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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

 

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,

 

AI: Patients Included

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

 

The 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

 

As Food-As-Medicine Gains Momentum, Watch for Dietitians and Pharmacists to Sit at The FaM Table – And A Lesson from George Washington Carver

The food industry, both retail food chains and food suppliers, has found health and nutrition are having a positive impact on their businesses both for margins and for missions, we learn in the latest annual survey on Food Industry Contributions to Health & Well-being, 2024, from FMI. Most retail food channels operate pharmacies, three in five operate clinics in stores, and 2 in 5 of the clinics are health system-owned and operated.             FMI, the Food Industry Association, conducted this industry poll in October 2023 among food retail and supplier members, totaling 36 organizations representing over

 

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

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

 

Why Elevance Health is “Prescribing” Phones for Members

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

 

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

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

 

What to Expect For Health/Care at CES 2024

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

 

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

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

 

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

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

 

A Digital Health Checkup for the US – #1 in AI, Meh in Interoperability – An OECD Update

While health care has been slower than other industries to leverage digital transformation, COVID-19 accelerated change — revealing some key barriers blocking the potential for more fulsome transformation, the OECD explains in its latest version of Health At A Glance for 2023 with a detailed chapter on “digital health at a glance.”                   The OECD report assesses digital health maturity across 22 countries: in addition to the U.S., the report provides details digital health traits in (alphabetically) Australia, Austria, Belgium, Canada, Czech Republic, Denmark, Estonia, Finland, France, Germany, Ireland, Israel, Japan, Korea,

 

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

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

 

How Ahold-Delhaize Connects the Grocery, Climate Change, ESG and Consumers’ Health

In the food sector, “the opportunity for us and the role that we play is to connect climate and health,” Daniella Vega of Ahold Delhaize told Valerio Baselli during the Morningstar Sustainable Investing Summit 2023. In a conversation discussing the importance of non-financial metrics in companies’ ESG efforts, Vega connected the dots between climate change, retail grocery, and consumers’ health and well-being.             Vega is the Global Senior Vice President, Health & Sustainability, with Ahold Delhaize— one of the largest food retail companies in the world. Based in the Netherlands, the company operates mainly in

 

How Healthcare and Patients Can Benefit From a “Simplicity Premium”

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

 

Food-As-Medicine Grows Its Cred Across the Health/Care and Retail Ecosystem

In the nation’s search for spending smarter on health care, the U.S. could save at least $13 billion a year through deploying medically-tailored meals for people enrolled in Medicare, Medicaid, and private insurance programs, according to the True Cost of Food, research published by the Tufts School of Nutrition Science and Policy collaborating with The Rockefeller Foundation.       It’s been one year since the White House convened the Conference on Hunger, Nutrition, and Health, kicking off the Biden Administration’s national strategy to improve health citizens’ access to healthy food as a matter of public health and economic security.

 

The Clinician of the Future: A Partner for Health, Access, Collaboration, and Tech-Savviness

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

 

Channeling Tip O’Neill: “All Public Health (Love) is Local,” U.S. Health Citizens Tell the de Beaumont Foundation

Appreciation for public health in America tends to be a local-love thing, according to research from the de Beaumont Foundation.              The COVID-19 pandemic raised health citizens’ awareness of the role and importance of public health — and for 7 in 10 people in the U.S., inspired a favorable opinion of their local public health officials, de Beaumont found. the Foundation’s President and CEO, Briant Castrucci, DrPH, observed, “The shared pandemic experience seems to have driven deeper familiarity with and support of public health departments and officials, along with a stronger understanding of the important

 

Large Employers Expect More Employees Will Experience Prolonged Health Impacts Due to COVID-19. and a Note About Telehealth Engagement

Due to their delayed return to medical services and diagnostic testing in the COVID-19 pandemic era, U.S. employees are expected to sustain serious health impacts that will drive employers’ health care costs, envisioned in the 2024 Large Employer Health Care Strategy Survey from the Business Group on Health (BGH).               Dealing with mental health issues is the top health and well-being impact workers in large companies are addressing in 2023. Looking forward, large employers foresee their workers will be seeking care for chronic conditions and later-stage cancers that are diagnosed due to delayed screenings.

 

Personalizing Health Means Personalizing Health Insurance for Patient-Members – Learning from HealthEdge

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

 

A Tale of Barbie, Beyonce and Taylor, the Economy and the Gynecologist

This weekend’s Wall Street Journal Saturday/Sunday edition featured a big story on the economic force of women in the summer of 2023, termed “the women’s multiplier effect” — that women’s spending is a powerful force in the U.S. economy (and as it turns out, in Sweden’s economy as well).                 The article was titled, “Women Own This Summer. The Economy Proves It,” and featured a Photoshopped image in various shades of pink with Margot Robbie as Barbie in the center, flanked by Beyonce to the left and Taylor Swift to the right. I’m

 

Hims and Hers and Hearts – Cardiology Blurs Into DTC Retail Health

Statin therapy has been used for decades to lower cholesterol with the goal of reducing mortality and preventing cardiovascular problems such as heart attacks and strokes. Hims & Hers announced a new service offering for health consumers and clinicians concerned about heart health called Heart Health by Hims.               This is Hims & Hers’ first foray into cardiovascular health, working in collaboration with the American College of Cardiology (ACC). ACC clinical guidelines will inform the Hims’ provider platform for the program. “Prevention is the ideal mechanism to decrease cardiovascular events and ensure optimal heart

 

To Avert a GLP-1 Cost Tsunami, Add Lifestyle Interventions: Learning from Virta Health

With consumer and prescriber interest in GLP-1 receptor agonist drugs “soaring,” health plan managers have a new source of financial stress and clinical questions on their to-do list. A team of Virta Health leaders held a webinar on 13th July 2023 to explain the results of a study the company just completed assessing health plan execs’ current views on Ozempic and other GLP-1 medicines with a view on both clinical outcomes and cost implications for this growing category of drugs that address diabetes and obesity.             Indeed, diabetes and obesity are top health concerns among the

 

Can Artists Help to Remake Medicine? A New Book Asks and Answers (Yes!)

