — and especially where their trust lies in institutions, fellow citizens, and future public health emergencies. I listened in on a discussion

 

The Top Patient Safety Risks in 2025 Are Mostly About the “Human OS” – Reading ECRI’s Annual Report

Each year, ECRI (the ECRI Institute) publishes an annual report on the Top 10 Patient Safety Concerns for the year. The 2025 list was published today. My read of it is that most of these risks have to do with what I’ve been referring to as the Human OS, the Human Operating System, in my talks and teachings.                   In this post, I’ll focus on 2 of the 10 most top-of-mind in my current workflow with clients and speaking: #1 and #3. Here’s the list of 10, calling out: Risks of dismissing

 

Consumers Are Financially Stressed – What This Means for Health/Care in 2025

By Jane Sarasohn-Kahn on 7 March 2025 in Amazon, Anxiety, Baby Boomers and Health, Banks and health, Behavioral economics, Behavioral health, Boomers, Burnout, Business and health, Cardiovascular health, Caregivers, Children's health, Chronic disease, Connected health, Connectivity, Consumer electronics, Consumer experience, Consumer-directed health, Corporate responsibility, Dental care, Depression, Design and health, Determinants of health, Diabetes, Diet and health, DIY, DTC health, Empathy, Employee benefits, Employers, Financial health, Financial toxicity, Financial wellness, Food and health, Food as medicine, Food security, GLP-1s, Grocery stores, Health access, Health and Beauty, Health and wealth, Health apps, Health at home, Health benefits, Health care industry, Health care marketing, Health citizenship, Health Consumers, Health costs, Health disparities, Health Economics, Health ecosystem, Health engagement, Health equity, Health finance, Health insurance, Health marketing, Health media, Health Plans, Health policy, Health politics, Health regulation, Health social networks, Healthcare access, Heart disease, Heart health, High deductibles, Home care, Home economics, Home health, Homelessness, Hospital finance, Hospital to home, Hospitals, Housing and health, Internet and Health, Jobs and health, Loneliness, Love and health, Medicaid, Medical bills, Medical debt, Medicare, Medication adherence, Medicines, Mental health, Misinformation and health, Mobile apps, Mobile health, Money and health, Nutrition, Obesity, Oral care, OTCs, Out of pocket costs, Pain, Patient engagement, Patient experience, Peer-to-peer health, Personal health finance, Pharmaceutical, Pharmacists, Pharmacy, Popular culture and health, Prescription drugs, Prevention, Primary care, Public health, Retail health, Retirement and health, Rural health, Schools and health, SDoH, Self-care, Seniors and health, Shopping and health, Social determinants of health, Social health, Stress, Transparency, Trust, Vaccines, Value based health, Wellbeing

People define health across many life-flows: physical health, mental health, social health, appearance (“how I look impacts how I feel”) and, to be sure, financial well-being. In tracking this last health factor for U.S. consumers, several pollsters are painting a picture of financially-stressed Americans as President Trump tallies his first six weeks into the job. The top-line of the studies is that the percent of people in America feeling financially wobbly has increased since the fourth quarter of 2024. I’ll review these studies in this post, and discuss several potential impacts we should keep in mind for peoples’ health and

 

Think Quintuple Aim This Week at #HIMSS25

By Jane Sarasohn-Kahn on 4 March 2025 in AI, AI and health, Amazon, Artificial intelligence, Augmented intelligence, Broadband, Burnout, Connected health, Connectivity, Consumer electronics, Consumer experience, Coronavirus, COVID-19, Cybersecurity, Design and health, Determinants of health, Diet and health, Digital health, Digital transformation, Doctors, DTC health, Education and health, EHRs, Electronic health records, Electronic medical records, Empathy, Financial health, Financial toxicity, Financial wellness, Food and health, Food as medicine, Food security, GenAI, Grocery stores, Health access, Health apps, Health care industry, Health care information technology, Health citizenship, Health Consumers, Health costs, Health disparities, Health Economics, Health ecosystem, Health education, Health engagement, Health equity, Health IT, Health justice, Health literacy, Health Plans, Health policy, Health politics, Health privacy, Healthcare access, Heart disease, Heart health, High deductibles, Home care, Home economics, Home health, Hospital to home, Hospitals, Housing and health, Internet of things, Medicaid, Medical bills, Medical debt, Medical innovation, Medicare, Mental health, Mobile apps, Money and health, Nurses, Obesity, Patient engagement, Patient experience, Personalized medicine, Physicians, Population health, Primary care, Privacy and security, Public health, Quintuple Aim, Remote health monitoring, SDoH, Self-care, Sensors and health, Smartwatches, Social determinants of health, Sustainability, Techquity, Telehealth, Trust, User experience UX, VA, Value based health, Veterans Administration and health, Virtual health, Wearable tech, Wearables, Wellbeing, Wi-Fi, Workflow

As HIMSS 2025, the largest annual conference on health information and innovation meets up in Las Vegas this week, we can peek into what’s on the organization’s CEO’s mind leading up to the meeting in this conversation between Hal Wolf, CEO of HIMSS, and Gil Bashe, Managing Director of FINN Partners. If you are unfamiliar with HIMSS, Hal explains in the discussion that HIMSS’s four focuses are digital health transformation, the deployment and utilization of AI as a tool, cybersecurity to protect peoples’ personal information and its use, and, workforce development. I have my own research agenda(s) underneath these themes

 

Improve Sleep, Improve the World and Health: ResMed’s Look at Global Sleep Trends

By Jane Sarasohn-Kahn on 28 February 2025 in Anxiety, Beauty and health, Boomers, Business and health, Cardiovascular health, Caregivers, Chronic care, Chronic disease, Complementary and alternative medicine, Connected health, Consumer electronics, Consumer experience, Consumer-directed health, Corporate wellness, Demographics and health, Depression, Design and health, Determinants of health, Diet and health, Digital health, Digital transformation, DTC health, Employee benefits, Employers, Exercise, Financial health, Financial wellness, Fitness, Food and health, Gender equity, Gender equity and health, Global Health, Grocery stores, Health and Beauty, Health apps, Health at home, Health benefits, Health care industry, Health care marketing, Health Consumers, Health costs, Health disparities, Health ecosystem, Health engagement, Health equity, Health literacy, Heart disease, Heart health, Heat and health, Home care, Home economics, Home health, Housing and health, Hygiene and health, Integrative medicine, Medical debt, Medical innovation, Meditation, Men's health, Mental health, Mindfulness, Moms and health, Money and health, Pain, Patient engagement, Patient experience, Personalized medicine, Pharmacy, Popular culture and health, Prevention, Primary care, Public health, Quality of Life, Real estate and health, Retail health, Self-care, Sex and health, Sleep, Smart homes, Smartphone apps, Social determinants of health, Stress, Sustainability, Wearable tech, Wearables, Wellbeing, Women and health, Workplace benefits, Workplace wellness

