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The Healthcare Affordability Elections, 2026 and 2028 – Listening to the KFF Tracking Poll, January 2026

The title of KFF’s press release launching  the Foundation’s January 2026 Health Tracking Poll clearly observes, “Health Care Costs Tops the Public’s Economic Worries as the Runup to the Midterms Begins.” I’ve pulled out the key details to share my lens on the 2026 midterm and 2028 Presidential election forecast, which I believe will turn out to be (in part) The Patients’ Elections.             Here’s the top-line title finding — where most people in the U.S. — 2 in 3 people (66%) — are worried more about health care costs compared with other major household expenses.

 

As Adult Vaccination Levels Fall, We Must Assert the Value of Vaccines

The rate of vaccinations among people 65 years of age and older has declined since 2019 — a personal health challenge for aging Americans and their caregivers and families, and a public health problem for the U.S. The Centers for Disease Control’s National Center for Health Statistics published Data Brief 547 on the situation on January 21, 2026. In the meantime, serendipity and timing are uncanny in the moment as The Value of Vaccines conversation series from Pfizer was launched this week. I am grateful to have participated in this project with several sisters-in-expertise: Elif Alyanak from Avalere, Venesa Day

 

Why Progresso Soup was at CES 2026: How Food is Playing Into the Evolving Health Consumer and Retail Health Landscape

By Jane Sarasohn-Kahn on 15 January 2026 in Aging, AI and health, Amazon, Behavior change, Business and health, Cardiovascular health, Chronic disease, Consumer experience, Consumer-directed health, Design and health, Determinants of health, Diabetes, Diet and health, Digital health, DTC health, DTP health, Exercise, Family, Financial health, Financial wellness, Fitness, Food and health, Food as medicine, Food security, Future of health care, GLP-1s, Grocery stores, Health access, Health apps, Health at home, Health care industry, Health care marketing, Health Consumers, Health costs, Health Economics, Health ecosystem, Health education, Health engagement, Health insurance, Health literacy, Health marketing, Health media, Health Plans, Health policy, Healthcare access, Healthcare DIY, Heart disease, Heart health, Home care, Home economics, Home health, Hospital to home, longevity, Mental health, Money and health, Nutrition, Obesity, Omnichannel healthcare, Out of pocket costs, Patient engagement, Patient experience, Personal health finance, Personalized medicine, Pharmaceutical, Pharmacy, Popular culture and health, Population health, Prescription drugs, Prevention, Prevention and wellness, Primary care, Retail health, SDoH, Self-care, Seniors and health, Shopping and health, Social determinants of health, Social media and health, Social networks and health, Specialty drugs, Telehealth, Telemedicine, Transparency, Trust, User experience UX, Value based health, Virtual health, Weight loss, Wellbeing, Wellness

Why was Progresso Soup and its manufacturer General Mills at CES 2026? Specifically, in the AgeTech Collaborative curated by AARP? If you are part of the health/care ecosystem in any of its segments, chances are you’re attending conferences at the start of 2026 or soon to attend one. I spent last week at CES 2926 in Las Vegas getting updates on digital health, well-being, and self-care innovations. This week, hundreds of my colleagues are attending #JPM2026, the 44th annual J.P. Morgan Healthcare Conference held in San Francisco every year at this time. One conference that would not have been well-attended

 

While Nurses Continue to Rank Top in Honesty and Ethics, Americans’ Respect for All Professions is Tanking

While nurses continue to rank high for honesty and ethics, Americans’ trust in the nations’ professions is tanking, found in this year’s Gallup Poll update titled, Nurses Continue to Lead in Honesty and Ethics Ratings.           Nurses perennially top this chart, usually followed by doctors and pharmacists. But this year, it’s military veterans who garner the second spot in the Gallup Poll, with doctors and pharmacists in positions 3 and 4. Ranking at the bottom as least-respected for honesty and ethics are Members of Congress, again garnering the low-point in this study, with telemarketers trailing the

 

Aging is Not a Decline, but an Awakening at CES 2026 – Learning from AARP About Consumers, Lifespan, and Technology