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

 

Happy 75th Birthday, NHS – Through A U.S. Health Care Lens

The UK’s National Health Service (NHS) turns 75 today.             The NHS was the brainchild of Minister of Health Aneurin Bevan; he wrote in a statement to doctors and nurses in The Lancet on July 3, 1948,  “My job is to give you all the facilities, resources, apparatus and help I can, and then to leave you alone as professional men and women to use your skill and judgement without hindrance.” This week in The Lancet, the editors assert, “The founding principles of the NHS put into practice 75 years ago are at risk of

 

The State of Healthcare in America, State-By-State

If you live in Massachusetts, Hawaii, and New Hampshire, you win a kind of state lottery for public health and well-being, based on this year’s read of the 2023 Scorecard on State Health System Performance from The Commonwealth Fund.           Here’s a picture of the annual study’s top-line findings, a roster of the fifty U.S. states ranked by a mash-up of health system indicators. As Annie Burkey of FierceHealthcare succinctly summed it up, the “Commonwealth Fund gives healthcare in southeastern states failing grades across the board.” I’ll give you more details about the Top and Bottom

 

Searching for Health/Care Touchpoints in the 2023 Axios Harris Poll 100

Patagonia, Costco, John Deere, and Trader Joe’s are loved; Twitter, Fox Corp., FTX and The Trump Organization? Not so much. Welcome to 2023 Axios Harris Poll 100 list of companies U.S. consumers rate from excellent in terms of reputation to very poor and, one in particular, “critical.” Exploring the list, we can find insights into consumers’ preferred touchpoints for health, health care, and well-being curated in their daily lives. In this, today’s, Health Populi blog, I consider The 2023 Axios Harris Poll 100 reputation rankings in light of what we learned from the Morning Consult Most Trusted Brands 2023 study

 

The Growing Pet Economy – What It Means for Human Health, Well-Being, and Healthcare Costs

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

 

Our Mental and Emotional Health Are Interwoven With What We Eat and Drink – Chewing On the IFIC 2023 Food and Health Survey

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

 

A Public Health Wake-Up Call: Reading Between the Lines in IQVIA’s 2023 Use of Medicines Report

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

 

Women’s Health on Her Own Terms – “She Knows” What She Needs

Despite some improvement in the representation of women by cinema, TV shows, and brands, distortions in media remain that are risks to women receiving appropriate health care. Breaking through taboos of weight, reproductive services, and mental health are the top 3 factors preventing women from getting proper care, according to Health On Her Terms, a research study from WPP and Ogilvy partnering with SeeHer, an organization of collaborations from media, technology, business, education, and other sectors (including over 7,000 brands) focused on the accurate portrayal of women and girls in society. Taglined as “The Marketer’s Hippocratic Oath to Women, the

 

Food Is Medicine, Especially When You Are Hungry – The American Heart Association‘s FIM Initiative

Food is a basic need, fundamental to our lives and well-being. And for millions of people around the world, and innumerable health citizens in the U.S., food security is part of daily life in 2023. Furthermore, as the U.S. Congress faces voting on the debt ceiling, the issue of SNAP benefits for nutritional assistance (aka “food stamps”) has been identified as a negotiating line-item by certain Federal budget-cut minded folks. That’s why the Food Is Medicine Initiative, launched collaboratively between the American Heart Association and The Rockefeller Foundation, is so timely and welcome.         “The vision for

 

Consumers Expect Every Company to Play a Meaningful Role in “My Health” – New Insights from the 2023 Edelman Trust Barometer

People have expanded their definitions of health in 2023, with mental health supplanting physical health for the top-ranked factor in feeling healthy. Welcome to the Edelman Trust Barometer Special Report: Trust and Health, released this week, with striking findings about how the economic, post-pandemic life, pollution and climate change all feed mis-trust among citizens living in 13 countries — and their eroding trust for health care systems.         While these factors vary by country in terms of relative contribution to citizen trust, note that in the U.S., social polarization plays an outsized role in factors that “make us

 

Appreciating Water as a Driver of Health: Designing for Good, from the UN to Liberia and Flint, Michigan

The United Nations (UN) convened the 2023 Water Conference convened March 22-24, 2023, in New York City. The meeting brought together stakeholders from all over the world to brainstorm how to meet UN sustainability development goals (SDGs) for #6 of the 17 SDGs addressing clean water and sanitation. This event was billed in the words of the conveners, a “watershed moment to tackle the global water crisis and ensure a water-secure future.”                 That water-secure future is a critical factor in the well-being for both people and Planet Earth, quantified in the first

 

The ROI on Feeling Cared-For At Work – Employer Trust, Love, and Building the Joyconomy

“Can employers afford not to care?” MetLife’s 21st annual U.S. Employee Benefit Trends Study asks and answers that question, with a resounding and evidence-based “NO.”                 I’m in Salt Lake City today discussing the drivers of health, “yesterday, today, and tomorrow” at the Virgin Pulse Thrive Summit, celebrating the ten-year anniversary of the company. As you would expect from an organization that is part of Richard Branson’s business ecosystem, the meeting will be energetically produced, delivering insights wrapped in info-taining ways. One of those features will be my being invited to create a

 

The Commercial Determinants of Health – How the Private Sector Shapes Public and Peoples’ Health

You’ve heard of the social determinants of health (SDoH), the driving factors that shape a person’s health beyond medical care. These include lifestyle behaviors such as smoking and food consumption, education, job security and wage stability, transportation and safe/clean physical environments, among other issues. There’s another lens on drivers of health that impact our well-being, the commercial determinants of health (CDoH). The Lancet‘s collection of research published online on March 23, 2022 explores CDoH’s role in shaping public and individual health, along with potential calls-to-action for addressing these challengres.               Start with a definition of

