A blog covering the health/care ecosystem and people.

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 costs of medical care are breaking the system, PwC asserts at the start of its new report on the $1 trillion opportunity to reinvent healthcare. The past 3 years of 8+% U.S. national health expenditure increases are “untenable,” PwC says, with 90% of that spending going toward patients with chronic and mental health conditions.              What will transform the system and move us from “breaking point to breakthrough?” Biology and technology, PwC explains, with technology moving exponentially and simplifying care at scale, and biology decoding the “human operating system” enabling precision at scale. This

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

Close to 100% of U.S. doctors agree that misinformation and/or disinformation undermines patient care, according to a new survey from the Physicians Foundation. The Foundation polled over 1,000 U.S. physicians in late May 2025 to gauge doctors’ perspectives on information and patients’ health literacy.                 Furthermore, over one-half of physicians believe that misinformation – and/or disinformation — significantly impacts the ability to deliver quality patient care. The first graphic differentiates between “misinformation” and “disinformation,” where the latter is false or inaccurate information deliberately intended to mislead people. Misinformation is somewhat more benign in

“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

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

As of August 2025, U.S. patients of all demographics and geographies face many uncertainties with respect to their care. Issues such as health plan coverage, prescription drug costs, and access to services, among other challenges, continue to re-shape patients-as-health-consumers seeking transparency, clinical choices, and trust-worthy relationships with touchpoints in their personal health ecosystems. Four just-breaking stories across the health/care ecosystem illustrate several of these uncertainties and forces in U.S. health care — some adding friction and angst in a patient’s life, others perhaps providing some relief for certain health consumers. These news items address health care costs in retirement, the

In a recent study which was part of the American Heart Association’s Healthy Bond for Life initiative, two-thirds of Americans told the AHA that they took better care of their pets than themselves. So with a lens on how to help inspire peoples’ self-care, I was keen to dive into research from Pet Partners Insurance (PPI), a pet health insurance provider, collaborating with the Human Animal Bond Research Institute (HABRI), to learn more about The Power of Pet Perks: How Pet-Inclusive Benefits Drive Employee Engagement, Retention, and Positive Workplace Culture.                 My interest

By 2033, national health spending will comprise 20.3% of the U.S. GDP, based on the latest national health expenditure projections developed by researchers from the Centers for Medicare and Medicaid Services (CMS). This growth will be happening as CMS projects coverage of insured people to decline over the period.               Earlier today, I attended a media briefing hosted by Health Affairs to receive the CMS team’s top-line forecast of NHE from 2024 to 2033 discussing these findings. Fuller details on the projections will be released in the July issue of Health Affairs on 7

“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

Consumers around the world feel more invested than ever in what makes people feel both well and prosperous, we learn in the NielsenIQ Global State of Health & Wellness 2025 survey report. But there’s a trust deficit that must be healed in order for a health consumer to invest in services and products that feed health and well-being. NIQ fielded the survey research online in January and February 2025 among nearly 19,000 adults living in 19 countries: Brazil, Canada, China, the Czech Republic, France, Germany, Hungary, India, Indonesia Italy, Mexico, Netherlands, Poland, South Africa, Spain, Turkiye, UAE, United Kingdom, and

One in three Americans could imagine leaving America for good as expatriates — with access to affordable and reliable health insurance the top consideration, according to research conducted by the Harris Poll on behalf of GeoBlue and International Citizens Insurance (ICI). “Thirty-one percent of potential expats cite concerns about healthcare coverage abroad being the reason they haven’t yet taken the leap to move abroad. This trumped concerns about their work and social life abroad,” the survey found.             Earlier this year, The Harris Poll’s American Expats Survey, published in February 2025, found that health care accessibility

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

With potential down-sizing of Medicaid on the short-term U.S. political horizon, a fascinating poll found that most people identifying as Republican would not favor cuts to Medicaid. What fascinates me about this survey, published earlier this week, is that it was conducted by FabrizioWard, a polling firm that has often been used by President Trump.              The firm’s Bob Ward told POLITICO that, “There’s really not a political appetite out there to go after Medicaid to pay for tax cuts. Medicaid has touched so many families that people have made up their minds about what

Patients as health consumers now know what “good” looks like in their digital experiences. People have tasted the convenience and respect they feel from well-designed, streamlined omnichannel retail experiences, and they now expect this from health care — specifically supported by the pharmaceutical companies who manufacture the medicines they use in managing chronic conditions, we learn in ixlayer ixInsights 2025: Pharma’s Role in Improving the Health Experience from ixlayer and Ipaos.             The patient-focused report gets specific about people dealing with asthma, COPD, Type 2 diabetes, heart disease, psoriasis, and atopic dermatitis with a lens on