By Jane Sarasohn-Kahn on 8 January 2026 in Accessibility, Aging, Aging and Technology, AI and health, Art and health, Baby Boomers and Health, Banks and health, Bathroom and health, Beauty and health, Bedroom and health, Boomers, Business and health, Cardiovascular health, Caregivers, Chronic care, Chronic disease, Connected health, Consumer electronics, Consumer experience, Consumer-directed health, Demographics and health, Design and health, Diagnostics, Diet and health, Digital health, DTC health, Education and health, Exercise, Family, Fashion and health, Financial health, Fitness, Food and health, Food as medicine, Grocery stores, Happiness, Health and Beauty, Health at home, Health care industry, Health care real estate, Health Consumers, Health ecosystem, Health privacy, Heart health, Home care, Home economics, Home health, Hospital to home, Housing and health, Life expectancy, Loneliness, longevity, Love and health, Medical innovation, Medicare, Medication adherence, Mental health, Money and health, Music and health, Nutrition, Patient experience, Patient Protection and Affordable Care Act, Popular culture and health, Privacy and security, Quality of Life, Remote health monitoring, Retail health, Retirement and health, Robots, Robots and health, Self-care, Seniors and health, Sensors and health, Shopping and health, Sleep, Smart homes, Smartphone apps, Smartphones, Smartwatches, Social health, Social isolation, Social security, Telehealth, Telemedicine, Trust, User experience UX, Virtual health, Voice technology, Wearable tech, Wearables, Wellbeing, Wellness, Women and health

Aging and longevity are key themes driving technology innovations and markets, and walking the miles of aisles of CES 2026 demonstrates the expanding landscape of the role of tech in healthy living across the lifespan. I spent time at the AARP AgeTech Collaborative space this week as I did last year (here was my write-up of AARP and CES 2025 for historical context). In experiencing this year’s portfolio of AgeTech collab partners, from start-ups to Fortune 100 companies in the mix, was informative, inspiring, and even energizing as someone who has been a member of AARP since turning 50 some

 

Tech Trends to Watch at CES 2026 – For Health, It’s About Longer Living, Smarter Living, and Better Living

By Jane Sarasohn-Kahn on 5 January 2026 in Accessibility, Aging, Aging and Technology, AI, AI and health, Artificial intelligence, Augmented intelligence, Autonomous cars, Autos and health, Beauty and health, Bedroom and health, Behavioral health, Big Tech, Bioethics, Burnout, Business and health, Climate change, Cloud computing and health, Connected health, Consumer electronics, Cybersecurity, Data analytics and health, Depression, Design and health, Diabetes, Diet and health, Digital health, Digital transformation, Doctors, DTP health, Environment and heatlh, Exercise, Family, Fashion and health, Fitness, Food and health, Food as medicine, Food security, Future of health care, GenAI, Global Health, GLP-1s, Grocery stores, Health access, Health and Beauty, Health apps, Health at home, Health care industry, Health care real estate, Health Consumers, Health ecosystem, Health engagement, Health equity, Healthcare access, Healthcare DIY, Heart health, Heat and health, Home care, Home economics, Home health, Hospital to home, Housing and health, Hygiene and health, Large language models LLMs, Life expectancy, Loneliness, longevity, Machine learning, media and health, Medical device, medical home, Medical innovation, Medical technology, Medicines, Mental health, mHealth, Mobile apps, Mobile health, Moms and health, Money and health, Nutrition, Obesity, Oral care, Patient engagement, Patient experience, Pharmaceutical, Pharmacy, Physicians, Play and health, Popular culture and health, Prescription drugs, Prevention, Prevention and wellness, Primary care, Privacy and security, Quality of Life, Real estate and health, Remote health monitoring, Retail health, Retirement and health, Robots, Robots and health, Schools and health, Self-care, Seniors and health, Sensors and health, Shopping and health, Sleep, Smart cities, Smart homes, Smartphone apps, Smartphones, Smartwatches, Social health, Social media and health, Social networks and health, Social responsibility, Sports and health, Sustainability, Tariffs, Techquity, Telehealth, Trust, User experience UX, Virtual health, Voice technology, Wearable tech, Wearables, Weight loss, Wellbeing, Wellness, Women and health

Live from CES 2026 in Las Vegas…the first day of CES Media Days preceding the big show always covers a context-setting report on Tech Trends to Watch. This is one of my annual go-to programs which helps orient media and industry analysts with a lens on CES’s key tech categories and some hard data on market size and growth expectations.               While I’ll focus on the health/care specifics in the trend forecast, let me first update you on the overall technology market revenues for the U.S. which are estimated at $565 billion for 2026.