The world would be a better place if we had more, and better quality sleep. That’s the hopeful conclusion from the fifth annual Global Sleep Survey from ResMed.               ResMed’s global reach with the sleeping public enabled the company to access the perspectives of over 30,000 respondents in 13 markets, finding that one in 3 people have trouble falling or staying asleep 3 or more times a week. We now live in “a world struggling with poor sleep” — “a world without rest,” ResMed coins our sleepless situation. The irony is that most people believe

 

Telehealth, Right Here, Right Now: Calling on Congress to Vote for America’s Health and Well-being

In the U.S., there are some issues that still unite most Americans in 2025. We can agree that, • The cost of eggs is too high • AI can be both exciting and promising at the same time as concerning • It sucks to have your personal data cyberattacked and breached, and, • Having access to telehealth is important. While I would be really sad to give up my omelets, I’m sticking a mindful toe into AI for some simple workflows, and I’m still dealing with the aftermath of the Change Healthcare data breach, it’s the looming telehealth deadline that’s

 

GLP-1s at the Pharmacy – A Lens on Consumer-Driven Retail Health (with Hims & Hers stock price update)

The nature of retail pharmacy is changing, with both threats and opportunities re-shaping the business itself, and the pharmacy’s role in the larger health/care ecosystem. To keep sharp on the topics, I attended Rx Market Insights: Performance Trends and Outlook for 2025, a data-rich session presented on February 18 by IQVIA and sponsored by Ascend Laboratories. The webinar was hosted by DSN (Drug Store News), appropriately so because the action-packed hour went into detail providing the current state of prescription drugs and the pharmacy in America. Doug Long, IQVIA’s VP of Industry Relations, and Scott Biggs, the company’s Director of Supplier

 

COVID-19 Further Splits American Society as Trust Continues to Erode – a 5-Year Perspective from Pew

The partisan divide in the U.S., exacerbated by the COVID-19 pandemic, could set the stage for another public health emergency given eroding trust in institutions — especially in media, government, and public health officials. I base this sobering forecast on the latest study from the Pew Research Center which polled people in the U.S. about their pandemic-perspectives, detailed in the report 5 Years Later: America Looks Back at the Impact of COVID-19. Couple these findings with the recent dismissal of public health “disease detectors” working with the Centers for Disease Control (CDC), and what is currently termed a “quademic” (that

 

Health/Care at Super Bowl LIX, GLP-1s, Kaiser and Tufts on Food-As-Medicine, and the RFK, Jr. Factor: A Health Consumer Check-In

By Jane Sarasohn-Kahn on 12 February 2025 in Amazon, Beauty and health, Business and health, Chronic disease, Complementary and alternative medicine, Connected health, Consumer experience, Consumer-directed health, Demographics and health, Design and health, Determinants of health, Diabetes, Diet and health, DTC health, Entertainment and health, Exercise, Family, Financial health, Financial wellness, Fitness, Food and health, Food as medicine, Food security, GLP-1s, Grocery stores, Health and Beauty, Health apps, Health at home, Health benefits, Health care industry, Health care marketing, Health care real estate, Health Consumers, Health costs, Health Economics, Health ecosystem, Health education, Health engagement, Health equity, Health policy, Health politics, Heart disease, Heart health, Home care, Home economics, Home health, Hospital to home, Medicines, Moms and health, Money and health, Nutrition, Obesity, Omnichannel healthcare, Out of pocket costs, Patient engagement, Patient experience, Peer-to-peer health, Pets and health, Pharmaceutical, Pharmacists, Pharmacy, Popular culture and health, Population health, Prescription drugs, Prevention, Prevention and wellness, Primary care, Public health, Retail health, Safety net and health, Schools and health, SDoH, Self-care, Shopping and health, Social determinants of health, Social media and health, Social networks and health, Specialty drugs, Telehealth, Telemedicine, Transparency, Travel and health, Trust, Virtual health, Weight loss, Wellbeing, Wellness

In the wake of the always-creative ads for Super Bowl and last Sunday’s LIX bout, game-watchers got to see a plethora of commercials dedicated to the annual event’s major features: food and game-day eating. Oh, and what’s turned out to be the most controversial commercial, the one on GLP-1s from Hims & Hers. In that vein, and converging with many news and policy events, I’m trend-weaving the latest insights into that most consumer-facing of the social determinants of health: food, and in particular, health consumers viewing and adopting food as part of their health and well-being moves. First, to the

 

Health Consumer Check-In: From Digital Detox to Analog Wellness, Social Re-Wilding, and a Return to the Bookstore

As humans have undergone personal digital transformations, living omni-channel and appreciating the conveniences that being switched-on can bring, there’s a growing demand for “analog wellness.” That’s one of ten trends covered in the Global Wellness Institute’s (GWI) report on 2025 Wellness Trends, and one I want to dig into early this year as consumers are facing growing challenges to our privacy, social bullying, and workforce stressors compelling many employees to spend too many hours in digital isolation and loneliness. To paint the larger landscape of and drivers underpinning analog wellness, I will weave several important reports and studies together, all

 

Can the Private Sector Serve Up Sufficient Health Media to Compensate for Public Sector Gaps?