 

The New Deaths of Despair in America – Among U.S. Children

The phenomenon of Deaths of Despair is the short-hand name for rising mortality among certainly people living in the U.S. due to overdose, accidents, and suicide. Angus Deaton and Anne Case published their first of many research papers on Deaths of Despair in 2015. Their research uncovered the risks of dying a Death of Despair to be higher among men, especially those between the ages of 25 and 64. But mortality isn’t only going in the wrong direction for those people most closely associated with the Deaths of Despair demographic: there’s another life-span line graph moving in the wrong direction,

 

Food-as-Medicine Update: How SNAP Members Face Greater Chronic Illness and a “Hunger Cliff”

The pandemic worsened food insecurity for many people in the U.S., putting more people at risk for not only hunger but for chronic diseases that can be managed with access to nutritious, fresh food. In Helping SNAP Consumers During Economic Headwinds from Numerator, we get a current read on food security, the SNAP program, and the challenges of chronic health management that are intimately tied. To set some context on this current challenge to peoples’ health, the U.S. is facing the official end of the pandemic emergency on May 11, 2023. At that point, support for government-sponsored programs that have supported

 

The Future of Love and How It Could Shape Health, Well-Being, and Daily Living

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

 

The US Healthcare System Outspends and Underperforms While Most People Live Paycheck to Paycheck

The U.S. is an outlier in the world for high health care spending, as well as in low achievement for life expectancy at birth — 3 years less than that in peer OECD countries — discussed in U.S. Health Care from a Global Perspective, 2022: Accelerating Spending, Worsening Outcomes, the latest look into American health system performance in a global context from The Commonwealth Fund. Another study published in JAMA this week talks about the Organization and Performance of US Health Systems, calling out the fact that, “Small quality differentials combined with large price differentials suggests that health systems have

 

What Are Patients Looking for in a Doctor? It Depends on Who You Ask…and Their Race

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

 

The Polarization of Trust in 2023 – What It Means for Health, via Edelman at Davos WEF 23

For the third year in a row, citizens in most of the world see business as the most-trusted institution, above government, media, and NGOs, found in the 2023 Edelman Trust Barometer, unveiled this week at the annual World Economic Forum in Davos, Switzerland.                       The Edelman team conducted this 23rd annual study in November 2022 in 28 countries, among over 32,000 people — some 1,150 residents per country polled. (Note that Russia, studied in the surveys between 2007 and 2022, was not included in the 2023 research). The first chart arrays

 

Of All Forms of Inequality, Injustice in Health Care is the Most Shocking and Inhumane: Listening to Martin Luther King, Jr.

Today as we appreciate the legacy of Martin Luther King, Jr., I post a photo of him in my hometown of Detroit in 1963, giving a preliminary version of the “I Have a Dream” speech he would deliver two months later in Washington, DC.               Wisdom from the speech: “But now more than ever before, America is forced to grapple with this problem, for the shape of the world today does not afford us the luxury of an anemic democracy. The price that this nation must pay for the continued oppression and exploitation of the

 

The Heart Health Continuum at #CES2023 – From Prevention and Monitoring to Healthy Eating and Sleep

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

 

Can Consumer Electronics Help Stem the Decline of U.S. Life-Years? A Preface for #CES2023

Life expectancy in the U.S. dropped nearly three years between 2019 and 2021, from close to 79 years down to 76. We ended 2022 with this new, sobering statistic from the Centers tor Disease Control (CDC). We begin 2023 with the opening of CES 2023, the world’s largest annual meet-up of consumer electronics innovators, companies, and retailers. How can digital health and other consumer-facing technologies help our health? First, consider the stark data point(s), and then we can better respond to the question’s answer in the Hot Points, below.                 In case you

 

When Household Economics Blur with Health, Technology and Trust – Health Populi’s 2023 TrendCast

By Jane Sarasohn-Kahn on 22 December 2022 in Anxiety, Behavioral health, Big data and health, Big Tech, Broadband, Business and health, Cardiovascular health, Chronic care, Chronic disease, Connected health, Consumer electronics, Consumer experience, Consumer-directed health, Coronavirus, COVID-19, Cybersecurity, Data analytics and health, Demographics and health, Depression, Design and health, Determinants of health, Diet and health, Digital health, Employee benefits, Employers, Financial health, Financial wellness, Fitness, Food and health, Grocery stores, Health apps, Health at home, Health benefits, Health care industry, Health citizenship, Health Consumers, Health costs, Health disparities, Health Economics, Health ecosystem, Health engagement, Health equity, Health insurance, Health Plans, Health policy, Health politics, Health privacy, Healthcare DIY, Heart disease, Heart health, HIPAA, Home care, Home economics, Home health, Hospitals, Infectious disease, Love and health, Medication adherence, Meditation, Mental health, Mindfulness, Moms and health, Money and health, Out of pocket costs, Patient experience, Personal health finance, Pharmaceutical, Pharmacy, Physicians, Popular culture and health, Prescription drugs, Prevention and wellness, Primary care, Public health, Race and health, Remote health monitoring, Retail health, Risk management, SDoH, Self-care, Shopping and health, Social determinants of health, Specialty drugs, Stress, Telehealth, Telemedicine, Transparency, Trust, User experience UX, Vaccines, Value based health, Virtual health, Vitamins, Wearable tech, Wellbeing, Workplace benefits

People are sick of being sick, the New York Times tells us. “Which virus is it?” the title of the article updating the winter 2022-23 sick-season asked. Entering 2023, U.S. health citizens face physical, financial, and mental health challenges of a syndemic, inflation, and stress – all of which will shape peoples’ demand side for health care and digital technology, and a supply side of providers challenged by tech-enabled organizations with design and data chops. Start with pandemic ennui The universal state of well-being among us mere humans is pandemic ennui: call it languishing (as opposed to flourishing), burnout, or

 