 

Exercise is Health Care, and Consumers Are Willing to Pay – Context for #CES2026

By Jane Sarasohn-Kahn on 3 January 2026 in ACA, Affordable Care Act, Behavior change, Behavioral health, Big Tech, Business and health, Connected health, Consumer electronics, Consumer experience, Consumer-directed health, Demographics and health, Design and health, Determinants of health, Diabetes, Diet and health, Digital health, Digital therapeutics, Digital transformation, DTC health, DTP health, Financial health, Financial wellness, Fitness, Food and health, Food as medicine, Food security, GLP-1s, Grocery stores, Health and Beauty, Health and wealth, Health at home, Health benefits, Health care industry, Health care marketing, Health care real estate, Health citizenship, Health Consumers, Health costs, Health disparities, Health Economics, Health ecosystem, Health engagement, Health equity, Health finance, Health insurance, Health marketing, Health Plans, Health politics, Healthcare access, Healthcare DIY, High deductibles, Home economics, Home health, longevity, Mental health, Mobile apps, Mobile health, Money and health, Nutrition, Obesity, Out of pocket costs, Patient engagement, Patient experience, Personal health finance, Politics and health, Popular culture and health, Prevention, Primary care, Real estate and health, Remote health monitoring, Retail health, Self-care, Seniors and health, Sensors and health, Shopping and health, Smart homes, Smartwatches, Social determinants of health, Social health, Techquity, Telehealth, Transparency, Trust, User experience UX, Value based health, Virtual health, Wearable tech, Wearables, Weight loss, Wellbeing, Wellness

“Americans are not just setting fitness goals; they are budgeting for them,” Liz Clark, President and CEO of the Health & Fitness Association observed. “People increasingly see exercise as an essential investment in their long-term health. Even in a challenging economic environment, Americans are prioritizing physical activity as a proactive form of preventive healthcare.”           Americans see exercise as healthcare — and health — according to a survey from the Health & Fitness Association (HFA). HFA commissioned Kantar to conduct the online survey among 2,000 U.S. adults 18 and over in December 2025 — well-timed for the

 

A Primer on Health Consumers for CES 2026 – How Macro Consumer Trends Will Shape Healthcare Consumers in 2026

By Jane Sarasohn-Kahn on 30 December 2025 in Affordable Care Act, Aging, Aging and Technology, AI, AI and health, Autos and health, Baby Boomers and Health, Beauty and health, Bedroom and health, Boomers, Clinical lab, Connected health, Connectivity, Consumer electronics, Consumer experience, Consumer-directed health, Demographics and health, Design and health, Determinants of health, Diagnostics, Diet and health, Digital health, Digital therapeutics, Digital transformation, DTC health, DTP health, Environment and heatlh, Exercise, Fashion and health, Financial health, Financial wellness, Fitness, Food and health, Food as medicine, Future of health care, Games and health, GLP-1s, Grocery stores, Health access, Health and Beauty, Health apps, Health at home, Health care industry, Health care marketing, Health care real estate, Health Consumers, Health costs, Health Economics, Health ecosystem, Health engagement, Health equity, Health insurance, Health marketing, Health media, Health policy, Healthcare access, Home care, Home economics, Home health, Housing and health, Integrative medicine, Internet and Health, Internet of things, longevity, Medical bills, Medical debt, Medical innovation, Medical technology, Medicines, Mental health, Mobile apps, Mobile health, Money and health, Nutrition, Obesity, Out of pocket costs, Patient engagement, Patient experience, Personal health finance, Play and health, Popular culture and health, Prevention, Primary care, Real estate and health, Remote health monitoring, Retail health, Robots and health, Self-care, Shopping and health, Sleep, Smart homes, Smartwatches, Social determinants of health, Social health, Social networks and health, Stress, Telehealth, Trust, User experience UX, Value based health, Virtual health, Wearable tech, Wearables, Weight loss, Wellbeing, Women and health

Increasingly, people are engaging more in health care decision making due to many factors impacting their personal medical choices — from the cost and access to health insurance to co-payments for prescription drugs and the supply of primary care doctors, more patients developed and exercised their health consumer muscles in 2025, For 2026, the health consumer muscle-building will grow as people will be re-shaped by macro market factors we are currently gleaning from forecasts looking into the new year: for personal finances, social issues, technology adoption, views on AI and privacy, and other issues. Here are some data points to

 

Navigating a Constellation of Uncertainties: Health/Care in 2026 (My Un-Forecast)

