Trust and AI in Healthcare: At a Crossroads, Edelman Finds
Enthusiasm for innovation is not a guaranteed thing; furthermore, trust in AI lags trust in the overall technology sector, we find in the 2025 Edelman Trust Barometer research through a Flash Poll: Trust and Artificial Intelligence at a Crossroads, discussed in a webcast on 3 December. People in the U.S. are more than twice as likely to reject the growing use of AI than embrace it, with the embrace of AI much lower than peoples’ enthusiasm for it. Edelman conducted the poll in five countries — Brazil, China, Germany, the UK and the US — with sample sizes at least 1,000+
The Home Economics of Family and Fertility: Men’s Financial Views on Their Fertility Journeys (My Progyny Post #2)
Cost is a leading reason why people say they could not obtain the fertility care they need. But the costs of IVF and other forms of fertility care lie within a larger home economics framework of family-building and -raising. The context and costs of raising a child in America. Consider the layers of a household budget starting with the home’s “macro”-economics of income. Then within that circle, especially in the U.S., the factor of whether that household is covered by employer-sponsored health insurance. The next layer of more health micro-economics in the family is the
Feeling Under-Served and Overlooked: Men’s Views on Their Fertility Journeys (My Progyny Post #1)
In his latest book, Notes on Being a Man, Scott Galloway discusses his personal fertility journey in the larger social context of what it means to be a man in modern America. Galloway’s infertility challenges shared with his wife inform his views on men’s health across all dimensions — physical, mental health, social health, financial well-being — and how, of course, men’s overall health is also a women’s and children’s issue. Men can feel “left out” of infertility discussions, based on results from the first and largest multi-national study into men’s feelings about their infertility revealed. “How men feel about
As SNAP Benefits Were Threatened to be Cut in the U.S., Eli Lilly’s Obesity Drugs Rose to the World’s Best-Selling Drug
Today, 1 November, the Supplemental Nutrition Assistance Program (SNAP) was to be shuttered and unfunded in at least 25 states until the U.S. Congress agreed to re-open the Federal government and fund this safety net for food security that covers 42 million people in America. Those 42 million people included 16 million children, about 39% of SNAP program beneficiaries. Then last night, a Federal judge intervened to order President Trump’s administration to reinstate funding for food assistance just-in-time. At this moment, I cannot tell you what the exact timing nor the amounts beneficiaries will receive will be.
Most MAGA Supporters Support Extending the Expiring ACA Tax Credits – Will That Move Negotiations to Re-Open the Government?
A couple of days into the U.S. Federal government shutdown, there’s one message the Congressional Democrats are tending to voice: that is that health care is on the line, and that’s the issue on which they’re betting will bring negotiators back to Capitol Hill — expecting a few Republicans to join in that dialogue. Most U.S. adults across political parties would want to see Congress extend the enhanced Affordable Care Act tax credits that are set to expire next year we see in a poll from the Kaiser Family Foundation published October 3. And that includes most Republicans and MAGA
The Emotional Drivers of Healthcare Discontent – Press Ganey Points to Access and Affordability Worries Driving Anxiety and Anger
In the current era of U.S. health citizen grievance with the health care system, people feel anxious, confused, and angry — especially when it comes to access and affordability of health care. We learn more about these emotional drivers of health/care grievance in Understanding Health Plan Member Discontent, an assessment of health consumers’ views of satisfaction across health insurance plan types (commercial, Medicaid, Medicare, and marketplace plans) and age of member, from the health consumer experience team at Press Ganey. Those three underlying factors driving discontent translate to different generations differently. Overall, anxiety relates to
Expect Double-Digit Prescription Drug Trend Increases in 2026 – The Update from HUB International
Prescription drug price trend for 2026 will be between 10% and 12% according to the 2026 Trend Study from HUB International, a global insurance and financial services firm. Here’s HUB’s line chart of the combined medical and Rx trend, illustrating nearly double trend growth since 2022 following the peak of 10.1% (combined) in 201 as patients returned to health care services and encounters when feeling safe in the fading out of the COVID-19 pandemic. That precipitous low-point in 2022 of 3.4% was the peak of the coronavirus stay-at-home period, representing the “medical distancing” felt across
On Labor Day 2025: From Health Care “Revenue Bounty Hunters,” Medical Bills Back into FICO Scores, the Rise of “Cute Debt,” and Tariffs — U.S. Consumers’ Face Eroding Financial Health
On this U.S. Labor Day 2025, the physical and the fiscal, with the mental, converge as I ponder what working Americans are facing….packing kids up for school, sorting out college payments and loans, dealing with rising costs of daily living, and feeling a growing pinch of what President Trump’s tariffs have had in store now that they’re hitting SKUs around the household. This post will cover most days this week as my own workflows will be heavy as clients return to face returns-to-work and updating scenario plans. We start this post with a headline: “Why Hospitals Are Hiring ‘Revenue Bounty
Prescription Drug Pricing in America – a 3-Part Update, From the Over- the-Counter OPill and “Half-Price” Ozempic to Most-Favored-Nation Rx (Part 3)
Welcome to Part 2 of 3 in my consideration of Prescription Drug Pricing in America. You can catch up with yesterday’s Part 1 post here, and Part 2 here. The macro-context for these 3 posts are the forecasts for health care spending for the coming year. Health care cost increases forecasted for 2026 will, in significant part, be driven by prescription drug trend. This graphic from this week’s release of the Business Group on Health’s employer survey on healthcare cost growth to 2026 illustrates a key finding that’s echoed in other similar studies recently released and covered here in Health Populi.