Our Homes as HealthQuarters – Finding Health and Well-Being at CES 2023

For over ten years, digital health technology has been a fast-growing area at the annual CES, the largest convention covering consumer electronics in the world.           When the meet-up convenes over 100,000 tech-folk in Las Vegas at the start of 2023, we’ll see even more health and self-care tools and services at #CES23 — along with new-new things displayed in aisles well outside of the physical space on the Las Vegas Convention Center map labeled “digital health” at this year’s CES in the North Hall.         Some context: my company has been a member

 

Telehealth and Spirituality – a View From Florence, Italy

I’m in Florence, Italy, this week, working on Slow Food as medicine and finding myself contemplating spirituality, health and wellbeing as I walk the streets of this grand city of the Renaissance.       Imagine my surprise, yesterday, walking through the city center by the glorious Duomo, the great dome of the cathedral named Santa Maria del Fiore, with the beautiful Baptistry built just across the piazza. You see my initial view approaching the square here, the church and Duomo on the left and the Baptistry on the right.         Now cast your eyes in the

 

The Tik Tok’ing of Medical Mis-Information: Doctors’ and Patients’ Roles in Curating Healthy Advice

Doctors in the U.S. believe that the medical mis-information problem is worsening, learned in survey research from Merck Manuals. Doctors and patients, both, have roles to play in addressing medical misinformation online.                   Less than half of consumers, 44%, said that that there is more medical mis-information online than previously. That’s less than half of the percentage of doctors saying so — 98%, virtually all U.S. physicians, citing the problem. There were several disconnects noted in the Merck Manuals study showing starkly different perceptions of health information online between doctors and patients:

 

The Food-Finance-Health Connection: Being Thankful, Giving Thanks

Food features central in any holiday season, in every one’s culture. For Thanksgiving in the United States, food plays a huge role in the history/legend of the holiday’s origins, along with the present-day celebration of the festival. At the same time, in and beyond the U.S., families’ finances will also be playing a central role in dinner-table conversations, shopping on the so-called “Black Friday” retail season (which has extended long before Friday 25th November), and in what’s actually served up on those tables. Let’s connect some dots today on food, finance and health as we enter the holiday season many

 

In Search of Clinical Effectiveness, But “Investment Exuberance?” Not So Much. Insights From FINN Partners and Galen Growth at HLTH 2022

While venture funding for digital health technology declined globally by 35% in the first three quarters of 2022 compared with 2021, this marks a “return to normal” based on the assessment in the Global State of Digital Health Report from FINN Partners and Galen Growth, published today and launched during the HLTH 2022 conference.                 The report analyzes data from over 12,000 digital health ventures tracked by Galen Growth’s HealthTech Alpha platform. The first chart illustrates the change in venture funding by therapeutic area, showing downturns in four of the five areas called

 

Thinking Value-Based Health Care at HLTH 2022 – A Call-to-Action

The cost of health insurance for a worker who buys into a health plan at work in 2022 reached $22,463 for their family. The average monthly mortgage payment was $1,759 in mid-2022.               “When housing and health both rank as basic needs in Maslow’s hierarchy, what’s a health system to do?” I ask in an essay published today on Crossover Health’s website titled Value-Based Care: Driving a Social Contract of Trust and Health. The answer: embrace value-based care. Warren Buffett wrote Berkshire Hathaway shareholders in 2008, asserting that, “Price is what you pay. Value

 

Health Care in the 2022 U.S. Midterm Elections – Considerations for Conversations at HLTH

You and I are ending this week looking back three days, Friday morning quarterback style, wondering how the U.S. 2022 midterm elections could impact health and health care in America. We can never know with 101% certainty the answer to this question following any U.S. election. This year’s midterms leave us especially in need of scenario planning, especially as on this day, we still do not know what the final balance of power in the U.S. Congress will be. Nor can we ascertain, just yet, what the jockeying for power within both the Democratic party and the Republican party will

 

The Patient as Prescription Drug Payer – The GoodRx Playbook

Patients have more financial skin-in-their-healthcare-games facing high-deductibles and direct out-of-pocket costs for medical bills…including prescription drugs. I collaborated with GoodRx on a “yellow paper” discussing The Health Consumers as Payer, with implications and calls-to-action for pharma and life science companies. You can download the paper at this link.               The report is intended to be a playbook for understanding patients’ growing role as consumers and health care payers, providing insights into peoples’ home economic mindsets and how these impact a patient’s adherence to medication based on cost and perceived value. With inflation facing household

 

Home Is Where the Health Is: An Update on Connectivity, Food, and Retail

Virtually every closed-door meeting I have had in the U.S. with a client group in the past several months has had a line item on the agenda to brainstorm the impact and opportunity of care-at-home, hospital-to-home, or Care Everywhere. This has happened across many stakeholders in the evolving health/care ecosystem of suppliers, including hospital systems, health plans, grocery chains, retail pharmacy, consumer technology, digital health and tech-enabled providers, pharma and medical supply companies. On October 10, Dr. Robert Pearl, former CEO of The Permanente Medical Group, published a provocative post on Forbes noting that Amazon, CVS, Walmart Are Playing Healthcare’s

 

Consumers’ and the White House’s Growing Focus on Food and Nutrition

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

 

The Direct Link Between Value-Based Health Care, Digital Transformation and Social Determinants – Insights from Innovaccer and Morning Consult

Only 4% of health care payments in the U.S. are pure fee-for-service (FFS) these days. “The end of pure FFS is near,” according to The State and Science of Value-Based Care, a report-out of survey research from Innovaccer and Morning Consult.             Innovaccer, a health cloud/data analytics company, worked with Morning Consult to do deep-dive interviews with 75 senior health care executives; research was conducted in November and December 2021, so these perspectives represent those of health system leaders at the start of 2022. The full report is worth your read; my focus in this Health

 

Physicians More Bullish On the Benefits of Digital Tools for Patient Care, the AMA Tells Us