In researching several .gov websites from last Monday 20th January 2025, I had an ongoing frustrating user experience in being faced with “404 Error” messages like this one from WhiteHouse.gov. “President Trump’s First Week Hammered Public Health,” Dr. Arthur Kellerman, an ER doc, public health researcher, and patient advocate asserted in Forbes yesterday: “For now, the only health communications Americans receive will come from sources outside the government, such as professional societies, non-governmental organizations, advocacy groups, and businesses, vaccine skeptics, conspiracy theorists, foreign agents and bots posing as Americans to spread disinformation. It will be up to us to figure out what to

 

There’s a Health Gap for Women Around the World – and the World Economic Forum Has a Blueprint to Fix It

Even though women comprise one-half of the world’s population, their health outcomes and inputs do not match up to men’s: there’s a women’s health gap on Planet Earth. Meeting in Davos this week for #WEF2025, the World Economic Forum published a report on that gender-health chasm titled, Blueprint to Close the Women’s Health Gap: How to Improve Lives and Economies for All.             In collaboration with the McKinsey Health Institute, the report focuses on nine key conditions that, if addressed, could reduce the global disease burden by 27 million disability adjusted life years and add

 

Connecting for Health at Home: A Unified Field Theory from #CES2025 (On Samsung, Withings, and Panasonic)

There were over 4,500 exhibitors on the show floor of the 2025 CES in Las Vegas last week, addressing every imaginable aspect of consumers’ daily lives as we increasingly coexist with technology to support life, liberty, and our personal pursuits of happiness….. ….and health. My focus is always on health, and in the past decade and a half, health/care, everywhere. So my lens on #CES2025 looked out for specific point solutions for health, medical care, fitness and well-being, along with adjacencies for mobility/auto, environmental health (think: clean air, clean water), kitchen appliances and food-tech, and home care (not the medical

 

Nurses Rank Highest in Honesty and Ethics in Professions Far Above All Other Work Roles in America – The Gallup Annual Survey 2025

While nursing has ranked top of U.S. professions for honesty and ethics for over a decade, U.S. adults speak even more assuredly in 2025 that nurses far outrank other professions in America. according to the latest Gallup Poll. The study summary report is titled, “Americans’ Ratings of U.S. Professions Stay Historically Low.”                       The data speak for itself — in 2025, the margin of people who put nurses on top of all other professions in America is much wider than in past years — and physicians have fallen further down

 

How GLP-1s Are Showing Up at CES 2025

CES 2025: as you read the acronym and year, your brain registered an image like consumer technology and the start of a new year, or some variation of those thoughts. When you saw the title of this post with the acronym “GLP-1,” your brain might not have connected the dots between a medicine and “CE,” consumer electronics. But here we are in real-time, in real life, at the convergence of pharmaceuticals and medicines and consumer-facing technology. And keep in mind that we’re at the annual meeting of CES which is convened by the Consumer Technology Association, CTA. GLP-1s are showing

 

CTA Tech Trends to Watch for 2025 – Health-Context for Kicking off #CES2025

People are living everyday life in digital coexistence — where the connected technologies we use for communication and entertainment now enable life-flows across our lives, morning to night, at work and play and even while we’re sleeping. Welcome to the five key tech-trends for 2025, brought to life Sunday afternoon by Melissa Harrison, CTA’s Vice President of Marketing & Communications tag-teaming with Brian Comiskey, Senior Director, Innovation & Trends. This annual session at CES always provides a practical context for exploring the annual conference, the largest in the world covering technology used by everyday people. And this year, the trends

 

Seeing Health/Care Everywhere at CES 2025: My Preview for #CES2025

Health/care is everywhere is the mantra on the back of my business card. And at #CES2025, that will indeed be the situation.           The 2025 convening of CES (once known as the Consumer Electronics Show) in Las Vegas officially kicks off on 7 January 2025. But I’ll be there beginning 3rd January, scheduling pre-show meetings with innovators, analysts, and my own clients who will be attending the meeting. This will be my 15th year participating in CES, and marking over a decade as a member of the Consumer Technology Association (CTA). As someone who has tracked

 

The Rough Guide to Health/Care Consumers in 2025: The 2025 Health Populi TrendCast

By Jane Sarasohn-Kahn on 20 December 2024 in Aging, Aging and Technology, AI, AI and health, Beauty and health, Business and health, Caregivers, Chronic disease, Connected health, Connectivity, Consumer electronics, Consumer experience, Coronavirus, COVID-19, Demographics and health, Design and health, Determinants of health, Diabetes, Diet and health, Digital health, DTC health, Empathy, Employers, Exercise, Family, Financial health, Financial wellness, Fitness, Food and health, Food as medicine, GenAI, GLP-1s, Grocery stores, Happiness, Health access, Health and Beauty, Health at home, Health benefits, Health care industry, Health citizenship, Health Consumers, Health costs, Health Economics, Health ecosystem, Health engagement, Health equity, Health insurance, Health marketing, Health Plans, Health policy, Health politics, Health privacy, Healthcare DIY, Heart disease, Home care, Home economics, Home health, Hospitals, Love and health, Medicaid, Medical innovation, Medicare, Medicines, Mental health, Misinformation and health, Money and health, Nutrition, Obesity, Omnichannel healthcare, Out of pocket costs, Patient engagement, Patient experience, Pharmaceutical, Pharmacists, Pharmacy, Physicians, Play and health, Popular culture and health, Prescription drugs, Privacy and security, Quality, Retail health, Self-care, Sensors and health, Shopping and health, Sleep, Smart homes, Smartphones, Smartwatches, Social determinants of health, Social health, Social networks and health, Stress, Telehealth, Telemedicine, Trust, Value based health, Wearable tech, Wearables, Weight loss, Wellbeing

At this year-end time each year, my gift to Health Populi readers is an annual “TrendCast,” weaving together key data and stories at the convergence of people, health care, and technology with a look into the next 1-3 years. If you don’t know my work and “me,” my lens is through health economics broadly defined: I use a slash mark between “health” and “care” because of this orientation, which goes well beyond traditional measurement of how health care spending is included in a nation’s gross domestic product (GDP); I consider health across the many dimensions important to people, addressing physical,

 

Health-Tech at the Holidays: 2024 Consumer Health-Tech Trends Under the Tree

One in two U.S. adults plans to purchase at least one health and wellness digital health technology product to gift during the winter 2024 holiday season, according to the 2024 Consumer Technology Holiday Purchase Patterns study served up by CTA, the Consumer Technology Association — aka the annual host of CES. Specifically, 41% of givers are looking to buy a dedicated health monitoring device, and 31% a product covering connected sports or fitness.             For this annual study, CTA conducted an online survey among 1,205 U.S. adults 18 and over in August-September 2024 to gauge

 

Americans’ Views on the Quality of Healthcare Fell to a Record Low — with Costs Ranking as the Most Urgent Problem for Health in the U.S.