Prescription Drug Pricing in America – a 3-Part Update, From the Over- the-Counter OPill and “Half-Price” Ozempic to Most-Favored-Nation Rx (Part 2)
“Big Pharma has a new vision for selling drugs. It’s going to the mattresses,” writes Josh Nathan-Kazis in MSN earlier this week. That is, going direct-to-consumer (DTC) the way the mattress industry has done in the past decade, cutting out brick-and-mortar sleep shops at retail. In the case of “Make(ing” like a mattress company,” Josh explains, the pharma manufacturers “sell shots and pills straight to the consumer.” In this case, that’s cutting out the pharmacy benefits managers and other intermediaries that have taken dollars in the transactions of drug benefit claims which have added costs to payers (health plan sponsors
Prescription Drug Pricing in America – a 3-Part Update, From the Over- the-Counter OPill and “Half-Price” Ozempic to Most-Favored-Nation Rx (Part 1)
Health care costs will increase, overall, as much as 10% in 2026, the consensus of several health benefit analysts inform us. And, “workers to bear brunt of health cost increases in 2026,” reads today’s Axios headline on the topic, weaving together several studies from the Business Group on Health, Mercer, and the International Foundation of Employee Benefit Plans. A kay cost-contributor cited in all of these health cost forecasts is the prescription drug line item: specialty drug prices, and specifically the costs of GLP-1 medicines and cancer therapies. One strategy gaining fast-traction on both the
What U.S. Consumers Are Thinking About Tariffs’ Impacts on Health Care: Looking to Ipsos, QCentrix and Goldman Sachs
Most Americans, thinking as health consumers, believe that tariffs could impact peoples’ ability to pay for costly prescription drugs and be priced out of paying for check-ups and medical supplies, based on results from two studies on consumers’ views on tariffs and their health care from Ipsos and Q-Centrix. Ipsos’s consumer survey found that younger consumers, people earning lower incomes, and folks living in the suburbs feel even more stressed about tariffs’ impact on medical care — along with more people identifying as Democrats or Independent voters. With
To Garner Patient Loyalty, Focus on Convenience, Availability, and Affordability. Consumers Trust AI to Help the Journey.
U.S. health consumers are roughly split 40/40 when it comes to AI analyzing personal health data to provide personalized advice, with 21% feeling neutral about that. But using AI for regular health updates and guiding us through a pre- or post-care medical journey would be welcome by one in two people, we learn in how to Unlock patient loyalty: New healthcare consumer insights, Huron Consulting Group’s consumer research report polling 1,500 U.S. healthcare consumers. Start with peoples’ top reasons for switching health care providers, along with main barriers preventing consumers from
Women Walk a Financial Tightrope: What That Means for Women’s Health, Mind, Body, & Wallet
Financial stress and anxiety have an ‘outsized’ negative impact on the well-being of women in America, compared to male counterparts, we learn in Health. Wealth, and Happiness – Helping to overcome roadblocks to women’s well-being, a report from the Guardian Life Insurance Company. This report is part of Guardian’s annual research program called Mind, Body, Wallet, which the company launched 14 years ago. The goal of Mind, Body. Wallet is to assess how health citizens define “well-being” in daily living, making the crucial connections between mental health (“Mind”), physical health (“Body”), and money
Medicare at 60: Prior Authorizations Are a Problem for People in the U.S., Regardless of One’s Political Party, Income, or Insurance Type
Happy 60th Anniversary Medicare, today marking six decades since the passage of this law which was a landmark milestone for The Great Society, U.S. style. Since its inception and implementation, Medicare quite often leads in adoption of new medicines, new processes, new technologies in health care. But as I track the phenomenon of health citizenship in the U.S., I observe growing consensus among American patients — cross health plan type — increasingly impatient for health care access. We can now add Americans’ growing dissatisfaction with the prior authorization process, an opinion that now spans majorities of consumers regardless of their
U.S. Workers Who Get Health Insurance From Work Can Expect Greater Cost-Sharing and New Networks in 2026
At least one-half of employers will likely raise employee cost-sharing amounts in 2026, according to the Survey on health & benefit strategies for 2026 from Mercer. Mercer surveyed 711 organizations for this study, fielded in April 2025, to assess employers’ views on and strategies for health benefits in 2026. There are three challenging pillars underlying employers’ 2026 approaches to workers’ benefits: How to disrupt cost growth with what Mercer coins as “bolder” strategies How to consider and address all dimensions of affordability, and, How to design and implement inclusive benefits that build workforce
Medical Cost Trend at 8.5% in 2026? PwC Sees “No End in Sight” for Increased Healthcare Spending
For the third year in a row, medical cost trend — the expected increase of health care costs by health plans — will be 8.5% for group health insurance. This contrasts with a low of 5.5% in 2022 when cost trend dipped coming out of the COVID-19 pandemic….then shot up to 8.0% the following year in patients’ healthcare catch-up mode. Welcome to Behind the Numbers 2026, the annual medical trend report from PwC. What’s continuing to drive up health care costs? PwC identifies 4 medical cost inflators, and 2 “deflators” (these being
Consumers Look to Brands to Both “Do Good” and Help Me “Feel Good” – Another Riff on the Edelman Trust Barometer and What This Means for Health Care
With consumers the world over feeling greater financial stress and social chasms in 2025, people are trusting brands more than institutions to help them both feel good and expecting them to “do” good, we learn in Brand Trust, From We to Me, a special report from the 2025 Edelman Trust Barometer. The overall theme of this year’s Trust Barometer was “Trust and the Crisis of Grievance.” One artifact of peoples’ grievance is their shift from “we” to “me;” in this new report with a lens on brands, Edelman finds that consumers expect
What GoFundMe and Crowdfunding Campaigns Tell Us About Healthcare in America
“Can people afford to pay for health care?” a report from the World Health Organization asked and answered, with a focus on European health citizens. The same question underpins a new research paper published in Health Affairs Scholar, Insights from crowdfunding campaigns for medical hardship, Here, crowdfunding is a proxy for “can’t afford to pay for health care” in America. Here in blazing colors we have a snapshot of the study’s data in the form of a “heatmap.” FYI, a heatmap is a data visualization format that represents the magnitude of values of a dataset as a color — generally