Most doctors see the advantages of digital health tools like telehealth, consumers’ access to their health information, and point-of-care workflow solutions, the American Medical Association found in a survey of 1300 physicians, published in September 2022.             The AMA first conducted research with physicians and their views on digital health in July 2016. This year’s study was designed to compare current clinicians’ perspectives with those garnered in the 2016 and 2019 studies. There is a clear and positive shift of doctors’ adoption of and appreciation for digital tools, with “growth in enthusiasm” concentrated in tele-visits, the

 

Patient Support Isn’t Just About the Price of Therapy: It’s About Safety, Really Rich Data and Trust

When I talk about patient support programs (PSPs), I’m most often focused on supporting peoples’ access to medicines due to costs, bolstering health literacy, and addressing health citizens’ risks of drivers of health that can be obstacles to optimal health outcomes (those challenging social determinants of health). A new report from Deloitte on Intelligent post-launch patient support speaks to another crucial definition of patient support: post-market surveillance and patient safety.                 The paper’s central thesis is that improving patient support is a critical step in the biopharma value chain, illustrated in the first diagram

 

The Retail Health Battle Royale, Day 5 – Consumer Demands For a Health/Care Ecosystem (and What We Can Learn from Costco’s $1.50 Hot Dog)

In another factor to add into the retail health landscape, Dollar General (DG) the 80-year old retailer known for selling low-priced fast-moving consumer goods in peoples’ neighborhoods appointed a healthcare advisory panel this week. DG has been exploring its health-and-wellness offerings and has enlisted four physicians to advise the company’s strategy. One of the advisors, Dr. Von Nguyen, is the Clinical Lead of Public and Population Health at Google….tying back to yesterday’s post on Tech Giants in Healthcare.         Just about one year ago, DG appointed the company’s first Chief Medical Officer, which I covered here in

 

The Retail Health Battle Royale in the U.S. – A Week-Long Brainstorm, Day 1 of 5

I’ve returned to the U.S. for a couple of months, having lived in and worked from Brussels, Belgium, since October 2021 (save for about ten days in March 2022). Work and life slow down in Europe in July and August, giving us the opportunity to return to our U.S. home base, reunite with friends and family, and re-join life and living this side of the Atlantic. The timing of my return to the U.S. coincides with a retail health hurricane of big announcements shaking up the health/care ecosystem. Among these events are Amazon’s plan to acquire One Medical, Apple’s publication of

 

Your State as a Determinant of Health: Sharecare’s 2021 Community Well-Being Index

People whose sense of well-being shifted positively in the past two years are finding greater personal purpose and financial health, we see in Sharecare’s Community Well-Being Index – 2021 State Rankings Report.                   Sharecare has been annually tracking well-being across the 50 U.S. states since 2008. When the study launched, Well-Being Index evaluated five domains: physical, social, community, purpose, and financial. In 2020, Sharecare began a collaboration with the Boston University School of Public Health to expand the Index, including drivers of health such as, Healthcare access (like physician supply per 1,000

 

More Americans Trust Small Biz and the Military than the Medical System, Gallup Finds

The most trusted institutions in the U.S. are small business and the military, the only two sectors in which a majority of Americans have confidence. Americans’ trust in institutions hit new historic lows in 2022, Gallup found in its latest poll of U.S. sentiment across all major sectors.                 Today, more Americans have faith in the police than in the medical system, according to a Gallup poll finding that Confidence in U.S. Institutions Down; Average at New Low. published this week of Independence Day 2022. Confidence runs from a higher of 68% for

 

Consumers’ Dilemma: Health and Wealth, Smartwatches and Transparency

Even as spending on healthcare per person in the United States is twice as much as other wealthy countries in the world, Americans’ health status ranks rock bottom versus those other rich nations. The U.S. health system continues to be marred by health inequalities and access challenges for man health citizens. Furthermore, American workers’ rank top in the world for feeling burnout from and overworked on the job.             Welcome to The Consumer Dilemma: Health and Wellness,, a report from GWI based on the firm’s ongoing consumer research on peoples’ perspectives in the wake of

 

Changing Views of Retirement and Health Post-COVID: Transamerica’s Look At Workers’ Disrupted Futures

As more than 1 in 3 U.S. workers were unemployed during the pandemic and another 38% had reductions in hours and pay, Americans’ personal forecasts and expectations for retirement have been disrupted and dislocated.                 In its look at The Road Ahead: Addressing Pandemic-Related Setbacks and Strengthening the U.S. Retirement System from the Tramsamerica Center for Retirement Studies (TCRS), we learn about the changing views of U.S. workers on their future work, income, savings, dreams and fears. Since 1988, TCRS has assessed workers’ perspectives on their futures, this year segmented the 10,003 adults

 

Use of Preventive Health Services Declined Among Commercially Insured People – With Big Differences in Telehealth for Non-White People, Castlight Finds

Declines in preventive care services like cancer screenings and blood glucose testing concern employers, whose continued to cover health insurance for employees during the pandemic.                       “As we enter the third year of the COVID-19 pandemic, employers continue to battle escalating clinical issues, including delayed care for chronic conditions, postponed preventive screenings, and the exponential increase in demand for behavioral health services,” the Chief Medical Officer for Castlight Health notes in an analysis of medical claims titled Millions of People Deferred Crucial Care During the Pandemic, published in June. The

 

The 2022 US Health System Report Card: Pretty Terrific If You Live in Hawaii or Massachusetts

The best U.S. states to live in for health and health care are Hawaii, Massachusetts, Connecticut, Washington, Vermont, Rhode Island, and Maryland…             Those are the top health system rankings in the new 2022 Scorecard on State Health System Performance annual report from the Commonwealth Fund. If you live in Mississippi, Oklahoma, West Virginia, Texas, Missouri, Alabama, Georgia, or Arkansas, your health care and outcomes are less likely to be top-notch, the Fund’s research concluded.                 The Commonwealth Fund has conducted this study since 2006, assessing a range