Americans’ perception of the quality of health care in the U.S. fell to the lowest level since 2001, Gallup found in a poll of U.S. health citizens’ views on health care quality, published December 6, 2024.              In 2024, only 44% of Americans said that the quality of health care int he U.S. was excellent or good — conversely, 56% of Americans though health care quality was only fair or poor. By political party, that included 50% of Democrats evaluating the quality of care highly compared with 42% of Republicans. Only 28% of people in

 

How Trauma-Informed Design Principles Can Be Health-Ful for All of Us – Learning from IKEA

As a long-time fan and customer of IKEA, I receive daily Google Alerts about the company, from business finances to design trends. When I read this piece on IKEA’s work on a home designed for people who were homeless, I paid special attention to learn about the concept of trauma-informed design.           Thanks to the publication Retail TouchPoints and the author of the story, Adan Blair, for covering this project. The story has lit a lot of lightbulb inspirations for me in thinking through the role housing plays in human health and well-being, and also to

 

The Evidence for Gratitude and Health, 2024 Giving Thanks

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

 

Workers Feel “Stuck,” Under-Insured, Financially Stressed, and Neglecting Mental Health

“It’s the economy stupid,” Jennifer Tescher, CEO of the Financial Health Network, titles her latest column in Forbes. Published two weeks after the 2024 U.S. elections, Jennifer’s assertion sums up what, ex post facto, we know about what most inspired American voters at the polls in November 2024: the economy, economics, inflation, the costs of daily living….pick your noun, but it’s all about those Benjamins right now for mainstream American consumers across many demographic cuts. With that realization, we must remind ourselves as we enter a new year under a second-term President Trump that health care spending for everyday people

 

3 in 4 U.S. Patients Say the Healthcare System is Broken — But Technology Can Help

Patients “yearn” for personalized services and relationships in health care — optimistic that technology can help deliver on that hope — we learn in Healthcare’s Future: Balancing Progress and Perception, a health consumer survey report from Lavidge. Lavidge, a communications/PR/marketing consultancy, polled U.S. patients’ attitudes about health care and technology in June 2024, publishing the report earlier this month.                   Start with over-arching finding that, “Three out of four patients believe the U.S. healthcare system is broken and there is a strong sense of distrust,” Lavidge asserts right at the top of

 

What Stays True for U.S. Health Care Post #Election2024 (1) – Consumers’ Dissatisfaction with Drug Prices

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

 

Peace and Health: A Causal Relationship Explored in the AMA Journal of Ethics

“Peace and health are inextricably connected,” the Editors of the AMA Journal of Ethics introduce an issue of the journal devoted to Peace in Health Care published November 2024.             In this timely journal issue, we can explore nearly one dozen essays exploring the interrelationship between peace and health in various clinical, care, and community settings — including hospice, maternal/child care, built environments, and adjacencies looking at the use of psychedelics and music for quieting one’s inner voices. You, the reader, will find your own favorite issues to explore based on your work, values, and interests.

 

Doctors’ Recommendations Are Top Motivators for Consumers Who Buy Digital Health Devices: Trust and Health

Most consumers using digital health devices felt more trust in the technology when coupled with doctors’ office reviews — another lens on the importance of trust-equity between patients and physicians. This insight came out of a report on How Consumers Purchase, Use and Trust Medical Devices based on market research sponsored by Propel Software.             For the study, Propel Software engaged Talker Research to conduct a survey among 2,000 U.S. adults in October 2024 to gauge peoples’ views on digital health tools, buying trends, and trust. Start with the rate of 1 in 4 Americans’ experience

 

We Are Stressed in America – APA’s 2024 Stress in America Survey on “A Nation in Turmoil”

Two in three people in the U.S. are dealing with Presidential Election Stress — a significant contributor to Americans’ overall stress we learn from the American Psychological Association’s study into Stress in America 2024.                I’ve covered the APA’s Stress in America studies for many years, appreciating the role that anxiety and stress play in peoples’ overall health status and well-being. In 2024, “stress” is a mainstream factor in daily life whether you identify with Main Street or Wall Street. Here was my most recent post on the APA study here in Health Populi,

 

Closing the Chasm Between Patients and Clinicians With Digital Health Tools – Some Health Consumer Context for #HLTHUSA

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

 

The Smart Home for Health, Brought to You by Samsung and Ashley

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

 

Growing Investments in Digital Health Are Driven by Consumer Demand, Clinical Outcomes, and Cost-Savings

The marketing for purchasing digital health technologies is expecting to grow, driven by increased consumer demands for tech-based solutions, improved outcomes enabled through the innovations, and cost savings derived from deploying the technologies. That’s the top-line finding in the 2024 State of Digital Health Purchasing from the Peterson Health Technology Institute (PHTI).           PHTI surveyed 322 digital health decision makers working in employers, health plans, and health systems, fielding the study in July and August 2024.           3 in 4 purchasers grew spending on digital health technologies in the past two years,

 

Peoples’ Lack of Trust in Science Extends to Views on Food and Nutrition

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,

 

Well-Being Burnout – Lululemon’s 4th Annual Study Into Our Pressured Lives

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

 

1 in 2 U.S. Women (“The Bedrock of Society”) Self-Ration Care – the Latest Deloitte Findings

Women in the U.S. are more likely to avoid care than men in America, Deloitte found in the consulting firm’s latest survey on consumers and health care.             Deloitte coins this phenomenon as a “triple-threat” that women face in the U.S. health care environment, the 3 “threats” being, Affordability, Access, and, Prior experience — that is the health disparity among women who have seen personal mis-diagnosis, bias, or treatment that hasn’t been consistent with current protocols and practices. The data come out of Deloitte’s fielding of the U.S. consumer survey in February and March, 2024.

 

Obesity is a Public Health Epidemic in the U.S. — The Case for GLP-1 Coverage, Affordability and Equity

“If the U.S. were sensible, weight management would be treated as a public health issue,” David Cutler writes in the JAMA Health Forum dated August 15, 2024. Dr. Cutler, distinguished economics professor at Harvard, talks about “the pathology of U.S. health care” citing the example of weight loss medications — in short, the uptake of GLP-1 drugs to address Type 2 diabetes first, and subsequently obesity.          Dr. Cutler notes that the price of these drugs in the U.S. “far exceeds” that of other countries: specifically, 9 times that of the prices in Germany and the Netherlands

 

The New DTC Channel Is…A Vending Machine (From Advil to Plan B)

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

 

Best Buy Health’s Latest Insights into Technology and Care at Home

In the U.S., aging in and staying at home is a priority for most people over the age of 45 — and for nearly one-half of younger people between 18 and 44 — we learn in Best Buy Health’s Research Brief discussing the company’s survey of 1,000 U.S. consumers.               Best Buy Health, the health-focused operation which is part of the electronics retailer Best Buy, worked with Sage Growth Partners to assess 1,000 U.S. consumers, 18 years and over, on their perspectives on health care, technology, aging in place, and caregiving. The research was fielded