By Jane Sarasohn-Kahn on 22 December 2025 in AI and health, Anxiety, Artificial intelligence, Big Tech, Burnout, Business and health, Connected health, Consumer electronics, Consumer experience, Consumer-directed health, Corporate responsibility, Demographics and health, Depression, Design and health, Determinants of health, Diet and health, Digital transformation, Doctors, DTC health, DTP health, Employee benefits, Employers, Financial health, Financial toxicity, Financial wellness, Fitness, Food and health, Food as medicine, Food security, GLP-1s, Grocery stores, Happiness, Health access, Health at home, Health benefits, Health care industry, Health citizenship, Health Consumers, Health costs, Health disparities, Health ecosystem, Health engagement, Health equity, Health insurance, Health marketing, Health Plans, Health policy, Health politics, Health social networks, Home care, Home economics, Home health, Hospital to home, Loneliness, longevity, Love and health, media and health, Medicaid, Medical bills, Medical debt, Medical innovation, Medicare, Medicines, Mental health, Misinformation and health, Money and health, Nurses, Nutrition, Omnichannel healthcare, Out of pocket costs, Patient engagement, Patient Protection and Affordable Care Act, Peer-to-peer health, Pharmaceutical, Pharmacists, Pharmacy, Physicians, Politics and health, Popular culture and health, Prescription drugs, Prevention, Prevention and wellness, Primary care, Remote health monitoring, Retail health, Self-care, Seniors and health, Shopping and health, Smartphones, Smartwatches, Social determinants of health, Social health, Social isolation, Social media and health, Social networks and health, Social security, Specialty drugs, Stress, Tariffs, Techquity, Telehealth, Transparency, Trust, User experience UX, Vaccines, Value based health, Virtual health, Wearable tech, Wearables, Wellbeing, Workplace benefits

Almost from the first year of launching Health Populi in 2007, I’ve written a “TrendCast” for the coming year of health care. Over many years, there weren’t so many blogs devoted to health care which featured such prognostications, and so readers could divine signal from noise and move forward into new years with manageable lists of What To Expect Next Year in Healthcare. Here’s one from ten years ago that brings a sense of déjà vu: most of the findings are consistent with what we know for sure about 2026 and it’s useful to look back with today’s eyes to

 

The New Health Consumer Mindset and Wallet: From GLP-1s to Trading Up for Health & Longevity

From GLP-1s to longevity and new views on self-care for healthcare, the people are taking their health in-hand, at-home, and via-tech to complement and sometimes replace the legacy health system touchpoints which are the traditional categories for care: hospitals, doctors, rehab centers, diagnostics and labs, and health care financing and plans — some opting out of plans and going full-risk (cash, out-of-pocket) truly self-insuring against future medical risks. As I prepare to publish my Year-End/New Year TrendCast for 2026, I felt like front-ending next week’s annual long post with details on the demand side of the forecast — a focus

 

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

 

A Chasm Between U.S. Health Citizens: Is Vaccination a Personal Choice, or for the Benefit of All?

One of the only uniting factors in U.S. health care across political parties is that most of the nation’s health citizens, cross-party ID, trust doctors and their professional associations for reliable information on vaccines. Pediatricians in particular are mostly-trusted for vaccine facts, according to the KFF Tracking Poll on Health Information and Trust: Tylenol-Autism Link and Vaccine Policies, the latest in the Kaiser Family Foundation’s series on Health Information and Trust Tracking Polls.             The biggest trust-chasm when it comes to sources for vaccine information is Americans’ split views on Robert F. Kennedy Jr., the Secretary

 

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

 

In 10 Years, Health Care Will Happen Where Life Happens – PwC’s Tea Leaves into 2035

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

 

What the Growth of Single-Person-No Children SNAP Beneficiaries Means for Health in America

“SNAP has moved away from primarily serving families with children toward serving households without children, particularly those consisting of just one person,” an analysis from The Institute for Family Studies observes, giving us some food-for-thought on what these changing demographics of SNAP beneficiaries could mean for the health and well-being of people in the U.S.                 The Institute looked at data from the U.S. Department of Agriculture and graphed this top-line trend of households with children declining as a percent of SNAP households compared with growth among households without children. SNAP has significant

 

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

 

The Patient as Consumer – Updates from Fidelity on Retiree Health Care Costs ($172,500), Delaying Care, Tariff Impacts on Spending, and Roche Going DTPatient for Rx’s?