The Spirit for Eating Healthier Is Willing, But the Cost of Doing So “Outweighs” the Will – Listening to Escoffier
It’s been a full week’s coverage on food-as-medicine and food as a driver of health in America this week on the Health Populi blog. Today we turn to the chefs at Escoffier who know food, teach food, and now offer programs in holistic nutrition and wellness through the lens of culinary arts. With that lens, Escoffier recently published a report on the future of healthy eating, which will round out this week’s Health Populi landscape on food and health. In the paper, the Escoffier team curated data points from many studies — via Gallup, Mintel, Innova,
Health, Wealth, and How Business Can Support Consumers in an Era of “Uncertainty on Steroids”
Facing uncertainties across everyday life flows, U.S. consumers look to economic and health security — and welcome businesses to support these, we learn in an analysis from The Conference Board. The Conference Board (TCB) polled 3,000 U.S. consumers gauging their perspectives on uncertainties emerging out of the new Trump administration’s policy changes introduced in the first quarter of 2025. The chart details people’s financial/fiscal responses in blue, and the health (mental, social, and physical aspects) in yellow: Consumers’ fiscal strategies for coping with uncertainty are to seek out more affordable brands and retailers, adjusting
How Consumers’ Economic Sentiments Are Shaping Peoples’ Financial and Emotional Well-Being (Spoiler: Not So Good): Learning from CivicScience
When it comes to health, the words “fiscal” and “physical” are morphing as peoples’ economic feelings (the “fiscal”) are shaping physical and emotional health, we find in U.S. consumer data presented by John Dick, Founder and CEO of CivicScience. The Consumer Technology Association convened a special session with John, who painted a portrait of the U.S. consumer at a point in time — late April 2025 — reminding us more than once during the hourlong session that, “Everything is constantly changing.” One certainty that we can be sure of, in the dismal-scientist way
Health Insurance Coverage Among Smaller U.S. Businesses Is Eroding: A Signal From JPMorganChase
Working-age people in the U.S. depend on their employers to provide health insurance; just over one-half of people in America receive employer-sponsored health insurance. But a concerning signal has emerged that calls into question how sustainable the uniquely American employer-sponsored health plan model is: that is that one in 3 small businesses in the U.S. stopped covering health insurance after the worst of the pandemic health effects in 2023 as the companies payroll expenses continued to increase, a statistic raised in The consistency of health insurance coverage in small business: industry challenges and insights, a report from the JPMorganChase Institute
Are We Liberated Yet? Tariffs Can Impact Financial Health (Riffing on MoneyLion’s Health Is Wealth Report)
Americans’ financial health was already stressing consumers out leading up to Liberation Day, April 2nd, when President Trump announced tariffs on dozens of countries with whom the U.S. buys and sells goods. A new report from MoneyLion and Mastercard called Health is Wealth is well-timed for today’s Health Populi blog. The study was fielded by The Harris Poll online among 2,092 U.S. adults 18 and older between February 28 and March 4, 2025, so it was completed a month before the tariffs came to hit peoples’ 401(k) savings and employers’ company stock market caps.
What is a Consumer Health Company? Riffing Off of Deloitte’s Report on CHCs/A 2Q2025 Look at Self-Care Futures
The health care landscape in 2030 will feature an expanded consumer health industry that will become, “an established branch of the health ecosystem focused on promoting health, preventing, disease, treating symptoms and extending healthy longevity,” according to a report published by Deloitte in September 2024, Accelerating the future: The rise of a dynamic consumer health market. While this report hit the virtual bookshelf about six months ago, I am revisiting it on this first day of the second quarter of 2025 because of its salience in this moment of uncertainties across our professional and personal lives — particularly related to
Still Life in Need: Art, Food Justice, and Health
As Thomas Jefferson reminded us, travel makes us wiser…but less happy. And so it is when you confront a piece of art that makes you stop in your tracks, swim in it, and know what it’s saying in terms of what you know you know. Such was the case yesterday during a walking meeting through the Frist Art Museum in Nashville when I passed by this quilt, a multimedia work titled “Still Life in Need” by Lee Colvin, a local artist. This work was part of a
Consumers Are Financially Stressed – What This Means for Health/Care in 2025
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
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
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
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
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
Measuring Progress for Life Sciences: Trust, Patient Access, and Prevention at a Fork in the Road of Public Health
How will we know if the life sciences sector is advancing in 2025? This is the question asked at the start of the report, a Research Brief: 2025 Indicators of Progress for the Life Sciences Sector, from the IQVIA Institute for Human Data Science (IQVIA). To answer that question, IQVIA identified ten indicators for this 2025 profile on the life sciences sector. I selected four key data points for this discussion which provide particularly informative insights for my advisory work right now at the intersection of health, people/consumers, and technology: Trust for/with/in life science
Some Bipartisan Concurrence on Health Care Issues in the U.S. – But Trust in Health Care Isn’t Bipartisan – KFF’s January 2025 Polls
Two polls from one poll source paint at once a bipartisan and bipolar picture of U.S. health citizens when it comes to health care issues versus health care institutions in America. The Kaiser Family Foundation has hit the 2025 health policy ground running in publishing the January 2025 Health Tracking Poll last week and a poll on health care trust and mis-information yesterday. First, the health tracking poll which finds some concurrence between Democrats and Republicans on several big issues facing Americans and various aspects of their health care. As
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
The Rough Guide to Health/Care Consumers in 2025: The 2025 Health Populi TrendCast
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,
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
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.