 

How Voting Plays Into Health, Health Equity, and Community Well-Being

“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

 

Americans Who Perceive Negative Medical Treatment Due to Weight, Insurance Status, and Identity Metrics – YouGov Insights

Millions of Americans believe they have been treated negatively by a physician due to their weight, insurance status, physical appearance and/or state of mental health, according to a YouGov poll published August 6, 2024.                  To gauge U.S. health citizens’ perceptions of fair and unfair treatment in the health care system, YouGov conducted this research among 1,200 U.S. adults 18 and over online in late June 2024. The first bar chart arrays various identity characteristics describing patients: we see that weight is by far the top characteristic putting the person at-risk for being

 

The Cost of GLP-1 Drugs on Payers’ Minds as Nearly 1/3rd of U.S. Consumers Could Become Users

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

 

Retail Health Update for Pharmacy – Mail Order Beats Brick & Mortar, J.D. Power Finds

People have been undergoing their own human kind of digital transformations, turbocharged during the pandemic for many who never used Zoom or Amazon Prime or Uber. That consumer-borne digital transformation has shaped people as health consumers, many having used telehealth and appointment-scheduling online. And peoples’ relationships with pharmacies are also changing, with more health consumers finding greater satisfaction with their mail order pharmacy experiences than with moat retail brick and mortar chain drug stores, the latest J.D. Power 2024 U.S. Pharmacy Study found.                       It’s clear that mail order is

 

Older Americans Mostly Receptive to Apps for Health, but Chronically Ill People Could Use a Nudge (and a Payer)

AARP found that 7 in 10 people ages 50+ are “app-receptive” for health and wellness apps in Unlocking Health and Wellness Apps: Experiences of Adults Age 50-Plus, a summary of research conducted with U.S. consumers 50 and over from AARP.           The methodology for this study included only older consumers who were comfortable in downloading apps to smartphones or tablets, and were willing to do so — whom AARP considered the target audience for this research. In addition, the respondents surveyed were also at least interested in trying apps designed for health and wellness, thus dubbed “health

 

Globally Patients Seek Clear Communications to Build Trust with Healthcare, Especially in the AI Era

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

 

Trust in Institutions Among Americans: Small Biz, the Military and Police More than the Medical System

Two-thirds of Americans have a lot of confidence in small business in the U.S. In second place, 61% of people in the U.S. have confidence in the military, followed by 51% with the police. The Gallup Poll on Americans’ confidence in 17 U.S. institutions is out today, reflecting a snapshot of U.S. adults’ views on the organizations that touch their daily lives. And health care doesn’t fare too well in this latest read.                 Only 36% of Americans have confidence in the U.S. medical system, tied with peoples’ feelings of lack of confidence

 

On This July 4th 2024, Let’s Remember the Doctors Who Have Helped Patients Declare Their Independence – Wisdom from Michael Millenson

“’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

 

Can AI Help to Improve Health Equity? U.S. Scientists Weigh In With “Yes,” Baking in Ethics and Accountability

The Federation of American Scientists (FAS) was founded in 1945 by a group of scientists concerned about the atomic bomb — sharing a mission to focus on technology, science, and innovation to, in the Association’s words, “work toward a safer, more equitable, and more peaceful world.”           Nearly 80 years after the organization’s launch, the FAS is focusing on the growing role of artificial and augmented intelligence across the many areas that touch peoples’ lives — including health care and well-being. The FAS published a state-of-the-nation essay on June 27 on Improving Health Equity Through AI.

 

“Listen to Me:” Personalization in Health Care Starts With Taking Patients’ Voices Seriously – the 15th Beryl Institute-Ipsos PX Pulse Survey

Patients’ experience with health care in the U.S. dropped to its lowest point over the past year, explained in the 15th release of The Beryl Institute – Ipsos PX Pulse survey.         The study into U.S. adult consumers’ perspectives defined “patient experience” (PX) as, “The sum of all interactions, shaped by an organization’s culture, that influence patient perceptions across the continuum of care.” The survey was fielded by Ipsos among 1,018 U.S. adults in March 2024.         Health care providers (and other industry stakeholders that go B2B or B2B2C (or P) are all thinking

 

Health Information Security – My Interview with Richard Kaufmann, CISO of Amedisys, Part 3: The Futures of Cybersecurity in Healthcare

At least one-half of U.S. health care organizations have experienced a data breach, one-third in the last 3 years, according to Software Advice’s 2024 Healthcare Data Security Survey released in May 2024.               Of the health care organizations who experienced ransomware attacks, one-third did not recover patient data from the cyber-attackers, Software Advice learned. Clearly, cyberattacks are impacting patient care. And the growth of home care, hospital-to-home, and greater self-care are also increasing risks for cybersecurity. The growing adoption of digital technologies in healthcare, from the hospital to the doctor’s office to the home,

 

Medical Debt, Aflac on Eroding Health Benefits, the CBO’s Uninsured Forecast & Who Pays for Rising Health Care Prices: A Health Consumer Financial Update

On June 11, Rohit Chopra, the Director of the Consumer Financial Protection Bureau (CFPB) announced the agency’s vision to ban Americans’ medical debt from credit reports. He called out that, “In recent years, however, medical bills became the most common collection item on credit reports. Research from the Consumer Financial Protection Bureau in 2022 showed that medical collections tradelines appeared on 43 million credit reports, and that 58 percent of bills that were in collections and on people’s credit records were medical bills.” Chopra further explained that medical debt on a consumer credit report was quite different than other kinds

 

Most Americans Follow an Eating Pattern in Search of Energy, Protein, and Well-Being – With Growing Financial Stress: A Food as Medicine Update

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

 

The Most Trusted Brands of 2024 Tell Us A Lot About Health Consumers

From bandages to home hygiene, OTC pain meds and DIY home projects, Morning Consult’s look into the most-trusted brands of 2024 give us insights into health consumers. I’ve been tracking this study since before the public health crisis of the coronavirus, and it always offers us a practical snapshot of the U.S. consumer’s current ethos on trusted companies helping people risk-manage daily living — and of course, find joy and satisfaction as well. In the top 15, we find self-care for health and well-being in many brands and products: we can call out Band-Aid, Dove, Colgate, Kleenex, and Tylenol. For