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

 

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

 

National Health Spending in the U.S. in 2033: What 20.3% of the GDP Will Be Spent On

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

 

Consumers’ Favorite Brands for 2025 Look a Lot Like Pandemic Times: All About Hygiene, Safety, Personal Care, and Packages

Shades of the year 2020; it’s déjà vu all over again when it comes to consumers’ most trusted brands in 2025 featured in Morning Consult’s Most Reputable Brands report.                         Here’s the list of the top 25 most trusted brands across all consumer touch-points and industries for all adults, ages 18 and older. A quick calculation reveals that consumers most trust brands covering, Home keeping and hygiene – Dawn, Clorox, Lysol, Mr. Clean, Home Depot Self- and personal care – Dove, Oral-B, Kleenex, Colgate Health – BAND-AID, Tylenol Packages

 

That Big Beautiful Bill’s Healthcare Proposals Aren’t So Pretty in the Views of Most People in the U.S. – Including Josh Hawley (R-Mo.) – Listening to the Kaiser Family Foundation June Health Tracking Poll

Across all U.S. voters, the so-called “Big Beautiful Bill” Act (BBB) is seen unfavorably by nearly a 2:1 margin. Underneath that top-line, Democrats, Independents, and non-MAGA Republicans oppose it, while MAGA supporters favor it. But favorability erodes when people hear about possible health impacts, we learn in the June 2025 Health Tracking Poll from the Kaiser Family Foundation. The details on views of the BBB Act are shown in the first bar chart, with overwhelming disfavor among Democrats and Independents, and majority unfavorability among non-MAGA GOP supporters.                 Next check into partisans’ lenses

 

Americans Hear More Frequently About GLP-1 Drugs Than About Menopause, Sleep, or Bird Flu

Yu In a sign of our health communications times, GLP-1s are a much more frequently health topic Americans hear about than autism and ADHD, cosmetic treatments like Botox, Bird flu, sleep issues, or menopause. The Pew Research Center polled 5,123 U.S. consumers in February and March 2025 to gauge peoples’ perspectives on health information and communications trends in America.                           In the study summary titled, From weight-loss drugs to raw milk, Americans hear more often about some health topics than others, the Pew Research team. The finding that

 

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,

 

Consumers Are Keen to Invest in Health and Well-Being – But Show Them the Evidence

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

 

A Toyota RAV4 Hybrid, a Playground Set, or Healthcare for a Family of 4: What $35,119 Can Buy in 2025 According to Milliman

If you went shopping for something that cost $35,119 in 2025, which would you most value? A new 2025 Toyota RAV4 Hybrid with some extras on board? A Canyon BYO playground set for your yard, school, or social-athletic club? Or, Healthcare coverage for a family of 4 in the form of a PPO? Welcome to this year’s 20th anniversary edition of the Milliman Medical Index (MMI), which I’ve looked forward to reviewing for most of its two-decade history. [You can read my annual takes on the MMI here in Health Populi by searching “MMI” and the year of publication in

 

The Next Version of Medical Tourism: Medical Immigration?

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

 

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

 

If Food Is Medicine, Some Might Feel It’s a Luxury Good Like a Specialty Drug

Most people in the U.S. say it’s harder to eat healthy given the cost of “healthy food,” we learn in the report on Americans on Healthy Food and Eating from the Pew Research Center, published 7 May 2025. With a view that healthy food is “too expensive,” it may feel like aspiring for it feels like luxury-good shopping, or being a patient prescribed a specialty (high-cost) drug.               The Pew team polled 5,123 U.S. adults’ perspectives on eating, fielded between 24 February and 2 March 2025. This report is timely as Secretary of Health and

 

How Consumers’ Economic Sentiments Are Shaping Peoples’ Financial and Emotional Well-Being (Spoiler: Not So Good): Learning from CivicScience

By Jane Sarasohn-Kahn on 1 May 2025 in Anxiety, Banks and health, Beauty and health, Behavioral health, Business and health, Chronic care, Chronic disease, Connected health, Connectivity, Consumer electronics, Consumer experience, Consumer-directed health, Coronavirus, Corporate responsibility, COVID-19, CX, Demographics and health, Depression, Design and health, Diet and health, DTC health, Empathy, Environment and heatlh, Family, Financial health, Financial toxicity, Financial wellness, Food and health, Food as medicine, Food security, Grocery stores, Health and Beauty, Health and safety, Health and wealth, Health at home, Health care industry, Health care marketing, Health Consumers, Health costs, Health disparities, Health Economics, Health ecosystem, Health engagement, Health equity, Health finance, Health insurance, Health marketing, Health social networks, Healthcare access, Home economics, Home health, Hospital to home, Housing and health, Hygiene and health, Jobs and health, Loneliness, Love and health, media and health, Medical banking, Medical bills, Medical debt, Medical technology, Mental health, Money and health, Nutrition, Omnichannel healthcare, OTCs, Out of pocket costs, Patient engagement, Patient experience, Patient safety, Personal health finance, Pharmacy, Popular culture and health, Prescription drugs, Prevention, Prevention and wellness, Public health, Race and health, Retail health, Safety net and health, SDoH, Self-care, Shopping and health, Social determinants of health, Social health, Social isolation, Social media and health, Social networks and health, Social responsibility, Stress, Tariffs, Techquity, Transparency, Trust, User experience UX, Wellbeing