The Health Insurance Premium for a Family Averages $25,572 in 2024 – KFF’s Annual Update on Employer-Sponsored Benefits
The premium for employer-sponsored health plans grew by 6-7% between 2023 and 2024, according to the report on Employer Health Benefits 2024 Annual Survey from the Kaiser Family Foundation, KFF’s 26th annual study into U.S. companies’ spending on workers’ health care. In 2024 the average annual health insurance premium for family coverage is $25,572, split by 75% covered by the employer (just over $19,000) and 25% borne by the employee ($6,296), shown in the first chart from the report. The nearly $26K family premium is the average across all plan types in the
Americans’ Perspectives on Pharma and Healthcare Industries Are Low and Low-Ish Compared with Most Other Sectors
Only 20% of U.S. adults have a positive view of the pharmaceutical industry, garnering the lowest positive vibes among Americans in Gallup’s latest survey on peoples’ opinions of industries in America. About 1 in 3 Americans feel positively about health care in the U.S., on par with publishing and the electric/gas industries — on the lower end of these findings. By far, the top-perceived industry in the U.S. is agriculture and farming, taking the first spot with 64% of Americans’ positive views. Restaurants and the computer sector get 52% positives, although Gallup points out
The Impacts of Heat on Health Across All Dimensions – from Death to “Heat-Flation” on the Pocketbook
Rising energy bills are confronting U.S. households (and indeed, health citizens in many parts of the world) due to extreme heat, PBS reported on 1st September. But the record heat waves in so much of the world is impacting both peoples’ fiscal and financial well-being along with physical health impacts, ranging from exacerbating chronic respiratory conditions to, literally, risks to lives. A recent letter to JAMA, published August 26, 2024, quantifies Trends of Heat-Related Deaths in the U.S., 1999-2023. The authors examined studies finding exposure to extreme heat associated with mortality,
Women’s Health Outcomes in the U.S.: Spending More, Getting (Way) Less – 4 Charts from The Commonwealth Fund
Women in the U.S. have lower life expectancy, greater risks of heart disease, and more likely to face medical bills and self-rationing due to costs, we learn in the latest look into Health Care for Women: How the U.S. Compares Internationally from The Commonwealth Fund. The Fund identified four key conclusions in this global study: Mortality, shown in the first chart which illustrates women in the U.S. having the lowest life expectancy of 80 years versus women in other high-income countries; Health status, with women in the U.S. more likely to consume multiple prescription
The Health Care Costs for Someone Retiring in 2024 in the U.S. Will Reach $165,000 – Fidelity’s 23rd Annual Update
The average person in the U.S. retiring in 2024 will need to bank $165,000 to pay for health care costs in retirement — a sum that does not include long-term care, Fidelity Investments advises us in the 23rd annual look at this always-impactful (and sobering) forecast. I’ve covered this study every year since 2011 here in Health Populi, continuing to add to this bar chart; in the interest of space and legibility, I started this year’s version of the chart at 2014, when the cost for a couple was gauged at $220K. Fidelity began
Financial Strain Among Older People in America, and What Project 2025 Could Mean for Their Well-Being
Over one-half of people 50 years of age and older in the U.S. have felt financial strain in the past year, resulting in 1 in 2 folks cutting back on everyday expenses like groceries and gas. We learn that nearly one-half of people 50 and over say they’ve been impacted by inflation “a great deal” in Making Ends Meet: Financial Strain and Well-Being Among Older Adults, the latest report from the Institute for Healthcare Policy and Innovation’s National Poll on Healthy Aging based at the University of Michigan (my alma mater). The poll was conducted by NORC at the University
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
Most Americans, Both Younger and Older, Worry About the Future of Medicare and Social Security
You would assume that most people over 50 would be worried about the financial future of Medicare to cover health care as those middle-aged Americans age. But a surprising two-thirds of young Americans between 18 and 29, and 7 in 10 between 30 and 39 years of age, are concerned that Medicare’s solvency will worsen leading to their not being able to receive Medicare when eligible to receive it, discovered in the 2024 Healthcare in America Report from West Health and Gallup. This year’s research focused on aging in America, exploring areas of U.S. health care system successes as well
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
Inflation, Health, and the American Consumer – “The Devil Wears Kirkland”
The Wall Street Journal reported yesterday that surging hospital prices are helping to keep inflation high. Hospital costs rose 7.7% last month, the highest increase in 13 years. This chart from WSJ’s reporting illustrates the >2x change in the CPI for hospitals vs the overall rate of price increases. Hospitals are not alone in price cliffs, with health insurance premiums spiking last year at the fastest rate in a decade, the Labor Statistics data showed. “For patients and their employers, the increases have meant higher health-insurance premiums, as well as limiting wage
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 Springtime Re-Set for Self-Care, From Fitness to Cozy Cardio: Peloton’s Latest Consumer Research
How many people do you know that don’t know their cholesterol or their BMI, their net worth or IQ, their credit score, astrological sign, or ancestry pie-chart? Chances are fewer and fewer as most people have gained access to medical records and lab test results on patient portals, calorie burns on smartwatches, credit scores via monthly credit card payments online, and completing spit tests from that popularly gifted Ancestry DNA test kits received during the holiday season. Meet “The Guy Who Didn’t Know His Cholesterol” conceived by Roz Chast,
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
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
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
The Wellness Market Shaped by Health at Home, Wearable Tech, and Clinical Evidence – Thinking McKinsey and Target
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
The Health Consumer in 2024 – The Health Populi TrendCast
At the end of each year since I launched the Health Populi blog, I have put my best forecasting hat on to focus on the next year in health and health care. For this round, I’m firmly focused on the key noun in health care, which is the patient – as consumer, as Chief Health Officer of the family, as caregiver, as health citizen. As my brain does when mashing up dozens of data points for a “trendcast” such as this, I’ll start with big picture/macro on the economy to the microeconomics of health care in the family and household,
In 2024 U.S. Consumers Will Mash Financial Resolutions With Those For Physical Health and Mental Health, Fidelity Finds
One-third of U.S. consumers feel in worse financial shape now than in 2022, with inflation a top concern, discovered in the 2024 New Year’s Financial Resolutions Study from Fidelity Investments. In this 15th annual update of Fidelity’s research into Americans’ New Year’s resolutions for financial health, we learn the mantra that 2024 will be the year of living practically, opening new chapters for saving and paying down debt. Fidelity conducted an online poll among 3,002 U.S. adults 18 and over in October 2023 to gauge peoples’ perspectives on personal finances, and well-being currently and into 2024. This
Inflation and the cost of health care top U.S. voters’ issues for 2024 elections
The cost of living ranks top in U.S. voters’ minds among many issues Americans are feeling and following in late 2023. A close second in line is affordability of health care, as consumers’ household budgets must make room for paying medical bills — with prescription drug costs also very important as a discussion topic for 2024 Presidential candidates, we learn from the latest KFF Health Tracking Poll published 1 December. The monthly study focused on U.S. voters’ top issues and perspectives on the health system and care approaching the new year of 2024. KFF fielded the study among 1,301 U.S.
