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Consumers Connecting for Health for Body, Mind & Spirit – A View from the Consumer Technology Association

In January 2020, before we knew how to spell “coronavirus,” millions of consumers were already “Amazon-Primed” for everyday life-flows and consumer behaviors. The pandemic has accelerated consumer trends already in motion early this year when the Consumer Technology Association (CTA) convened the annual CES 2020 in Las Vegas. I covered the event here in Health Populi, as I have for most of the past decade, highlighting the growth of digital health and, this year, the expanding Internet of Healthy Things called-out by Dr. Joseph Kvedar in 2015. What a difference a public health crisis makes, accelerating digital health beyond fitness

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Older People Are Digital Immigrants, and Best Buy Health Is Paving the Road for the Journey

The coronavirus pandemic has revealed the importance of connectivity, WiFi, broadband, as a social determinant of health and living. Connecting from our homes — now our health hubs, workplaces, schools, entertainment centers, and gyms — is necessary like air and water for survival across daily life flows. Digital connectivity can ameliorate social isolation and anxiety, bolster mental health, and access needed medical care via telehealth channels. As a result of the pandemic, staying connected is more important than ever for older people, Best Buy Health learned in a survey of U.S. adults. Insights from this study have informed the launch

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DIY Health Care and Self-Care Accelerating in the Pandemic

The coronavirus pandemic has spawned many side-effects re-shaping consumers’ everyday lives. Among them, more time at home, DIY life-flows, and financial well-being are driving growth of self-care health care. An article in the latest Drug Store News talks about consumers growing more health-conscious, adopting natural, homeopathic products. “It’s about more than washing your hands,” David Salazar explains. “Fending off illness has become a state of mind for many consumers throughout the COVID-19 pandemic.” In feeling dis-empowered in the face of the pandemic – with the first shock of the Great Lockdown and stay-at-home mandates – we’ve taken on more do-it-yourself behaviors, from

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Health Consumers Keen to Share and Download Data, But Privacy Remains a Concern

People in the U.S. are growing their health IT muscles and literacy, accelerated in the coronavirus pandemic. In particular, health consumers in America want more access to their personal health data, a study from the Pew Research Center has found in Americans Want Federal Government to Make Sharing Electronic Health Data Easier. Pew collaborated with Public Opinion Strategies and Hart Research to conduct a survey in June and July 2020 among 1,213 U.S. adults 18 and over to determine peoples’ perspectives on personal health information in light of their pandemic era experiences. This study re-confirms the current state of the health

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Health Citizenship in the America. If Not Now, When?

On February 4th, 2020, in a hospital in northern California, the first known inpatient diagnosed with COVID-19 died. On March 11th, the World Health Organization called the growing prevalence of the coronavirus a “pandemic.” On May 25th, George Floyd, a 46-year-old Black man, died at the hands of police in Minneapolis. This summer, the Dixie Chicks dropped the “Dixie” from their name, and NASCAR cancelled the confederate flag from their tracks. Today, nearly 200,000 Americans have died due to the novel coronavirus. My new book, Health Citizenship: How a virus opened hearts and minds, launched this week. In it, I

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Only in America: The Loss of Health Insurance as a Toxic Financial Side Effect of the COVID-19 Pandemic

In terms of income, U.S. households entered 2020 in the best financial shape they’d been in years, based on new Census data released earlier this week. However, the U.S. Census Bureau found that the level of health insurance enrollment fell by 1 million people in 2019, with about 30 million Americans not covered by health insurance. In fact, the number of uninsured Americans rose by 2 million people in 2018, and by 1.9 million people in 2017. The coronavirus pandemic has only exacerbated the erosion of the health insured population. What havoc a pandemic can do to minds, bodies, souls, and wallets. By September 2020,

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50 Days Before the U.S. Elections, Voters Say Health Care Costs and Access Top Their Health Concerns — More than COVID-19

The coronavirus pandemic has revealed deep cracks and inequities in U.S. health care in terms of exposure to COVID-19 and subsequent outcomes, with access to medical care and mortality rates negatively impacting people of color to a greater extent than White Americans. The pandemic has also led to economic decline that, seven weeks before the 2020 elections in America, is top-of-mind for health citizens with the virus-crisis itself receding to second place, according to the Kaiser Family Foundation September 2020 Health Tracking Poll. KFF polled 1,199 U.S. adults 18 years of age and older between August 28 and September 3,

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Digital Health Gaps in the Pandemic Through the Eyes of Younger Physicians

One universal experience health systems around the globe have witnessed in the first months of the coronavirus pandemic has been the dramatic pivot to telehealth and virtual care platforms. The latest report from Philips Future Health Index series attests to that, and to clinicians’ general recognition that telehealth has been crucial in the early phase of the crisis. However, younger doctors’ experience with telehealth has led to them being more bullish on the value of the modality than older physicians, Philips learned. Philips conducted 500 interviews with doctors in China, France, Germany, Singapore, and the United States to assess their