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

 

A Profile of Health Consumer-Generations’ Use of Digital Health – Rock Health Takes Us Through the Ages

By Jane Sarasohn-Kahn on 23 April 2025 in Aging, Aging and Technology, Baby Boomers and Health, Behavior change, Big Tech, Boomers, Broadband, Cardiovascular health, Caregivers, Connected health, Connectivity, Consumer electronics, Consumer experience, Consumer-directed health, Demographics and health, Design and health, Diet and health, Digital health, Digital therapeutics, Digital transformation, DTC health, Employee benefits, Employers, Financial health, Fitness, Food and health, Health access, Health apps, Health at home, Health care industry, Health Consumers, Health costs, Health Economics, Health ecosystem, Health education, Health engagement, Health equity, Health marketing, Health Plans, Health privacy, Healthcare DIY, Heart disease, Heart health, Home economics, Home health, Hospital to home, Internet and Health, Internet of things, Medicaid, medical home, Medical technology, Medicare, Medication adherence, Men's health, Mental health, Mobile apps, Mobile health, Moms and health, Money and health, Nutrition, Omnichannel healthcare, Out of pocket costs, Patient engagement, Patient experience, Peer-to-peer health, Physicians, Play and health, Popular culture and health, Prevention, Prevention and wellness, Primary care, Privacy and security, Reproductive health, Retail health, Retirement and health, Self-care, Seniors and health, Sensors and health, Shared decision making, Shopping and health, Sleep, Smart homes, Smartphone apps, Smartphones, Smartwatches, Social determinants of health, Social health, Social networks and health, Sports and health, Techquity, Telehealth, Telemedicine, Trust, User experience UX, Virtual health, Wearable tech, Wearables

In the past year, most consumers in the U.S. have used virtual care, tracked at least one health metric digitally, and own a wearable or connected health device. Digital health has certainly gone mainstream across U.S. consumers, with varying utilization and motivation by generation, we learn in the report,   Screenagers to Silver Surfers: How each generation clicks with care from Rock Health.               To segment health consumers by age/generation, the RH team mined the firm’s 10th Consumer Adoption of Digital Health Survey which polled over 8,000 U.S. adults in 2024 on peoples’ perspectives

 

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

 

Most Americans Don’t Want to Cut Medicaid (Including Republicans)

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

 

Are We Liberated Yet? Tariffs Can Impact Financial Health (Riffing on MoneyLion’s Health Is Wealth Report)

By Jane Sarasohn-Kahn on 7 April 2025 in Anxiety, Behavioral health, Business and health, Caregivers, Consumer electronics, Consumer experience, Consumer-directed health, Demographics and health, Dental care, Depression, Determinants of health, Diagnostics, Diet and health, Doctors, DTC health, Employee benefits, Employers, Exercise, Family, Financial health, Financial toxicity, Financial wellness, Fitness, Food and health, Food as medicine, Food security, Future of health care, Gender equity, Gender equity and health, Global Health, Grocery stores, Happiness, Health access, Health and wealth, Health at home, Health benefits, Health care industry, Health citizenship, Health Consumers, Health costs, Health disparities, Health Economics, Health ecosystem, Health education, Health engagement, Health equity, Health finance, Health marketing, Health media, Health politics, Healthcare access, High deductibles, Home care, Home economics, Home health, Hospital finance, Hospital to home, Hospitals, Housing and health, Jobs and health, Maternal health, Medical device, Medical technology, Medication adherence, Medicines, Mental health, Moms and health, Money and health, Nutrition, Out of pocket costs, Pain, Patient engagement, Patient experience, Personal health finance, Pharmaceutical, Pink tax, Popular culture and health, Prescription drugs, Prevention, Prevention and wellness, Public health, Race and health, Retail health, Retirement and health, Safety net and health, SDoH, Self-care, Seniors and health, Shopping and health, Sleep, Social determinants of health, Social health, Social isolation, Social networks and health, Social security, Stress, Tariffs, Trust, Wellbeing, Wellness, Women and health