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
Healthcare Bills, Affordability, and Self-Rationing Care Will Continue to Challenge U.S. Health Consumers in 2024
Two-thirds of U.S. consumers say they can’t afford to pay their medical bills on-time, based on the 2023 Consumer Survey from Access One, a financial services company focused on healthcare payments. The report’s title page asks the question, “What options do consumers really want for paying healthcare expenses?” The survey report responds to that question, finding out that nearly one-half of patients have taken some kind of action to reduce their medical expenses. Furthermore, one-third of consumers are not confident they could pay a medical bill of $500 or more. Access One fielded
How Ahold-Delhaize Connects the Grocery, Climate Change, ESG and Consumers’ Health
In the food sector, “the opportunity for us and the role that we play is to connect climate and health,” Daniella Vega of Ahold Delhaize told Valerio Baselli during the Morningstar Sustainable Investing Summit 2023. In a conversation discussing the importance of non-financial metrics in companies’ ESG efforts, Vega connected the dots between climate change, retail grocery, and consumers’ health and well-being. Vega is the Global Senior Vice President, Health & Sustainability, with Ahold Delhaize— one of the largest food retail companies in the world. Based in the Netherlands, the company operates mainly in
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
The Healthcare Financial Experience is a Stressful One: the Convergence of our Medical, Retail, and Financial Lives
One in two consumers in the U.S. feel their well-being or healing was negatively impacted by difficulty paying for their medical care. Welcome to the convergence of patients’ health care life with financial and retail lives, we learn from the 2024 Healthcare Financial Experience Study from Cedar. And that patient’s positive clinical experience can absolutely reverse the consumer’s perception of the provider, noted by this quote from OSU’s Chief Financial Officer Vincent Tammaro: “We’ve cured you of your ailment, but we’ve harmed you financially.” That’s a form of financial toxicity that
The Latest KFF Poll on Consumer Experiences with Health Insurance Speaks Volumes About Patients’ Administrative Burden
People love being health-insured, but their negative experiences with health plans create serious burdens on patients-as-consumers. And those burdens impact even more people who are unwell than healthier folks. The 2023 Kaiser Family Foundation Survey of Consumer Experiences with Health Insurance updates our understanding of and empathy for insured peoples’ Patient Administrative Burdens (PAB). For this study, KFF polled 3,605 U.S. adults 18 and over in February and March 2023 who had health insurance across different plan types. Over the past several years, I’ve come to appreciate the concept of PAB by listening to and learning from colleagues Dr, Grace
What $31,065 Can Buy You: a Toyota Corolla Cross Hybrid, a Year at Gnomon School, or Healthcare for a Family of 4 in America
“Healthcare costs came roaring back in 2021” after falling in 2020. In 2023, that roaring growth in health care costs continues with expected growth of 5.6%. For 2023, you could take your $31K+ and buy a Toyota Corolla Cross Hybrid auto, fund a year at the Gnomon School in Hollywood toward a degree in animation or game design, or buy healthcare for your family of 4. Welcome to this year’s annual look at health care costs for a “typical” U.S. family explained in the 2023 Milliman Medical Index (MMI).
Our Mental and Emotional Health Are Interwoven With What We Eat and Drink – Chewing On the IFIC 2023 Food and Health Survey
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
Medical Debt: “The Debt of Necessity” – A Current U.S. Picture from the CFPB
On April 11, 2023, three of the largest U.S. consumer credit rating companies — Equifax, Experian and TransUnion — planned to remove medical bill collections that were under $500 from consumers’ credit reports. The Consumer Financial Protection Bureau (CFPB) calculated that these medical bill “erasures” under $500 impacted nearly 23 million consumers and eliminated medical collections totally for 15.6 million people in the U.S. according to CFPB’s recently-published Data Point report. For some context, it’s useful to know that the CFPB was created as part of the Dodd-Frank Wall Street Reform and Consumer Protection Act passed by Congress and signed
We Are All Health Consumers Now – Toluna’s Latest Look at Consumers’ Health & Well-Being
The challenging financial climate at the start of 2023 is impacting how people, globally, are perceiving, managing, and spending money on health and well-being, based on the latest (Wave 21) Global Consumer Barometer survey conducted by Toluna, a sister company of Harris Interactive. Globally, one-third of health citizens the world over are confronting greater stress levels due to the higher cost of living in their daily lives. One in two people say that rising cost of living is negatively impacting their health and well-being. On the positive side, one in three people believe
The Reputation of Pharma Among U.S. Consumers Is Tied More to Pricing Than to Innovation
In the U.S., price and the cost of medicines is tied to how people feel about the pharma industry, evidenced in the Global Pharma Study 2023 from Caliber. Caliber, a reputation and corporate strategy consultancy, fielded survey research among over 17,000 health consumers including U.S. adults between 18 and 75 years of age as well as health citizens living in Brazil, China, France, Germany, Japan, and the UK. Caliber assessed the reputation of 16 industries, globally, finding that pharma ranked 10th among the 16, just below automotive and just above chemicals (and well
Record Numbers of People in the U.S. Putting Off Medical Care Due to Cost – A New “Pink Tax” on Women?
