A blog covering the health/care ecosystem and people.

Health citizens globally are feeling and behaving more empowered with respect to their personal health from physical and mental health to social and environmental. Most people believe they can identify good sources of health information, with nearly one in two consumers 18-34 believing an average person can know as much as a doctor. But too many people feel unwell compared to how they felt during the pandemic, and most think major institutions are preventing them from accessing quality care and services which is resulting in an ethos of health care grievance.                 These

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

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

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

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

Doctors’ use of and demand for augmented intelligence in medical practice is on the rise — with many factors that could bolster or risk adoption on the journey toward AI in the doctor’s office, based on the latest survey from the American Medical Association (AMA) published this week.               The AMA polled U.S. physicians in November 2024 to gauge their views on augmented intelligence (AI) addressing doctors’ use of AI, perceived opportunities and risks, and enabling factors for adoption. This study updates AMA’s survey conducted in 2023 and found significantly growing confidence and utilization

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

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

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

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

Among 127 health determinants, two rank highest: digital divides in the era of tech-enabled health  and care: digital divides that shape a person’s political, economic, and social environment, and the person’s health/disability status.               The digital transformation of health and care compel us to re-consider and re-frame social determinants of health in the “digital age,” which is what the World Health Organization in collaboration with the London School of Economics have done in research, published this week in the report, Addressing health determinants in a digital age. The report was funded by the European

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

Health literacy and, indeed, literacy across the many layers relevant for health (digital, medical, financial), is a challenge for people of all ages. The Institute for Healthcare Policy Innovation’s National Poll on Healthy Aging at the University of Michigan focused on people 50 and over in their latest study published this month: Health Literacy – How Well Can Older Adults Find, Understand, and Use Health Information. On the upside, 4 in 5 older people (50+) feel confident in being able to spot health mis-information, the chart from the Poll report clearly tells us. 20% of older U.S. health citizens are

Only 20% of U.S. adults have a positive view of the pharmaceutical industry, garnering the lowest positive vibes among Americans in Gallup’s latest survey on peoples’ opinions of industries in America. About 1 in 3 Americans feel positively about health care in the U.S., on par with publishing and the electric/gas industries — on the lower end of these findings.             By far, the top-perceived industry in the U.S. is agriculture and farming, taking the first spot with 64% of Americans’ positive views. Restaurants and the computer sector get 52% positives, although Gallup points out

Globally, patients are growing consumer muscles leaning into trust that’s building on communications that connect with them, based on insightful research from Smart Communications. This consumer research was fielded by Toluna and Harris Interactive in February and March 2024.                     In The State of Customer Conversations, the report assesses input from global consumers from the APAC region (Australia, New Zealand, China, Hong Kong, Taiwan, Japan, and Singapore), German-speaking markets (Austria, Germany, Switzerland), the United Kingdom, and the U.S. The research revealed five key findings, shown in the first exhibit: Communications are increasingly important

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

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

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

The Wall Street Journal reported yesterday that surging hospital prices are helping to keep inflation high.                 Hospital costs rose 7.7% last month, the highest increase in 13 years. This chart from WSJ’s reporting illustrates the >2x change in the CPI for hospitals vs the overall rate of price increases. Hospitals are not alone in price cliffs, with health insurance premiums spiking last year at the fastest rate in a decade, the Labor Statistics data showed. “For patients and their employers, the increases have meant higher health-insurance premiums, as well as limiting wage

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

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

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

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

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

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

For health care, AI can benefit diagnosis and clinical care, address paperwork and bureaucratic duplication and waste, accelerate scientific research, and personalize health care direct-to-patients and -caregivers. On the downside, risks of AI in health care can involve incomplete or false diagnoses, inaccuracies and errors in cleaning up paperwork, exacerbate differential access to scientific knowledge, and exacerbate health disparities, explained in the World Health Organization’s (WHO) report, Ethics and governance of artificial intelligence for health.             WHO has released guidance on the use of large multi-modal models (LMMs) in health care which detail 40+ recommendations for

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

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

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

“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

One in two consumers in the U.S. feel their well-being or healing was negatively impacted by difficulty paying for their medical care. Welcome to the convergence of patients’ health care life with financial and retail lives, we learn from the 2024 Healthcare Financial Experience Study from Cedar.                   And that patient’s positive clinical experience can absolutely reverse the consumer’s perception of the provider, noted by this quote from OSU’s Chief Financial Officer Vincent Tammaro: “We’ve cured you of your ailment, but we’ve harmed you financially.” That’s a form of financial toxicity that

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.

Patients’ perceptions of health care quality and experience have fallen in the three years since 2020, based on a July 2023 update from The Beryl Institute – Ipsos Px Pulse study.         Start with health care quality, which 58% of U.S. adult patients ranked as “very good or good” in June 2020. The percent of health consumers evaluating their healthcare quality as very good or good fell to 41% of people in June 2023, an erosion of 17 percentage points, shown in the first chart.         Next, consider patients’ ratings on their care experience,

Most patients, nurses and doctors believe that health insurance plans reduce access to health care which contributes to clinician burnout and increases costs, based on three surveys conducted by Morning Consult for the American Hospital Association (AHA).             Most patients have experienced at least one health insurance related barrier in the past two years, and 4 in 10 of those people said their health got worse as a result of that care-barrier. “These surveys bear out what we’ve heard for years — certain insurance companies’ policies and practices are reducing health care access and making

In health care, one of the “gifts” inspired by the coronavirus pandemic was the industry’s fast-pivot and adoption of digital health tools — especially telehealth and more generally the so-called “digital front doors” enabling patients to access medical services and personal work-flows for their care. Two years later, Experian provides a look into The State of Patient Access: 2023.                     You may know the name Experian as one of the largest credit rating agencies for consumer finance in the U.S. You may not know that the company has a significant footprint

“Healthcare costs came roaring back in 2021” after falling in 2020. In 2023, that roaring growth in health care costs continues with expected growth of 5.6%.             For 2023, you could take your $31K+ and buy a Toyota Corolla Cross Hybrid auto, fund a year at the Gnomon School in Hollywood toward a degree in animation or game design, or buy healthcare for your family of 4. Welcome to this year’s annual look at health care costs for a “typical” U.S. family explained in the 2023 Milliman Medical Index (MMI).            