 

The Care Crisis – Robots Won’t Save Us

Among the many lessons we should and must take emerging out of the COVID-19 pandemic, understanding and addressing the caregiver shortage-cum-crisis will be crucial to building back a stronger national economy and financially viable households across the U.S. And if you thought robots, AI and the platforming of health care would solve the shortage of caregivers, forget it.               Get smarter on the caregiver crisis by reading a new report, To Fix the Labor Shortage, Solve the Care Crisis, from BCG. You’ll learn that 9 of 10 new care-sector jobs will be in-person for

 

Healthcare access, racial disparities, guns and climate – U.S. doctors are worried about some big social issues

Doctors heads and hearts are jammed with concerns beyond curing patients’ medical conditions: U.S. physicians are worried about big social issues, according to a Medscape survey report, Physicians’ Views on Today’s Divisive Social Issues 2022.               Topping physicians’ list of their top-five most important social issues, far above all others ranked healthcare access. Underneath that top-line statistic, it’s important to note that: 52% of doctors are “very concerned” about healthcare access, 28% are “concerned,” and 13% are “somewhat concerned.” Medscape underscores that in 2020, 31 million U.S. residents had no health insurance coverage, and

 

Jasper, Scaling a Human Touch for People Dealing with Cancer, Now With Walgreens

Each year, the first Sunday in June marks National Cancer Survivors Day. This year’s NCSD occurred two days ago on Sunday, 5th June. When you’re a cancer survivor, or happen to love one, every day is time to be grateful and celebrate that survival of someone who has come through a cancer journey. We all know (or are) people who have survived cancer. We know that the recipe for battling cancer goes beyond chemotherapy. We know of the resilience and grit required in the process: body, mind, and spirit. “Celebrate Life” is the mantra of NCSD, as this year’s campaign

 

The Health of Older Americans in 2022 – Risks from the Pandemic, Isolation, and Social Determinants

For millions of older people in America, health and well-being got worse in the wake of the COVID-19 pandemic. Physical, mental and behavioral health took hits, depending on one’s living situation, social determinants of health risks, and even health plan, I write in the Medecision Liberate Health blog.                     In this essay on health disparities and equity for older adults, I weave together new data from, The United Health Foundation’s study on seniors’ health status in America’s Health Rankings for 2022 RAND and CMS research into seniors health disparities among Medicare Advantage

 

Social Determinants of Health Risks Challenge the Promise of Hospital-to-Home

In the wake of the pandemic and growing consumer preferences, the hospital-to-home movement is gaining traction among health systems. Amidst bullish forecasts for the promise of hospital-to-home discharges, the ability for many patients to make this migration would be a difficult bridge to cross.           On the promising front, recent studies reviewed through a meta-analysis published in JAMA found that hospital-to-home programs can be clinically and cost-effective for inpatients discharged from hospital. Earlier this year, McKinsey addressed how “Care at Home” ecosystems can reshape the way health systems — and people — envision patient care. This

 

The Patient as Consumer and Payer – A Focus on Financial Stress and Wellbeing

Year 3 into the COVID-19 pandemic, health citizens are dealing with coronavirus variants in convergence with other challenges in daily life: price inflation, civil and social stress, anxiety and depression, global security concerns, and the safety of their families. Add on top of these significant stressors the need to deal with medical bills, which is another source of stress for millions of patients in America. I appreciated the opportunity to share my perspectives on “The Patient As the Payer: How the Pandemic, Inflation, and Anxiety are Reshaping Consumers” in a webinar hosted by CarePayment on 25 May 2022. In this

 

How Trust and Geopolitics Will Impact Health and Business – Edelman 2022 Trust Barometer at the World Economic Forum in Davos

When we think about the state of Trust in in mid-2022, there is some good news: Trust is rising (at least in democratic countries, while falling in autocratic ones). The bad news: the gap in Trust has dramatically widened between higher-income people compared with those earning lower-incomes, globally.             And that gap is “tinder” that can be quickly sparked into a socio-political fire in countries around the world, Richard Edelman cautioned today when introducing the latest look at the 2022 Edelman Trust Barometer, focusing on geopolitics and business. We have never seen numbers like this

 

Stress Is Playing A Big Role in Consumers’ Food Habits: Food-As-Medicine Update from IFIC

The COVID-19 pandemic accelerated consumers, globally, to take on more DIY roles as well as self-care for health and well-being. In addition, anxiety and stress are mainstream across demographics and have impacted the way people select and consume food, based on findings in the 2022 Food and Health Survey from the International Food Information Council (IFIC).             In this 17th annual consumer survey, IFIC points to two underlying macro trends that are re-shaping peoples’ relationship with food and health: the pandemic’s impact, and “significant” generational shifts in taste, consumption, and values about nutrition and sustainability.

 

Digital Health Adoption Across Communities is Uneven By Rurality, Race, Health Plan, and Gender

While telehealth, mobile health apps, and wearable technology are all growing for mainstream consumers, there are gaps in adoption based on where a person lives, their health insurance plan type, race/ethnicity, sexual orientation and gender. Thanks to the team at Rock Health, we know more about these gaps explained in their report, Startup innovation for underserved groups: 2021 digital health consumer adoption insights, published this week. The report examines three areas of digital health adoption: Live video telemedicine Wearable technology ownership, and Digital health tracking.         We all know the mantra that our ZIP code impacts our

 

Three in Five People 50+ in the US Will Likely Use Telehealth In the Future – An Update from AARP

“Telehealth certainly appears to be here to stay,” the AARP forecasts in An Updated Look at Telehealth Use Among U.S. Adults 50-Plus from AARP.                         Two years after the emergence of the COVID-19 pandemic, one-half of U.S. adults over 50 said they or someone in their family had used telehealth. In early 2022, over half of those over 50 (the AARP core membership base) told the Association they would likely use telehealth in the future. This future expectation varies by race, the implications of which I discuss below in