More people in the U.S. than ever have put off medical care due to cost, according to Gallup’s latest poll of patients in America. Gallup conducted the annual Health and Healthcare poll U.S. adults in November and December 2022. This was the highest level of self-rationing care due to cost the pollster has found since its inaugural study on the topic in 2001. This was also the most dramatic year-on-year increase of postponing treatment due to cost in the study’s history. Note the substantial difference in women avoiding
When Household Economics Blur with Health, Technology and Trust – Health Populi’s 2023 TrendCast
People are sick of being sick, the New York Times tells us. “Which virus is it?” the title of the article updating the winter 2022-23 sick-season asked. Entering 2023, U.S. health citizens face physical, financial, and mental health challenges of a syndemic, inflation, and stress – all of which will shape peoples’ demand side for health care and digital technology, and a supply side of providers challenged by tech-enabled organizations with design and data chops. Start with pandemic ennui The universal state of well-being among us mere humans is pandemic ennui: call it languishing (as opposed to flourishing), burnout, or
Dollar General & CHPA Collaborate to Bolster Health Consumers’ Literacy and Access for OTC Pain Meds and Self-Care
Health is “made” where we live, work, play, pray, learn….and shop. I spend a lot of time these days in the growing health/care ecosystem where retail health is broadening to address social determinants and drivers of health – namely food, transportation, broadband access, education, environment, and financial wellness – all opportunities for self-care and health engagement. For many years, I have followed the activities of CHPA, the Consumer Healthcare Products Association, and have participated in some of their conferences. Their recent announcement of a collaboration with Dollar General speaks to the growing role of self-care for all people.
The Food-Finance-Health Connection: Being Thankful, Giving Thanks
Food features central in any holiday season, in every one’s culture. For Thanksgiving in the United States, food plays a huge role in the history/legend of the holiday’s origins, along with the present-day celebration of the festival. At the same time, in and beyond the U.S., families’ finances will also be playing a central role in dinner-table conversations, shopping on the so-called “Black Friday” retail season (which has extended long before Friday 25th November), and in what’s actually served up on those tables. Let’s connect some dots today on food, finance and health as we enter the holiday season many
Men Work in Retirement for Healthy Aging; Women, for the Money – Transamerica Looks at Retirement in 2022
Due to gender pay gaps, time away from the workforce for raising children and caring for loved ones, women in the U.S. face a risky retirement outlook according to Emerging from the COVID-19 Pandemic: Women’s Health, Money, and Retirement Preparations from the Transamerica Center for Retirement Studies (TCRS). As Transamerica TCRS sums up the top-line, “Societal headwinds are undermining women’s retirement security.” Simply said, by the time a woman is looking to retire, she has saved less than one-half of the money her male counterpart has put away for aging after work-life. The
Health Is Social, With More People Using Apps for Physical and Emotional Wellbeing
People who need people aren’t just the luckiest people in the world: they derive greater benefits through monitoring their health via apps that make it easier to make healthy choices. Channeling Barbra Streisand here to call out a key finding in new consumer research from Kantar on Connecting with the Health & Wellness Community. Kantar polled 10,000 online consumers in ten countries to gain perspectives on health citizens’ physical and emotional health and the role of technology to bolster (or diminish) well-being. The nations surveyed included Brazil, China, France, Germany, India, Singapore, South Africa, Spain,
$22,463 Can Get You a Year of College in Connecticut, a Round of Ref Work in the Stanley Cup Playoffs, or Health Benefits for a Worker’s Family
Employers covering health insurance for workers’ families will face insurance premiums reaching, on average, $22,463. That is roughly what a year at an independent college in Connecticut would cost, or a round of pay for a ref in the Stanley Cup playoffs. With that sticker-shock level of health plan costs, welcome to the 2022 Employer Health Benefits Survey from Kaiser Family Foundation, KFF’s annual study of employer-sponsored health care. Each year, KFF assembles data we use all year long for strategic and tactical planning in U.S. health care. This mega-study looks at
Health Care Costs Are a Driver of Health Across All of America – Especially for Women
Three in four people in America grade health care costs a #fail, at grade “D” or lower. This is true across all income categories, from those earning under $24,000 a year to the well-off raking in $180K or more, we learn in Gallup’s poll conducted with West Health, finding that Majorities of people rank cost and equity of U.S. healthcare negatively. Entering the fourth quarter of 2022, several studies were published in the past week which reinforce the reality that Americans are facing high health care costs, preventing many from seeking necessary medical services, and hitting under-served health citizens even harder
Connected Wellness Growing As Consumers Face Tighter Home Economics
“Consumers are using the Internet to take their health into their own hands,” at least for 1 in 2 U.S. consumers engaging in some sort of preventive health care activity online in mid-2022. The new report on Connected Wellness from PYMNTS and Care Credit profiles American health consumers’ use of digital tools for health care promotion and disease prevention. The bottom-line here is that the most connected 10% of consumers were 1.65 times more likely to be engaged in preventive digital health activities than the average person. Peoples’ engagement with digital health
The Patient As the Payer: Self-Pay, Bad Debt, and the Erosion of Hospital Finances
“The odds are against hospitals collecting patient balances greater than $7,500,” the report analyzing Hospital collection rates for self-pay patient accounts from Crowe concludes. Crowe benchmarked data from 1,600 hospitals and over 100,00 physicians in the U.S. to reveal trends on health care providers’ ability to collect patient service revenue. And bad debt — write-offs that come out of uncollected patient bill balances after “significant collection efforts” by hospitals and doctors — is challenging their already-thin or negative financial margins. The first chart quantifies that bad debt attributable to patients’ self-pay payments
The More Chronic Conditions, the More Likely a Patient Will Have Medical Debt