 

A 2025 Subaru Forester, a Year at U-New Mexico, or a Health Plan for a Family of Four: the 2024 Milliman Medical Index

Health care costs for an “average” person covered by an employer-sponsored PPO in the U.S. rose 6.7% between 2023 and 2024, according to the 2024 Milliman Medical Index. Milliman also calculated that the largest driver of cost increase in health care, accounting for nearly one-half of medical cost increases, was pharmacy, the cost of prescription drugs, which grew 13% in the year.             The big number this year is $32,066, which is the cost of that employer-sponsored PPO for a family of 4 in 2024. I’ve curated the chart of the MMI statistic for many

 

How AI Technology Could Be Eroding Consumers’ Trust in Health Care

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 Thematic Roadmap for AHIP 2024: What the Health Insurance Conference Will Cover

Health insurance plans make mainstream media news every week, whether coverage deals with the cost of a plan, the cost of out-of-network care, prior authorizations, or cybersecurity and ransomware attacks, among other front-page issues. This week, AHIP (the acronym for the industry association of America’s Health Insurance Plans) is convening in Las Vegas for its largest annual 2024 meeting. We expect at least 2,400 attendees registered for the meeting, and they’ll not just be representing the health insurance industry itself; folks will attend #AHIP2024 from other industry segments including pharmaceuticals, technology, hospitals and health systems, and the investment and financial services

 

Is There an Easy-Button for AI In Healthcare Team Well-Being? Exploring a New PC with Embedded AI

“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

 

The ROI on Patient Experience = Loyalty, Trust and Revenue – Listening to Accenture

When health care providers and payers make patients’ lives easier, there’s a multiplying factor for loyalty and revenue growth, according to Accenture’s latest look into the value of experience in The Power of Trust: Unlocking patient loyalty in healthcare.             Accenture conducted two surveys for this research, assessing nearly 16,000 U.S. adult consumers’ views on healthcare providers and health insurance plans. Several factors underpin patients’ selection of a new health care provider, especially: Access (70%), with a convenient location, quickly available appointments, digital/mobile/social interactions, and virtual care availability; and, The provider being a trusted source

 

Health Information Security – My Interview with Richard Kaufmann, CISO of Amedisys – Part 1: Origin Stories, the Security Ecosystem, and the Start Line

“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

 

Leveraging Trust, Showing Humility: How Health Care Organizations Can Serve Consumers – A New Read from McKinsey

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”

 

Trust is a Superpower for Public Health – The 2024 Edelman Trust Barometer Through the Health Lens

Less than 50% of people living in 16 countries do not trust government, media, or NGOs to do what is right to address their health needs and concerns, based on the responses from over 15,000 people living in 16 countries whose opinions are captured in the 2024 Edelman Trust Barometer’s Special Report on Trust and Health.           Edelman launched the 2024 Trust Barometer earlier this year during the Davos World Economic Forum, and today released this round of research focused on health. Globally (among health citizens in the 16 countries polled in the study), trust for

 

Healthcare 2030: Are We Consumers, CEOs, Health Citizens, or Castaways? 4 Scenarios On the Future of Health Care and Who We Are – Part 2

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

 

Healthcare 2030: Are We Consumers, CEOs, Health Citizens, or Castaways? 4 Scenarios On the Future of Health Care and Who We Are – Part 1

In the past few years, what event or innovation has had the metaphorical impact of hitting you upside the head and disrupted your best-laid plans in health care? A few such forces for me have been the COVID-19 pandemic, the emergence of Chat-GPT, and Russia’s invasion of Ukraine. That’s just three, and to be sure, there are several others that have compelled me to shift my mind-set about what I thought I knew-I-knew for my work with organizations spanning the health care ecosystem. I’m a long-time practitioner of scenario planning, thanks to the early education at the side of Ian

 

A Vote for Telehealth is a Vote for American Patients’ and Doctors’ Well-Being

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.   

 

Considering Equity and Consumer Impacts of GLP-1 Drugs – A UBS Economist Weighs In

Since the introduction of GLP-1 drugs on the market, their use has split into two categories: for obesity and “recreationally,” according to the Chief Economist with UBS (formerly known as Union Bank of Switzerland). Paul Donovan, said economist, discusses The economics of getting thin in his regularly published comment blog.                   “These different uses have different economic consequences,” Donovan explains: Obese patients who use GLP-1s should become more productive employees, Donovan expects — less subject to prejudice, and less likely to be absent from work. While so-called recreational GLP-1 consumers may experience these

 

Safety in Health Care Ties Closely to Workforce Well-Being – Updates from Press Ganey and ECRI

“First, do no harm” is a key M.O. in health care. The phrase “patient safety” summons up a list of common sources such as medication errors, surgical errors, health care-associated infections, diagnostic errors, among other adverse events and harms people experience in the course of receiving health care. While safety outcomes and health care organizations’ “safety cultures” are improving, there is evidence in the U.S. that people — both patients and the health care workforce — feel less safe, discussed in Safety in Healthcare 2024 from Press Ganey. “Safety is the foundation of healthcare. It anchors all experiences — for patients

 

Consumers Are So Over Their Paper Chase in Health Care Payments

As we start the month of April 2024 in the U.S., it’s tax season in America with Federal (and other) income taxes due on the 15th of the month. This is also the time my research clock alarm goes off for an important annual report that describes the latest profile of the patient-as-payer in the U.S. ‘Tis the season for J.P. Morgan’s InstaMed team to analyze health care payments data, describing the experiences of consumers, providers and payers in the Trends in Healthcare Payments Fourteenth Annual Report.                   The overall takeaway for

 

The Self-Prescribing Consumer: DIY Comes to Prescriptions via GLP-1s, the OPill, and Dexcom’s CGM

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

 

Peering Into the Hidden Lives of Patients: a Manifesto from Paytient and Nonfiction

Having health insurance in America is no guarantee of actually receiving health care. It’s a case of having health insurance as “necessary but not sufficient,” as the cost of deductibles, out-of-pocket coinsurance sharing, and delaying care paint the picture of The Hidden Lives of Workplace-Insured Americans.                 That’s the title of a new report that captures the results of a survey conducted in January 2024 among 1,516 employed Americans who received employer-sponsored health insurance. The study was commissioned by Paytient, a health care financial services company, engaging the research firm Nonfiction to conduct the study

 