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

By Jane Sarasohn-Kahn on 1 April 2025 in Aging, Aging and Technology, AI, AI and health, Artificial intelligence, Augmented intelligence, Baby Boomers and Health, Banks and health, Big Tech, Bio/life sciences, Bioethics, Boomers, Business and health, Chronic care, Chronic disease, Climate change, Connected health, Consumer electronics, Consumer experience, Consumer-directed health, Corporate responsibility, Corporate wellness, Data analytics and health, Demographics and health, Design and health, Diagnostics, Diet and health, Digital health, Digital therapeutics, Digital transformation, Environment and heatlh, ESG and health, FDA, Financial health, Financial wellness, Fitness, Food and health, Food as medicine, Future of health care, Global Health, Grocery stores, Health access, Health apps, Health at home, Health benefits, Health care industry, Health citizenship, Health Consumers, Health costs, Health ecosystem, Health engagement, Health insurance, Health marketing, Health media, Health Plans, Health policy, Health politics, Health privacy, Health Quality, Health regulation, Healthcare access, Healthcare DIY, Home care, Home economics, Home health, Hospital to home, medical home, Medical innovation, Medical technology, Misinformation and health, Mobile apps, Money and health, Nutrition, Omnichannel healthcare, OTCs, Out of pocket costs, Participatory health, Patient engagement, Patient experience, Personal health finance, Personalized medicine, Pharmacists, Pharmacy, Popular culture and health, Population health, Prescription drugs, Prevention and wellness, Primary care, Privacy and security, Public health, Remote health monitoring, Retail health, Self-care, Seniors and health, Shopping and health, Social health, Social responsibility, Sustainability, Techquity, Telehealth, Travel and health, Trust, Value based health, Virtual health, Wellbeing

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

 

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

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

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

 

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

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

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

 

Think Quintuple Aim This Week at #HIMSS25

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

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

 

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

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

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

 

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

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

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

 

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

 

Trust and Grievance in 2025: The Edelman Trust Barometer on MLK Jr. Day Converging with the World Economic Forum Kick-Off and the Inauguration of the 47th U.S. President

At the start of each new year comes the World Economic Forum meet-up in Davos, Switzerland and with that conference start today, 20 January 2025, the publication of the Edelman Trust Barometer. Now in the study’s 25th annual edition, the Edelman Trust Barometer this year finds us, globally, in a Crisis of Grievance which is eroding trust. Edelman surveyed 1,150 residents (plus or minus) in each of 28 countries around the world, yielding over 33,000 citizens’ voices sharing perspectives on trust and institutions. Interviews were fielded from late October to mid-November 2024.                 

 

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

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

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

 

National Healthcare Spending in the U.S. Was Nearly $5 Trillion (with a “T”) in 2023 – New Data from CMS

What would $5 trillion be valued around the world or on the stock market? The economy of Germany was gauged around $5 trillion in 2024. India could be the world’s 3rd largest economy by 2026 valued at $5 trillion. Nvidia could be a $5 trillion company in 2025, as could Amazon. But today we report out the latest data from the Centers for Medicare and Medicaid Services (CMS) that national health spending in America reached $4.9 trillion in 2023. The full report on national health expenditures (NHE) in the U.S. was published today in Health Affairs, which came off embargo

 

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

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

 

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

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

 

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

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

 

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

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

 

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

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

 

How’s Life? Around the World – In the U.S., It’s the Sadness That Stands Out

A new report from the OECD asks the question, “How’s Life?” with the tagline letting us know the plotline focuses on “well-being and resilience in times of crisis.”       The Organization of Economic Cooperation and Development (OECD) has tracked the well-being of member nations for the past six years, taking a broad view on the definition of holistic health — including physical, mental, financial, and social aspects of people living in OECD countries. The first “How’s Life?” report was published at the height of the global financial crisis; the authors of this report introduce it saying that, “the

 

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

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

 

Health Care Costs and Access On U.S. Voters’ Minds – Even If “Not on the Ballot” – Ipsos/PhRMA