There is a direct association between a person’s health status and patient outcomes and their financial health, quantified in original research published this week in JAMA Internal Medicine. Researchers from the University of Michigan (my alma mater) Medical School and Institute for Healthcare Policy and Innovation analyzed two years of commercial insurance claims data generated between January 2019 and January 2021, linking to commercial credit data from January 2021 for patients enrolled in a preferred providers organization in Michigan. The first chart illustrates the predicted probability of credit outcomes based on the
Americans Rationing Healthcare in the Inflationary Era; Out-of-Pocket Expenses Are the Concern
Nearly 100 million people in the U.S. cut back on healthcare due to costs in the first half of 2022, according to the latest poll on health care costs form Gallup and West Health, gauging Americans’ financial health in June 2022. That’s the month when inflation in the U.S. reached 9.1%, a 40-year high. Among Americans’ cuts to household spending was the most common medical self-rationing behavior, delaying or avoiding care or purchasing prescription drugs, the survey found. Nearly 4 in 5 people in the U.S. had delayed care or prescription meds between January
Health, Politics, Inflation and Women: Health Engagement at the Voting Booth
Two in three Americans disapproved of the Supreme Court’s decision to overturn the Roe v. Wade decision (aka the Dobbs case), the latest Kaiser Family Foundation Health Tracking Poll found. While inflation tops voters’ priorities, abortion access resonates for key voting blocs. KFF conducted this survey among 1,847 U.S. adults 18 and over between July 7 and 17, 2022. KFF published the study findings this week on August 2, a day of political primaries and ballot considerations in several U.S. states. Consider Kansas: a majority of Kansans voted on Tuesday to protect abortion rights
Your State as a Determinant of Health: Sharecare’s 2021 Community Well-Being Index
People whose sense of well-being shifted positively in the past two years are finding greater personal purpose and financial health, we see in Sharecare’s Community Well-Being Index – 2021 State Rankings Report. Sharecare has been annually tracking well-being across the 50 U.S. states since 2008. When the study launched, Well-Being Index evaluated five domains: physical, social, community, purpose, and financial. In 2020, Sharecare began a collaboration with the Boston University School of Public Health to expand the Index, including drivers of health such as, Healthcare access (like physician supply per 1,000
Money and Guns Are the Top Two Sources of Anxiety in America This Summer
Inflation and the fear of economic recession were the top two causes of anxiety in America, followed by gun violence, in June 2022. Moms and Hispanic adults, in particular, were worried about losing income and of gun violence, discovered in the Healthy Minds Monthly Poll for July 2022 from the American Psychiatric Association (APA) and Morning Consult. For some context about these findings, note that this survey was fielded between June 18 and 20, 2022; that was, 24 days after the Robb Elementary School shooting in Uvalde, Texas Four days before the Supreme Court
Consumers’ Dilemma: Health and Wealth, Smartwatches and Transparency
Even as spending on healthcare per person in the United States is twice as much as other wealthy countries in the world, Americans’ health status ranks rock bottom versus those other rich nations. The U.S. health system continues to be marred by health inequalities and access challenges for man health citizens. Furthermore, American workers’ rank top in the world for feeling burnout from and overworked on the job. Welcome to The Consumer Dilemma: Health and Wellness,, a report from GWI based on the firm’s ongoing consumer research on peoples’ perspectives in the wake of
Changing Views of Retirement and Health Post-COVID: Transamerica’s Look At Workers’ Disrupted Futures
As more than 1 in 3 U.S. workers were unemployed during the pandemic and another 38% had reductions in hours and pay, Americans’ personal forecasts and expectations for retirement have been disrupted and dislocated. In its look at The Road Ahead: Addressing Pandemic-Related Setbacks and Strengthening the U.S. Retirement System from the Tramsamerica Center for Retirement Studies (TCRS), we learn about the changing views of U.S. workers on their future work, income, savings, dreams and fears. Since 1988, TCRS has assessed workers’ perspectives on their futures, this year segmented the 10,003 adults
The Unbearable Heaviness of Inflation: Will Consumers’ Financial Stress Erode Their Health?
“Inflation is the big story,” the economics team at Morning Consult told us yesterday in a call on “How to Think Like An Economist.” While I already thought I did that, Team @MorningConsult updated us on the current state of consumers and what’s weighing most heavily on their minds…inflation being #1. An hour after the Morning Consult session, I brainstormed the topic of consumers-as-payers of medical bills and prescription drugs with GoodRx strategy leaders. In my data wonkiness, inflation certainly played a starring role in setting the stage for Mind, Body and Wallet — the title of one of the sources
Only in America: Medical Debt Is Most Peoples’ Problem, KHN and NPR Report
When high-deductible health plans became part of health insurance design in America, they were lauded as giving patients “more skin in the game” of health care payments. The theory behind consumer-directed care was that patients-as-consumers would shop around for care, morph into rational consumers of medical services just as they would do purchasing autos or washing machines, and shift the cost-curve of American health care ever downward. That skin-in-the-game has been a risk factor for .some patients to postpone care as well as take on medical debt — the strongest predictor of which is dealing with multiple chronic conditions. “The
Jasper, Scaling a Human Touch for People Dealing with Cancer, Now With Walgreens
Each year, the first Sunday in June marks National Cancer Survivors Day. This year’s NCSD occurred two days ago on Sunday, 5th June. When you’re a cancer survivor, or happen to love one, every day is time to be grateful and celebrate that survival of someone who has come through a cancer journey. We all know (or are) people who have survived cancer. We know that the recipe for battling cancer goes beyond chemotherapy. We know of the resilience and grit required in the process: body, mind, and spirit. “Celebrate Life” is the mantra of NCSD, as this year’s campaign
A New Chevy Equinox SUV, a Year in Grad School, or Health Care for Four – The 2022 Milliman Medical Index
A new Chevy Equinox SUV, a year in an MS program in kinesiology at Pacific Lutheran U., or health care for a family of four. At $30,260, you could pick one of these three options. Welcome to this year’s 2022 Milliman Medical Index, which annually calculates the health care costs for a median family of 4 in the U.S. I perennially select two alternative purchases for you to consider aligning with the MMI medical index. I have often picked a new car at list price and a year’s tuition at a U.S. institution of