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

On April 11, 2023, three of the largest U.S. consumer credit rating companies — Equifax, Experian and TransUnion — planned to remove medical bill collections that were under $500 from consumers’ credit reports. The Consumer Financial Protection Bureau (CFPB) calculated that these medical bill “erasures” under $500 impacted nearly 23 million consumers and eliminated medical collections totally for 15.6 million people in the U.S. according to CFPB’s recently-published Data Point report. For some context, it’s useful to know that the CFPB was created as part of the Dodd-Frank Wall Street Reform and Consumer Protection Act passed by Congress and signed

We continue to track to evolving, expanding landscape of retail health — which we see as the expanding ecosystem of health/care accessible to people-as-health consumers. This week, three intriguing examples are resonating with us: The ever-evolving weight-loss industry FDA favors OTC use for Perrigo’s Opill daily oral contraceptive birth control pill The convergence of fashion and health — specifically, how an over-the-counter medicine converges with clothing that helps us feel better.                   Let’s start with weight-loss, as several aspects of health/care come together in the consumer’s retail health sandbox. Dr. Eric Topol

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

Most U.S. health citizens think AI is being adopted in American health care too quickly, feeling “significant discomfort…with the idea of AI being used in their own health care,” according to consumer studies from the Pew Research Center.                  The top-line is that 60% of Americans would be uncomfortable with [their health] provider relying on AI in their own care, found in a consumer poll fielded in December 2022 among over11,000 U.S. adults. Most consumers who are aware of common uses of AI know about wearable fitness trackers that can analyze exercise and sleep

Ever since Clayton Christensen explained the concept of disruptive innovation in 1995, health care became one of the poster children emblematic of an industry ripe for disruption. Nearly 30 years later, disrupting health care continues to be a theme which, in 2023, seems open for those slow-moving tectonic driving forces to finally re-form and re-imagine health care delivery. So in today’s Health Populi we turn to a new report, Health Care Disruption 2023 Outlook, part of AHA’s “The Buzz” market scan initiative. The American Hospital Association is taking disruption seriously right here, right now, as the U.S. hospital sector is

Two announcements this week add important initiatives to patients’ growing choices that speak to their consumer-sides’ sense of value and personal healthcare cost-containment: Amazon launched RxPass, a generic medicines subscription service; and, Dollar General promoted its mobile health service powered by DocGo on demand for health visits, “right outside the store.”             These two programs come from outside of the legacy health care system of so-called incumbents — hospitals, health systems, health insurance — leveraging two brand-names beloved to many consumers for convenience, price transparency, and sheer cost. First, check out Amazon Pharmacy’s RxPass. Amazon

More people in the U.S. than ever have put off medical care due to cost, according to Gallup’s latest poll of patients in America.             Gallup conducted the annual Health and Healthcare poll U.S. adults in November and December 2022. This was the highest level of self-rationing care due to cost the pollster has found since its inaugural study on the topic in 2001. This was also the most dramatic year-on-year increase of postponing treatment due to cost in the study’s history.             Note the substantial difference in women avoiding

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

Among all of the challenges health care providers will face in 2023, digital health tools could have the greatest potential to improve patient access, according to the issues most Top of Mind for Top Health Systems 2023 from UPMC. the Center for Connected Medicine, Nokia and KLAS Research. KLAS surveyed the views of 61 health system leaders to assess their perspectives on health care access, costs, telehealth, and artificial intelligence looking toward the next year of health care operations.                   The challenge of patient access is emerging as top-of-mind for CxOs some of

Americans’ trust in technology as “plummeted” in the past decade, according to the 2022 Edelman Trust Barometer’s focused look on trust and technology. How might this play into U.S. health citizens’ trust in digital health technology?             To answer that, let’s start with the macro-view on trust in tech. Richard Edelman convened a virtual meeting launch for the Trust Barometer’s tech perspectives yesterday, looking broadly at the global study findings. For these trust-tech insights, Edelman surveyed 15,000 citizens between August 31 and September 12, 2022, residing in 12 countries: Australia, Brazil, Canada, China, France, Germany,

Americans’ positive views of 25 industries in the U.S. have declined in the past year. In their latest look into consumers’ views on business in America, Gallup found that peoples’ ratings on business fell to their lowest ratings overall since 2008.           Peoples’ highest ratings of industry in American occurred in 2017 when nearly 50% of people gave business a very or somewhat positive grade. The year-on-year decline from 2021 find oil and gas at the lowest level of positivity, advertising/PR, legal, the Federal government, and pharma at the bottom of the ratings.      

The goal of self-care for health-making is to improve lives by scaling health-and-wellness accessible to all, Bayer believes, giving people more control over their personal health. Self-care work-flows must be based in science to ensure products and services are trusted and deliver on their clinical promise, Bayer explains in Science-Led Self-Care: Principles for Best Practice, a paper published this week which the company intends to be a blueprint for the industry.                 Bayer recognizes that self-care is growing among health consumers around the world — albeit underpinned by peoples’ cultures, demographics, and “readiness”