Today marks eight days before #Election2024 in the U.S. While many political pundits assert that “health care is not on the ballot,” I contend it is on voters’ minds in many ways — related to the economy (the top issue in America), social equity, and even immigration (in terms of the health care workforce). In today’s Health Populi blog, I’m digging into  Access Denied: patients speak out on insurance barriers and the need for policy change, a study conducted by Ipsos on behalf of PhRMA, the Pharmaceutical Research and Manufacturers of America — the pharma industry’s advocacy organization (i.e., lobby

 

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

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

 

The 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

 

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

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

 

Americans Want More Health Care Issues Baked into the 2024 Elections – Gallup

Beyond women’s health and abortion politics, most Americans are looking for more health care baked into the 2024 Elections, based on a new poll from Gallup in collaboration with West Health.           Two in three U.S. adults thought health care was not receiving enough attention during the 2024 Presidential campaign as of September 2024. This is a majority shared opinion for voters across the three party IDs in the U.S., shown in the first bar graph. The research polled 3,660 U.S. adults in September, about two-thirds before the presidential debate held September 10, and about one-third

 

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

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

 

Where Democrats and Republicans Agree on Health Care Policies – From Medicare and Prescription Drugs to Gun Safety

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

 

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

 

What the “Vibe-Cession” Means for Health Care in the U.S. – Spending is Personal

People living in the U.S. continue to feel a “vibe-cession” malaise, based on the American Mindset July 2024 update from Dentsu’s Consumer Navigator research.                     Notwithstanding generally good news about the American macroeconomy — in terms of growth, downward ticking inflation, and expected interest rate relief come September from the Federal Reserve — one in two Americans still thinks the country is in a recession. And this context is important for consumer’s personal spending on health care, fitness, and wellness, because, as Dentsu puts it, “consumers think in terms of personal finances.” As

 

Consumers Demand Foods That Are Healthy AND Delicious – and Some Health Equity Implications

The most common food-eating styles practiced by U.S. consumers are low sugar/diabetic diets, low-calorie, dairy-free, anti-inflammatory, and gluten-free, ccording to the Midyear Trends update from Datassential.             In their update on the food trends entering the second half of 2024, Datassential offered several insights on consumers and food-as-medicine in a section called the Health Check-Up. These trends are shaping consumers’ food demands in both their grocery shopping preferences (for food consumed in the home) as well as their eating-out ordering strategies — where 35% of consumers want to see menu offerings with foods that are

 

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

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

 

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

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

 

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

 

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

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

 

Prescriptions Are Up, Health Services Utilization Down, and GLP-1s Are a Major Growth Driver: IQVIA’s 2024 Update

In the past year, the growth of prescription drug utilization and spending has much to do with the use of GLP-1 agonists to treat diabetes and obesity, along with immunology therapy, and lipid meds, along with specialty medicines now accounting for over half of spending — up from 49% in 2018. This update comes from The Use of Medicines in the U.S. 2024 from the IQVIA Institute for Human Data Science. The annual report details trends in health services utilization, the use of prescription drugs, patient financing of those costs, the drivers underpinning the medicines spending, and an outlook to 2028.

 

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

 

The Cost of Medical Care, Long-Term Care, and Prescription Drugs Top Older Americans’ Health-Related Concerns – With Social Security and Medicare Top of Mind

Among Americans 50 years of age and over, the top health-related concerns are Cost, Cost, and Cost — for medical services, for long-term and home care, and for prescription medications. Quality of care ranks lower as a concern versus the financial aspects of health care in America among people 50 years of age and older, as we learn what’s On Their Minds: Older Adults’ Top Health-Related Concerns from the University of Michigan Institute for Healthcare Policy and Innovation. AARP sponsors this study, which is published nearly every month of the year on the Michigan Medicine portal.           

 

A Tax on Moms’ Financial and Physical Health – The 2024 Women’s Wellness Index

“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

 

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

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

 

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

 

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

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

 

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

 

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

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

 

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

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

 

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

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

 

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

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

 

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

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

 

Americans Come Together in Worries About Medical Bills, the Cost of Health Care, and Prescription Drug Costs

In the U.S., national news media, Federal statistics, dozens of business leaders  and the Federal Reserve Bank have been talking about an historically positive American economy on a macro level. But among individual residents of the U.S., there is still a negative feeling about the economy in a personal context, revealed in the Kaiser Family Foundation Health Tracking Poll for February 2024.                I’ve selected three figures of data from the KFF’s Poll which make the point that in peoples’ negative feelings about the national economy, their personal feelings about medical costs rank high

 

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