Tom Lawry may be best-known as a leading voice on AI in health care; after all, he’s written two very well-selling books on the topic, speaks all over the world on the subject, and in his most recent company-based gig helped lead Microsoft’s efforts in AI in health care and life sciences. When his publisher asked him to write a third book on AI in health care – still a hot topic in publishing – Tom said he’d rather turn to a subject long on his mind: the state of health care in America and how to change the conversation

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

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

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

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,

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

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

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

In a super-divided electorate like the U.S. with about 60 days leading up to the 2024 Elections, we might assume there are no “purple” areas of agreement between the Red (Republicans) and the Blue (Democrats) thinking in PANTONE color politics. Surprisingly, there are many health policies on which Democrats and Republicans concur, as found in a series of YouGov polls conducted in May 2024.                         YouGov fielded the health policies poll in five waves online, each among roughly 1,100 U.S. adults in May 2004. This bar chart summarizes health

The U.S. Bureau of Labor Statistics had good news for American consumers long-facing inflation for household spending over the past couple of years, announcing on July 11, 2024, that the general consumer price index (CPI) fell, lowering real prices for people buying airline tickets, used cars and trucks, communication, and petrol to fill auto tanks.               That positive economic news did not extend to medical care and personal care, the BLS reported, whose costs increased by 3.3% and 3.2%, respectively. (Motor vehicle insurance costs grew a whopping 19.5% in the report, FYI). Following the

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

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

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

“Motherhood is the exquisite inconvenience of being another person’s everything” is a quote I turn to when I think about my own Mom and the remarkable women in my life raising children. With Mother’s Day soon approaching, the 2024 Women’s Wellness Index reminds us that the act of “being another person’s everything” has its cost. The Index, sponsored by PYMNTS in collaboration with CareCredit, was built on survey responses from 10,045 U.S. consumers fielded in November-December 2023. The study gauged women’s perspectives on finances, family, social life impacts on health and well-being.           My key takeaway from

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

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

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

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

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

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

As patients assume more financial skin in their personal healthcare, they take on the role of demanding consumer, or “impatient patients.” HealthEdge’s latest research into health consumers’ perspectives finds peoples’ satisfaction with their health insurance plans lacking, with members seeking easier access their personal health information, high levels of service, and rewards for healthy behaviors.           Health plans would also boost consumers’ satisfaction by channeling patients’ access to the kinds of medical providers that align with consumers’ preferences and personal values, and by personalizing information to steer people toward lower-cost care.          

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

It’s time for the annual ASCO conference, currently convening the American Society for Clinical Oncology in Chicago. Starting 2nd June, there have been dozens of positive announcements updating research and therapies bringing hope to the 2 million new patients who will be diagnosed with cancer in the U.S. in 2023, and millions of more people worldwide. Just in time for #ASCO2023, the IQVIA Institute published their annual report on Global Oncology Trends 2023 – Outlook to 2027, an update featuring pipelines, therapy approvals, research updates, costs of oncology products, and patients.                  

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

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

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

While consumers’ satisfaction with inpatient care experiences improved a few points over the past year, health insurance and hospitals still fall in the bottom-third of all industries with which people interact, according to the American Customer Satisfaction Index (ACSI) Insurance and Health Care Study 2021-2022.               “With visitor restrictions relaxing and more elective procedures going forward, hospitals are slowly coming out of a COVID-induced satisfaction slump,” the study press released quoted Forrest Morgeson, Assistant Professor of Marketing at Michigan State University. This year’s ACSI Insurance and Health Care Index was developed through 12,840 consumer interviews

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

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

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

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

“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

People spend one-half of their lives in “less-than-good health,” we learn early in the paper, Adding years to life and life to years from the McKinsey Health Institute. In this data-rich essay, the McKinsey team at MHI sets out an agenda that could help us add 45 billion extra years of higher-quality life equal to an average of six years per person (depending on your country and population demographics). The first graphic from the report illustrates four dimensions of health and the factors underneath each of them that can bolster or diminish our well-being: personal behaviors (such as sleep and diet),

There’s more evidence that doctors and patients, both, want to use telehealth after the COVID-19 pandemic fades. Doximity’s second report on telemedicine explores both physicians’ and patients’ views on virtual care, finding most doctors and health consumers on the same page of virtual care adoption. For the physicians’ profile, Doximity examined 180,000 doctors’ who billed Medicare for telemedicine claims between January 2020 and June 2021. Telemedicine use did not vary much across physician age groups. Doctors in specialties that manage chronic illnesses were more likely to use telehealth: endocrinology (think: diabetes), gastroenterology, rheumatology, urology, nephrology, cardiology, ENT, neurology, allergy, and