 

People Thinking More About the Value of Health Care, Beyond Cost

The rate of people in the U.S. skipping needed health care due to cost tripled in 2021. This prompted West Health (the Gary and Mary West nonprofit organizations’ group) and Gallup to collaborate on research to quantified Americans’ views on and challenges with personal medical costs. This has resulted in The West Health-Gallup Healthcare Affordability Index and Healthcare Value Index.               The team’s research culminated in the top-line finding that some 112 million people in the U.S. struggle to pay for their care. That’s about 4.5 in 10 health citizens. Furthermore, 93% of people

 

The Demand for Self-Care At-Home Will Grow Post-Pandemic – Insights from IRI

The coronavirus pandemic has re-shaped consumers across many life- and work-flows. When it comes to peoples’ relationship to consumer packaged goods (CPG), the public health crisis has indeed impacted consumers’ purchasing behaviors and definition of “value,” based on IRI’s latest analysis of CPG shifts in 2022 and 2023.           IRI has been tracking COVID-19’s impact on CPG and retail since the emergence of the coronavirus. In this Health Populi post, I’ll discuss the research group’s assessment of CPG shifts of consumer packaged goods through my lens on health/care, everywhere — especially, in this case, the home.

 

How Health Gets Built – The Building H Index Thinking Health-By-Design

“It’s hard to be healthy in the U.S. today.” That is the underlying premise and reason for The Building H Index. Health happens outside of doctors’ offices and hospital operating rooms. Health is made in our homes, in our communities, in our daily lives as we go about working, playing, learning, and praying. Too often, in those daily life-flows, making a healthy decision is harder than defaulting to a less-healthy one. Sometimes, it’s pretty impossible given the state of, say, air quality that we breathe, lack of fresh produce and whole foods at the corner market, or seductively designed automobiles

 

Health Care and ESG on Earth Day 2022

As health care industry stakeholders and policymakers have begun to recognize and address the underlying drivers of peoples’ health, there’s another acronym that is taking hold in health care beyond SDoH: that is ESG, standing for Environment Social, and Governance pillars of responsibility and activity.               To mark this Earth Day 2022, I’ve written a brief primer on ESG for the health care community published today in the Medecision Liberate Health blog. Here in Health Populi, I’ll give you a few highlights with graphics you won’t see in that essay to illustrate some key

 

The Color of Care – Oprah and The Smithsonian Channel Partner on Health Equity

A new documentary and educational campaign on health equity will be launched on May 1st, 2022, from Oprah’s Harpo Productions studio partnering with The Smithsonian Channel. The Color of Care documents stories of people who have lost loved ones in the COVID-19 pandemic as well as expert interviews with frontline workers and public health experts and researchers sharing data on systemic racism in health care that has underpinned racial health disparities since slavery was instituted in America. Oprah’s website talked about the project, quoting her saying,      “At the height of the pandemic, I read something that stopped me in

 

How Business Can Bolster Determinants of Health: The Marmot Review for Industry

“Until now, focus on….the social determinants of health has been for government and civil society. The private sector has not been involved in the discussion or, worse, has been seen as part of the problem. It is time this changed,” asserts the report, The Business of Health Equity: The Marmot Review for Industry, sponsored by Legal & General in collaboration with University College London (UCL) Institute of Health Equity, led by Sir Michael Marmot.               Sir Michael has been researching and writing about social determinants of health and health equity for decades, culminating publications

 

Making The Joy Choice for Our Health and Well-Being – a conversation with Michelle Segar

“Life has many ways of testing a person’s will, either by having nothing happen at all or by having everything happen all at once,” Paulo Coelho wrote in his novel, The Winner Stands Alone. Coelho is talking about the all-too-human condition of facing situations that are unplanned which test our patience, resilience, and grit. Our best-laid plans go awry – especially those for healthy behaviors, like exercising and eating well.             Enter Michelle Segar, PhD, MPH, MS, NIH-funded researcher at the University of Michigan, sustainable-behavior-change expert, and health coach. Michelle is our go-to sage for helping us

 

McKinsey’s Six Shifts To Add Life to Years — and One More to Consider

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

 

Can a Food-As-Medicine App Extend Chronic Health Management at the Grocery Store?

Foogal, a recipe app designed to support patients’ healthy cooking and eating, launched on 24th March. In its initial version, Foogal addresses several specific diet paradigms: for patients demanding a wellness protocol, an autoimmune protocol, or wanting to address insulin resistance. Foogal got my attention via a tweet @FoogalApp on 25th March. The snippet featured a photo of a delectable Salad Lyonnaise, one of my favorite things to eat, which adds a soft-cooked egg and bacon lardons to the greens for an easy light (and delicious!) meal. Foogal was developed by Todd Knobel, who has worked in law, in plastics,

 

People in the U.S. Without the Internet Were More Likely To Die in the Pandemic

Access to the Internet has been a key determinant of health — or more aptly, death — during the COVID-19 pandemic. Americans lacked Internet access were more likely to die due to complications from the coronavirus, according to a study published in JAMA Network Open this month. The study’s key finding was that for every additional 1% of people living in a county who have access to the Internet, between 2.4 and 6.0 COVID-19 deaths per 100,000 were preventable. The paper asserts that, “More awareness is needed about the essential asset of technological access to reliable information, remote work, schooling

 

The Financial Toxicity of Health Care Costs: From Cancer to FICO Scores

The financial toxicity of health care costs in the U.S. takes center stage in Health Populi this week as several events converge to highlight medical debt as a unique feature in American health care. “Medical debt is the most common collection tradeline reported on consumer credit records,” the Consumer Financial Protection Bureau called out in a report published March 1, 2022. CFPB published the report marking two years into the pandemic, discussing concerns about medical debt collections and reporting that grew during the COVID-19 crisis. Let’s connect the dots on: A joint announcement this week from three major credit agencies,

 