Social Determinants of Health Risks Challenge the Promise of Hospital-to-Home
In the wake of the pandemic and growing consumer preferences, the hospital-to-home movement is gaining traction among health systems. Amidst bullish forecasts for the promise of hospital-to-home discharges, the ability for many patients to make this migration would be a difficult bridge to cross. On the promising front, recent studies reviewed through a meta-analysis published in JAMA found that hospital-to-home programs can be clinically and cost-effective for inpatients discharged from hospital. Earlier this year, McKinsey addressed how “Care at Home” ecosystems can reshape the way health systems — and people — envision patient care. This
The Patient as Consumer and Payer – A Focus on Financial Stress and Wellbeing
Year 3 into the COVID-19 pandemic, health citizens are dealing with coronavirus variants in convergence with other challenges in daily life: price inflation, civil and social stress, anxiety and depression, global security concerns, and the safety of their families. Add on top of these significant stressors the need to deal with medical bills, which is another source of stress for millions of patients in America. I appreciated the opportunity to share my perspectives on “The Patient As the Payer: How the Pandemic, Inflation, and Anxiety are Reshaping Consumers” in a webinar hosted by CarePayment on 25 May 2022. In this
Health Care Costs At Retirement in 2022 Hit $315,000, Fidelity Forecasts
A couple retiring in 2022 should budget $315,000 to cover their health care costs in retirement, based on the 21st annual Retiree Health Care Cost Estimate from Fidelity Investments. For context, note that the median sales price of a home in the U.S. in April 2022 was $391,200. It’s important to understand what the $315,000 for “health care costs” in retirement does not cover, explained in Fidelity’s footnoted methodology: the assumption is that the hypothetical opposite-sex couple is enrolled in Original Medicare (not Medicare Advantage), and the cost estimate does not include other health-related expenses
People Thinking More About the Value of Health Care, Beyond Cost
The rate of people in the U.S. skipping needed health care due to cost tripled in 2021. This prompted West Health (the Gary and Mary West nonprofit organizations’ group) and Gallup to collaborate on research to quantified Americans’ views on and challenges with personal medical costs. This has resulted in The West Health-Gallup Healthcare Affordability Index and Healthcare Value Index. The team’s research culminated in the top-line finding that some 112 million people in the U.S. struggle to pay for their care. That’s about 4.5 in 10 health citizens. Furthermore, 93% of people
How Business Can Bolster Determinants of Health: The Marmot Review for Industry
“Until now, focus on….the social determinants of health has been for government and civil society. The private sector has not been involved in the discussion or, worse, has been seen as part of the problem. It is time this changed,” asserts the report, The Business of Health Equity: The Marmot Review for Industry, sponsored by Legal & General in collaboration with University College London (UCL) Institute of Health Equity, led by Sir Michael Marmot. Sir Michael has been researching and writing about social determinants of health and health equity for decades, culminating publications
How the Pandemic, Inflation and Ukraine Are Re-Shaping Health Consumers – Learnings from dunnhumby
Too many dollars, stimulated by an influx of COVID-19 government stimulus, are chasing too few goods in economies around the world. Couple this will labor, material shortages, and disrupted supply chains, the exogenous shock of the Ukraine crisis amplifying cost increases and shortage driving higher prices for food and commodities, and global consumers are faced with strains in household budgets. This is impacting grocery stores and. through my lens, will impact health consumers’ spending, as well. In their discussion of Customer First Retailer Responses to Inflationary Times, dunnhumby, retail industry strategists, covered an update on inflation with the top-line that
In the New Inflationary Era, Gas and Health Care Costs Top Household Budget Concerns
Inflation and rising prices are the biggest problem facing America, most people told the Kaiser Family Foundation March 2022 Health Tracking Poll. Underpinning that household budget concern are gas and health care costs. Overall, 55% of people in the U.S. pointed to inflation as the top challenge the nation faces (ranging from 46% of Democrats to 70% of Republicans). Second most challenging problem facing the U.S. was Russia’s invasion into Ukraine, noted by 18% of people — from 14% of Republicans up to 23% of Democrats. The COVID-19 pandemic has fallen far down Americans’ concerns list tied third place with
Go Local and Go Beyond Medical Care: What Hospitals, Health Plans, and Pharma Can Do to Rebuild Trust
Without trust, people do not engage with health care providers, health plans, or life science companies….nor do many people accept “science fact.” I explore the sad state of Trust and Health Care. published in the Medecision Liberate Health blog, with a positive and constructive call-to-action for health care industry stakeholders to consider in re-building this basic driver of well-being. That is, trust as a determinant of health. Edelman’s 2022 Trust Barometer came out in January 2022, coinciding as it annually does with the World Economic Forum’s meeting in Davos, Switzerland. Every year, WEF convenes the world’s biggest thinkers to wrestle with the
Hackathons are intense, fast-paced events where interdisciplinary teams come together to solve complex problems. In this SEE YOU NOW Insight from Episode 46: What The Hack? I collaborated with inspiring nurse innovator Rebecca Love to discuss why it's critical to bring nurses into the hackathon mix to address some of the most pressing problems in healthcare.
I'm once again pretty gobsmackingly happy to have been named a judge for the 2026 CES Innovation Awards, focusing on digital health, longevity, and fitness. Preceding every year's global conference, CES receives hundreds of applications from innovators around the world building tech-based solutions to big challenges. So glad to be part of this annual initiative to see what global health-tech pioneers are cooking up to address and scale the health and well-being of fellow health citizens, globally.
You can see the results of the Digital Health Awardees here on the #CES2026 website.
Stay tuned to Health Populi in early January as I'll be attending Media Days and meeting with innovators in digital health, longevity, and the home-for-health during CES 2026 in Las Vegas. I'll be at the conference for an entire week meeting with clients and exhibitors at the biggest-meeting-of-the-year on consumer-facing technology. I'll be reporting daily from Vegas here in the blog, sharing with you insights about the latest breakthroughs, products, and services that enable people to manage health, well-being, and medical issues in their own hands and homes.