While Virtual Care is “Table Stakes” in Health Care, Consumers Are Growing More Protective About Data-Sharing

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

 

Celebrating World Sleep Day 2024 – Sleep Equity for Global Health

On the long list of things people can do to bolster their well-being, sleep ranks third after eating well and being physically active.             We are calling out sleep as a key ingredient for health today, World Sleep Day 2024. Yes, it’s a real thing, and this year speaks to the theme of Sleep Equity for Global Health. The data point here comes from Datassential‘s latest consumer survey conducted across all adult age groups in the U.S. This information was shared with us yesterday during the company’s session covering Health and the Food & Beverage

 

AI: Patients Included

“Clinical transformation with AI is easier without patients.” When Dr. Grace Cordovano heard this statement on a panel of physicians convening to share perspectives on the future of AI in health care held in early March 2024, the board-certified patient advocate felt, in her words, “insulted on behalf of the patient communities I know that are working tirelessly to advance AI that works for them.” “The healthcare ecosystem and policy landscape must formally recognize patients as end-users and co-creators of AI,” Cordovano wrote to me in an e-mail exchange. “Patients, their care partners, caregivers, and advocates are already utilizing AI

 

The Economic Contours of the Change Healthcare Cyber Attack: Taking Stock So Far

On February 22, 2024, I went to a CVS Pharmacy-Inside-Target in my community to fill a prescription for benzonatate 200 mg capsules. I had caught a bad case of the flu the week before, and subsequently suffered a very long tail of a cough. That’s TMI for me to write about in the Health Populi blog, but this story has a current-events twist: the pharmacist could not electronically link with my insurance company to transact my payment. He tried a few work-flows, and ended up using a discount card which in the moment worked for us, and I paid the

 

The Women’s Health Gap Is Especially Wide During Her Working Years – Learning from McKinsey, the World Economic Forum, and AARP in Women’s History Month

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

 

Hospital at Home: Prospects and Challenges, and Learnings from Best Buy Health

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

 

A Health Consumer Bill of Rights: Assuring Affordability, Access, Autonomy, and Equity

Let’s put “health” back into the U.S. health care system. That’s the mantra coming out of this week’s annual Capitol Conference convened by the National Association of Benefits and Insurance Professionals (NABIP). (FYI you might know of NABIP by its former acronym, NAHU, the National Association of Health Underwriters).         NABIP, whose members represent professionals in the health insurance benefits industry, drafted and adopted a new American Healthcare Consumer Bill of Rights launched at the meeting. While the digital health stakeholder community is convening this week at VIVE in Los Angeles to share innovations in health tech, NABIP

 

How AI is Shaping the Patient and Clinician Experience – My Conversation with Microsoft

For change agents in health care, one of our True North paradigms is the Quintuple Aim. The five pillars of the Quint Aim grew from 3 goals of the Triple Aim: to improve patient experience, to drive better health outcomes, and to lower per patient costs. The Quadruple Aim added the goal of bolstering clinicians’ well-being (to address burnout, stress and depression), leading to the addition of health equity as the fifth objective. That happened in 2021, in the height of the COVID-19 pandemic which shined a bright light on health disparities, inequities, and risks in peoples’ social determinants of

 

Rebel Health: The Personal and Professional Passion of Susannah Fox

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.

 

People With Medical Debt Are Much More Likely to Be in Financial Distress in America

How financially vulnerable are people with medical debt in the U.S.? Significantly more, statistically speaking, we learn from the latest survey data revealed by the National Financial Capabilities Study (NFCS) from the FINRA Foundation. The Kaiser Family Foundation and Peterson Center on Healthcare analyzed the NFCS data through a consumer health care financial lens with a focus on medical debt.          Financial distress takes many forms, the first chart inventories. People with medical debt were most likely lack saving for a “rainy day” fund, feel they’re “just getting by” financially, feel their finances control their life, and

 

From Evolution to Innovation, from Health Care to Health: How Health Plans With Collaborators Are Re-Defining the Industry

As a constant observer and advisor across the health/care ecosystem, for me the concept of a “health plan” in the U.S. is getting fuzzier by the day. Furthermore, health plan members now see themselves as medical bill payers, seeking value and consumer-level services for their health insurance premium investment. Weaving these ideas together is my mission in preparing a session to deliver at the upcoming AHIP 2024 conference in June, I’m thinking a lot about the evolving nature of health insurance, plans, and the organizations that provide them. To help me define first principles, I turned to the American father

 

Nurses Continue to Rank Highest in Ethics and Honesty for Professions in the US — But Peoples’ Opinions for All Jobs, Including Nursing, Have Eroded in Gallup’s Latest Poll

Ratings of honesty and ethics in professions have fallen down in the U.S., we find the Gallup Poll’s annual assessment of rankings for occupations that touch peoples’ lives in America.                     Each year for over a decade, nurses have ranked highest in this survey, representing the most-trusted profession working in America. However, even nurses’ ethic-equity has dropped in the hearts and minds of Americans over the past four years, falling 7 percentage points from a high of 85% of citizens ranking nurses at the greatest level of honesty and ethics to

 

Why Elevance Health is “Prescribing” Phones for Members

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.        

 

A Tale of Two Houses: House Calls at #CES2024 with Amazon and AARP + Samsung

The growing movement of health care to the home is evident by a growing list of point solutions featured at CES 2024. Digital health has been a fast-growing category of consumer-facing devices at CES for over a decade. But with the growing ubiquity of connectivity, cloud computing, sensors and this year AI “everywhere,” a person’s home as their health-hub is an increasingly practical scenario.               I track many categories of products at CES each year, and this year added into my portfolio the smart kitchen and smart bathroom. We’ve had components of these two

 

Access to Technology Is the New Pillar for Well-Being: CES & the UN Partner for Human Security for All

In kicking off #CES2024, CTA’s researchers noted the acceleration of global connectivity, with gaps in peoples’ ability to connect depending where they live: by region, the percent of people connected to the internet today are, according to CTA’s data, 92% in the U.S. 87% in the E.U. 76% in Latin America 73% in China 55% in Nigeria 46% in India. Such gaps in connectivity threaten peoples’ individual well-being, but also social and political stability that impacts the entire world’s security. And not to overlook, as well, the promise of AI to do good at scale at the enterprise-level, globally.  