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Americans Worry About Medical Bankruptcy, As Prescription Drug Costs Play Into Voters’ Concerns

One in two people in the U.S. are concerned that a major health event in their family would lead to bankruptcy, up 5 percent points over the past eighteen months. In a poll conducted with West Health, Gallup found that more younger people are concerned about medical debt risks, along with more non-white adults, published in their study report, 50% in U.S. Fear Bankruptcy Due to Major Health Event. The survey was fielded in July 2020 among 1,007 U.S. adults 18 and older. One of the basic questions in studies like these is whether a consumer could cover a $500

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Behavioral Health Side-Effects in the COVID Era

“This surge of people experiencing acute behavioral health problems…has the potential to further impact the healthcare system for years to come,” a report from McKinsey expects looking at the hidden costs of COVID-19’s impact on U.S. health care. The coronavirus pandemic has taken a toll on Americans’ mental health, with anxiety and depression growing as a side-effect to worries about the virus itself, the long Great Lockdown in much of the country, and the economic recession that has particularly impacted women and people of color. I covered depression impacts due to COVID-19 here in Health Populi yesterday, and wanted to

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The Burden of Depression in the Pandemic – Greater Among People With Fewer Resources

In the U.S., symptoms of depression were three-times greater in April 2020 in the COVID-19 pandemic than in 2017-2018. And rates for depression were even higher among women versus men, along with people earning lower incomes, losing jobs, and having fewer “social resources” — that is, at greater risk of isolation and loneliness. America’s health system should be prepared to deal with a “probable increase” in mental illness after the pandemic, researchers recommend in Prevalence of Depression Symptoms in US Adults Before and During the COVID-19 Pandemic in JAMA Network Open. A multidisciplinary team knowledgeable in medicine, epidemiology, public health,

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Health Happens at Home: Lessons from the Parks Connected Health Summit

Home is where the health is, we know in the wake of the COVID-19 pandemic. To be sure, many of us who have been preaching that our ZIP codes are more impactful to our health than our genetic codes have known the evidence backing the social and behavioral determinants of health for a long time. This week, Parks Associates convened the Connected Health Summit, focused on the theme of consumer engagement and innovation. I attended all three days’ worth of sessions in this well-planned and -executed virtual meeting. In this post, I’ll weave my favorite themes of consumer health engagement

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The Next-Normal Health Care Consumer After the Pandemic

McKinsey invites us to Meet the next-normal consumer in a recently-published research report describing changing consumer behavior responding to the COVID-19 lockdown and aftermath. The report gives us insights into the next-normal health consumer, which I’ll discuss in today’s post. Note the massive digital shift every person living in a country touched by the coronavirus has experienced, illustrated in the first graphic from the report. Tele-work, tele-education, ecommerce, and streaming entertainment all grew so fast within a matter of a few weeks. And telemedicine, McKinsey points out, was adopted at a rate of ten times growth over 15 days, the

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How COVID-19 Is Reshaping Cities and Inspiring Healthcare Innovation

The coronavirus pandemic added a new concept to our collective, popular lexicon: “social distancing” and “physical distancing.” This was one pillar for the public health prescription we were given to help mitigate the spread of a very tricky, contagious virus. A major negative impact of our sheltering in place, working from home, and staying indoors has been a sort of clearing out of cities where people congregate for work, for culture, for entertainment, for education, for travel and tourism…for living out our full and interesting lives and livelihoods. Intel gave Harbor Research a mandate to “re-imagine life in a post-pandemic

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Pharma’s Future Relevance Depends on Empathy, Messaging, Partnering, and Supporting Patients and Providers

COVID-19 is re-shaping all industries, especially health care. And the pharma industry is challenged along with other health care sectors. In fact, the coronavirus crisis impacts on pharma are especially accelerated based on how the pandemic has affected health care providers, as seen through research from Accenture published in Reinventing Relevance: New Models for Pharma Engagement with Healthcare Providers in a COVID-19 World. For the study, Accenture surveyed 720 health care providers in general practice, oncology, immunology, and cardiology working in China, France, Japan, the United Kingdom, and the U.S., in May and June 2020. Top-line, Accenture points to four

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Data Well-Being: A Pillar of Health Citizenship for US Consumers

In the COVID-19 era, most U.S. consumers believe they have an obligation to share personal health information to stop the spread of the coronavirus. However, only 44% would be willing to share their personal data with a national database, a MITRE study learned. Only one-third of Americans would be willing to share their temperature, 29% their location, and one-fourth information about their chronic conditions. The Harris Poll conducted the study among 2,065 U.S. adults 18 and over in mid-June 2020 to gauge peoples’ perspectives on health data and privacy. Three-quarters of people in the U.S. believe that data privacy “is a