Primary Care in the U.S. – Still a Weak Backbone for the Health of Health Citizens

Compared with health citizens living in other wealthy countries, people living in the U.S. are still among the least likely to have a regular doctor or place to go for care. Thus, millions of Americans continue to lack access to primary care compared with peers in other nations, according to a report from The Commonwealth Fund. The Commonwealth Fund has tracked primary care access for many years, and over time has found the United States to lack the kind of primary care “backbone” that many wealthy nations have — whose health citizens also enjoy much better health outcomes that relate

 

Techquity: How Technology Can Help to Scale Health and Digital Equity, Live from VIVE 2022

The COVID-19 pandemic revealed long-systemic health disparities in the U.S. and in other parts of the world. Income inequality, sickly environments in homes and communities (think unclean air and water), lack of public transportation and nutritious food deserts combine to limit peoples’ health and well-being., Beyond the traditional social determinants of health, such as these, we’ve called out another health risk that became crucial for life in the coronavirus pandemic era: digital connectivity, Indeed, WiFi and broadband represent the newest social determinant of health to add to a growing list of risk factors that challenge health citizens’ health. Kudos to

 

Brand Relevance Has A Lot To Do with Health, Wellness, and Empowerment – Listening to (the) Prophet

s in the seventh annual 2022 Brand Relevance Index from Prophet. The research developed a list of 50 companies representing what Prophet characterizes “the brands that people can’t live without in 2022.” For the 7th year in a row, Apple tops the study. Following Apple, the nine companies rounding out the top ten most relevant brands were Peloton, Spotify, Bose, Android, Instant Pot, Pixar, Fitbit, TED, and USAA. There are relative newbies in this list, representing consumers’ collective response to the COVID-19 pandemic and new life-flows. Put Calm and AfterPay in that category, along with Beyond Meat, and Zelle. The

 

Doximity Study Finds Telehealth Is Health for Every Day Care

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

 

Love and Health: The Education of Abner Mason, SameSky Health

It felt super appropriate that I met up with Abner Mason, Founder of SameSky Health, on Valentine’s Day 2022. While we conversed via Zoom, Abner’s positive energy vibrated over the 5,600 miles between him in LA County and me in Brussels, Belgium – nine hours apart, but in the proverbial same room in the conversation. My initial ask of Abner was to discuss the re-branding of ConsejoSano to SameSky Health, but I first wanted to hear the man’s origin story. And that, you will learn, has everything to do with loving parents, the power of education from a young age,

 

What the Future of Re-Charging Your Car Has to Do With Your Health

Health care must confront its role in the climate crisis, a JAMA viewpoint asserted on January 31, 2022. Dr. Kenneth Kizer and Dr. Kari Nadeau recommended that, “Instead of contributing to climate change, health care as an enterprise could become a model for environmental sustainability.” This ethos was called out at the recent COP26 UN Climate Conference which resulted in a portfolio of health care initiatives for providers, globally, to address climate change as a macro determinant of health. Consumers — now morphing into health citizens — also can (and should) play starring roles in doing what we can in daily

 

The Trust Deficit Is Bad for Health: A Health/Care Lens on the 2022 Edelman Trust Barometer

“Health is the cornerstone to our core needs, thereby the cornerstone to trust.” So wrote Kirsty Graham, Global Leader of Sectors and Global Chair of Health at Edelman, in an essay explaining the 2022 Edelman Trust Barometer. If it’s January, it must be time for the World Economic Forum in Davos, the annual setting for Edelman’s launch of the company’s Trust Barometer. While WEF is mostly virtual this year due to the pandemic, Edelman has released the survey of global citizens’ views on trust in institutions right on-time and in full and sobering detail. I welcome and dig into the

 

The 2022 Health Populi TrendCast for Consumers and Health Citizens

I cannot recall a season when so many health consumer studies have been launched into my email inbox. While I have believed consumers’ health engagement has been The New Black for the bulk of my career span, the current Zeitgeist for health care consumerism reflects that futurist mantra: “”We tend to overestimate the effect of a technology in the short run and underestimate the effect in the long run,” coined by Roy Amara, past president of Institute for the Future. That well-used and timely observation is known as Amara’s Law. This feels especially apt right “now” as we enter 2022,

 

Does Inequality Matter in the U.S.? Health and the Great Gatsby Curve

Compared with the rest of the developed world, people living in the U.S. may be concerned about income inequality, but their demand for income redistribution is the lowest among peer citizens living in 31 other OECD countries. In their  latest report, Does Inequality Matter? the OECD examines how people perceive economic disparities and social mobility across the OECD 32 (the world’s developed countries from “A” Australia to “U,” the United Kingdom). Overall the OECD 32 average fraction of people who believe it is the government’s responsibility to reduce income differences among those who think disparities are too large is 80%

 

Health Citizens Link Their Views on Democracy, the Economy and the Pandemic

The pandemic has put health care top-of-mind for health citizens the world over. As the public health crisis continues its up-and-downticks around the globe, people are connecting health care to their national economies and politics, based on a global survey from the Pew Research Center, Citizens in Advanced Economies Want Significant Changes to Their Political Systems. For this analysis, the Pew research team assessed the views of some 2,600 health citizens living in 17 developed countries in February 2021. The study report was published in late October 2021. Shown in the first bar chart, the majority of people in at least

 

Effective Health Spending Is An Investment, Not a Cost: the Bottom-Line from OECD Health at a Glance 2021

“The pandemic has shown that effective health spending is an investment, not a cost to be contained: stronger, more resilient health systems protect both populations and economies,” the OECD states in the first paragraph of the organization’s perennially-updated report, Health at a Glance 2021. This version of the global report incorporates public health data from the “OECD35,” 35 nations from “A” to “U” (Australia to United States) quantifying excess deaths experienced during the COVID-19 pandemic, the obesity epidemic, mental and behavioral health burdens, and health care spending, among many other metrics. The first chart illustrates that calculation of excess deaths,