 

What to Expect For Health/Care at CES 2024

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

 

Technology Is Playing a Growing Role in Wellness and Healthy Aging – AARP’s Latest Look Into the 50+ Tech Consumer

Most people over 70 years of age recognize technology’s role in supporting peoples’ health, we learn from a new report on 2024 Tech Trends and Adults 50+ from AARP. But adoption and ongoing use of digital innovations among older people will be tempered without attending to four key barriers that carry equal weight in the minds of 50+ consumers: design and user experience, awareness and interest, cost and acquisition, and trust and privacy concerns. [Spoiler alert: in the Hot Points, below, I add a fifth consideration: health equity + dignity].             To gauge older Americans’ views on

 

Nurses Earn Highest Grade for Care Far Above All Other Health Care Workers — Including Doctors — In Latest Gallup Poll

Nurses rank highest among various factors in the U.S. health system in the latest Gallup poll — earning a grade of “excellent” or “good” by American adults surveyed in November 2023.               Further substantiation for nurses’ topping this poll of excellent care is that Gallup found historic low confidence in the U.S. health system among Americans  earlier this year in a July study. Note that 8 in 10 consumers rate nurses excellent/good compared with  7 in 10 people ranking physicians this way, 6 in 10 for hospitals, 5 in 10 for telemedicine/virtual visits, and

 

An Extraordinary Life and Voice: A Call-to-Action from Casey Quinlan, featured in the Journal of Participatory Medicine

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

 

The Consumerization of AI in Healthcare – The Early Days of AI-Trust

Most people in the U.S. are bullish on the role AI will play in health care in 2024, especially to lower access barriers to care and to diagnose and detect health conditions. Two new studies point to the consumerization of AI in healthcare, from Medtronic and Deloitte. This post weaves their findings together and suggests some planning points for 2024. Medtronic collaborated with Morning Consult to poll 2,213 U.S. adults in late September 2023 to gauge peoples’ perspectives on AI and health care.                   With such optimism among health consumers comes some

 

Workforce Shortages and Health Care Cost Pressures Inspire RSNA 2023 (and yes, AI’s in the mix, too)

Radiology and radiologists play starring roles in our health care, with he core work flow of diagnostic imaging supporting prevention, disease detection, diagnosis, delivering and monitoring therapy, linking specialists to other providers in telehealth, and as a medium for teaching clinicians, patients and caregivers. As health care delivery continues to change and adapt to technological innovations, demographic shifts, and economic-social-political forces, so, too, are the roles of radiology and radiologists in motion.       Every year when American Thanksgiving weekend comes along, you’ll find folks involved in digital imaging flocking to chilly Chicago to convene at McCormick Place for

 

Be Thankful by Engaging With Grace and Talking About Your End-of-Life Wishes With Loved Ones

“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.

 

The Best Global Brands Through a Lens on Health – Reading Interbrand’s 2023 Annual Report

“Businesses which have witnessed a rise in brand value…have all transcended their established category norms and play a more significant and meaningful role in society and consumers’ lives,” we learn in the Interbrand Best Global Brands 2023 report, subtitled, “How Iconic Brands Lead Across Arenas. Most brands stagnated or lost ground in terms of brand value in 2023, with average growth rate of 5.7% compared to 16% in 2022. But those who rose fast bucked the stagnation trend, and included the fastest risers Airbnb (growing brand value by 21,8%) and Microsoft (increasing in brand value by 14%, the highest growth rate

 

The 2023 Health Consumer Update from Kaufman Hall – Measure What Matters (To Patients)

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.    

 

Everybody is Stressed in America, and It’s Not Good for Our Health: the 2023 Update from the American Psychological Association

The U.S. is “a nation recovering from collective trauma,” the according to the latest survey on Stress in America 2023 from the American Psychological Association (APA).             The APA has been quantifying Stress in America since 2007; for context, at the end of that year The Great Recession kicked in, and in response President Obama’s team put together assistance to bolster the national economy, jobs, and health technology (codified in the American Recovery and Reinvestment Act). American health citizens are experiencing a deja vu in 2023 akin to their financial stress experienced in the APA 2008 Stress

 

“My Doctor’s Office” Should Accept Wearable Tech Health Data, Most Patients Say

“Do personal health trackers belong in the doctor’s office?” Software Advice wondered. “Yes,” the company’s latest consumer survey found, details of which are discussed in a report published on their website. Unique to this study is the patient sample polled: Software Advice surveyed 876 patients in September 2023 to gauge their perspectives on wearable tech and health. Note that the patient sample was limited to consumers who had seen a health care provider in the past two years and who also owned and used a personal wearable health device such as an Apple Watch or Fitbit. Thus, the responses shared

 

Consumers’ Growing Use of Portals and Apps: People Embracing Their Patient Journeys

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

 

Money and Mental Health in the U.S. – How Difficulty Paying Medical Bills Can Hurt Healing and Well-Being

There is growing evidence on the connection between people’s financial health and their mental health, explored and explained in Understanding the Mental-Financial Health Connection, a study published by the Financial Health Network.             Keep that relationship in mind in the context of a new forecast from Kaiser Family Foundation estimate the 2023 cost for employer-sponsored insurance for a family to reach nearly $24,000 in 2023. That cost is a 7% increase over last year, and is expected to be split with companies covering $17K (about 70%) and employees about $6600 (roughly 30%). KFF heard that

 

Health Care Finance Leaders Look to Cut Costs and Improve Patients’ Financial Experience — Think AI and Venmo

One half-of health care financial leaders plan to invest in technology to cut costs — and most believe that AI has the potential to re-define the entire finance function as they look to Leading the transformation, a study conducted by U.S. Bank among U.S. health finance leaders thinking about emerging technologies.               U.S. Bank fielded a survey among 200 senior health care financial leaders in the U.S., 30% of whom were group CFOs, 20% regional/divisional CFOs, 25% senior managers, and the remaining various flavors of financial managers. All respondents were responsible for at least $100

 

AI is the New Health Literacy Challenge for Patients and the Health/Care Industry

Patients’ comfort in artificial intelligence is linked to familiarity with the technology, a consumer survey from GlobalData learned. Among patients unfamiliar with AI, 42% are uncomfortable, and another 50% feel neither comfortable nor uncomfortable with the technology. However, among patients familiar with AI, 60% feel comfortable with visiting a medical practice that uses AI. Welcome to the new health literacy challenge the health care sector will have to deal with, and soon: lack of patients’ awareness of AI, its promises and pitfalls.             “It is imperative to prioritize patient education regarding this technology,” Urte Jakimaviciute

 

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