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Health Insurance Affordability in the Time of the Coronavirus Pandemic

The coronavirus pandemic has revealed many flaws in the U.S. healthcare system, first and foremost the nation’s patchwork public health infrastructure and health inequities in mortality rates due to COVID-19. The Commonwealth Fund‘s biennial report, published as the pandemic continues into and beyond the third quarter of 2020, sheds light on another weakness in U.S. healthcare: the cost of health insurance relative to working Americans’ relatively flat incomes. I explored the details of this study in a post titled Health Insurance Affordability: A Call-to-Action for Healthcare Industry Stakeholders in the Pandemic, published on the Medecision Liberation blog site. The survey

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Telehealth Use Among Older Americans: Growing Interest, Remaining Concerns

In the Fear of Going Out Era spawned by the COVID-19 pandemic, many patients were loath to go to the doctor’s office for medical care, and even less keen on entering a hospital clinic’s doors. This drove health consumers to virtual care platforms in the first months of the public health crisis — including lots of older people who had never used telemedicine or even a mobile health app. In the August 2020 National Poll on Heathy Aging, the University of Michigan research team found a 26% increase in telehealth visits from 2019 to 2020, March to June 2020 year-over-year.

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Physicians Practicing in the Age of COVID-19: Lower Incomes, More Telehealth

In the midst of the coronavirus pandemic, two certainties emerge in the lives of physicians: they are generating less revenue, and they have adopted more virtual care in practices. The Physicians Foundation surveyed 3,513 physicians in July 2020 on their perspectives on COVID-19 and how the pandemic has impacted practices and patients. This study is part one of three conducted by the Foundation this year, subtitled the “COVID-19 Impact Edition” of the 2020 Survey of America’s Physicians which the Foundation conducts each year. Merritt Hawkins conducted the study on behalf of the Foundation, shifting the focus to the pandemic. This

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For Health Consumers, Trust, Privacy, & Good Experience Must Be Baked Into Digital Health Care

“Digital transformation” was the mantra for all industries before we heard about the COVID-19 virus. Since the emergence of the pandemic, the coronavirus has accelerated the adoption of digital platforms, AI, and ecommerce. That is at least as true for the health care sector as it has been for other industry segments. So, will the fast-adoption of virtual care and other forms of digitization in health care last? Accenture probes this question in a report published today asking, How Can Leaders Make Recent Digital Health Gains Last? In Accenture’s words, “COVID-19 forced a surge” in virtual health care following a

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The Future of Health Is “Now,” Deloitte Says; But Are Consumers Living and Loving It?

The pandemic has become a sort of forcing function on all aspects of daily living, include health care. Deloitte’s latest wave of health care consumer market research updates the COVID-19 impacts on the U.S. health care landscape and asks the question in the study report’s title: “Are consumers already living the future of health?” For the general survey of U.S. Health Consumers, Deloitte polled 4,522 U.S. adults 18 and older online in February and March 2020. Deloitte conducted an additional 1,510 interviews with consumers in April to gauge peoples’ perspectives on the pandemic, health and well-being. In the Great Lockdown

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The Latest Health Technology Vision and Consumer Behavior Insights From Accenture

The COVID-19 pandemic hastened digital transformation for both the health care industry and for individuals — as health consumers, patients, caregivers, and health citizens. Two new reports from Accenture update our understanding of the changed health consumer in the context of both “home: and the health care ecosystem. These reports are Accenture’s annual Digital Health Technology Vision 2020, and an analysis of the firm’s Wave 7 of consumer research, answering the question, How will COVID-19 change the consumer? The 2020 tech vision for health is summarized here, tying to Accenture’s previous two years of forecasts. This year, the five pillars

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My ABCovid-19 Journal – Day 5 of 5, Letters “U” through “Z”

We’ve had a lovely week on Seneca Lake, re-setting our physical, mental, and emotional clocks in the #KahnCave. It’s been blissful. I’ve enjoyed receiving feedback on the past four days of ABCovid-19 journal shares on my LinkedIn page and Twitter feed @HealthyThinker. My #arttherapy is yours for the sharing and taking. We are all, truly, on this pandemic journey together. That’s public health, for you. Today, I bring you the fifth and last day of sharing my COVID-19 alphabet with you: the letters “U” through “Z.” Read on, and please let me know after seeing all 26 alpha’s which page(s)

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My ABCovid-19 Journal – Day 4 of 5, Letters “P” through “T”

While I’m on holiday this week, restoring and re-setting, I’ve been sharing pages from my ABCovid-19 Journal with readers of Health Populi. I created this journal during the early phase of the pandemic in the U.S., as a form of art therapy, creative outlet, and learning. Today is Day 4 of sharing: we consider the letters “P” through “T,” and what I saw in the early coronavirus era. P is for pandemic This “P” was self-evidence in our collective early COVID-19 lexicon. The “P” word was uttered by the Secretary General of the World Health Organization on March 11, confirming

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My ABCovid-19 Journal – Day 3 of 5, Letters “K” through “O”

Welcome back to my ABCovid-19 Journal, which I created/curated in the early weeks of the coronavirus pandemic. This week, I’m sharing all the letters of the alphabet with you which reminded me keywords and themes emerging as we were learning about this dastardly public health threat beginning early in 2020. In today’s Health Populi blog I bring you letters “K” through “O,” continuing through the rest of the alphabet tomorrow and Friday while I’m on a lake-side holiday that’s good for mind, body, and spirit. K is for Kirkland, Washington state In the U.S., one of the earliest hotspots for

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My ABCovid-19 Journal, Day 2 of 5 – Letters “F” through “J”

Welcome to Day 2 of my #COVID19 holiday break, welcome to my ABCovid Journal, letters “F” through “J. If you hadn’t tuned into the Health Populi blog yesterday, 10th August 2020, you missed the first five letters of my Age of Corona alphabet, curated in my art journal created in the early weeks of the pandemic. Click the link to back-track and catch up with us… I should explain why I’m sharing this project in the Health Populi blog this week. Last month, long-time colleague and friend Colin Hung interviewed me on the #HITMC broadcast to discuss a lovely recognition

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My ABCovid-19 Journal – Day 1 of 5, “A” through “E”

My friends… It’s time in this pandemic journey that I take a full week to re-charge and bask in the midst of nature, a lake, farm-to-table food, wine-making, and the love of and therapeutic time with my wonderful husband. My gift to you all this week, 10th – 14th August, is to share with you pages from my “ABCovid-19 Journal” that I created/curated in the first weeks of the coronavirus pandemic. We all have our hacks for managing stress and discomfort, and in the first weeks of COVID-19, this was my life-saver. Journaling is one of my self-care strategies; think

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Pharmacies Grow for Primary Care On-Ramps – And J.D. Power Says Consumers Like That

The use of health and wellness services delivered in retail pharmacies is growing, and health consumers’ satisfaction increases with use. That’s the headline for J.D. Power’s 2020 U.S. Pharmacy Study. This is the 12th year of J.D. Power’s U.S. Pharmacy Study, this year based on a survey of 13,378 pharmacy customers who filled a prescription between June 2019 and February 2020. The study assessed four retail prescription drug channels for consumers: brick and mortar chain drug stores, brick and mortar mass merchandisers, supermarket pharmacies, and mail order. The top ranked brands were: For brick and mortar chains, Good Neighbor Pharmacy

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The Next Site for Hospital Care Is the Original One — Your Home

The coronavirus pandemic accelerated many trends and new workflows for patients and consumers, and health care providers, too. The convergence of basic needs like hygiene and safety, financial and health security, and living-working-learning-and-cooking-at-home has turbocharged a migration of more acute care delivered at home. I explore this growing concept in my latest essay on Medecision’s Liberation blog, How the Pandemic Is Accelerating the Hospital-At-Home Concept. The key points are that: Hospital-at-home services (H-a-H) combine home visits with virtual care and remote monitoring Think: advanced home care, enabled through virtual health technologies and wrap-around services both clinical and scaled social determinants

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The She-Cession – a Financially Toxic Side-Effect of the Coronavirus Pandemic

Along with the life-threatening impact of the coronavirus on physical health, and the accompanying mental health distress activated by self-distancing comes a third unintended consequence with the pandemic: a hard hit on women’s personal economies. The recession of the pandemic is considered by many economists as a “She-Cession,” a downturn in the economy that’s negatively impacting women more acutely than men. This is markedly different than the Great Recession of 2008, the last major financial crisis: that financial decline was coined a “ManCession,” taking a more significant toll out of more typically men’s jobs like construction and manufacturing where fewer

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The Racial Divide Due to COVID-19 Also Applies to Healthcare and Pharma Costs

Into the sixth month of the coronavirus pandemic in the U.S., it’s clear that COVID-19 has wreaked a greater mortality and morbidity impact on people of color than on white adults. A new Gallup-West Health poll found that the coronavirus also concerns more non-white Americans than whites when it comes to the cost of health care and medicines to deal with the effects of COVID-19. Considering the cost of COVID-19 treatment, across all U.S. adults, 40% of people are concerned (extremely/concerned), and 41% are “not at all concerned.” Broken down by race, there is a stark difference in levels of

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We Are All About Hygiene, Groceries, and Personal Care in the Midst of the Coronavirus Pandemic

Pass me the Clorox…tip the UPS driver…love thy grocer. These are our daily life-flows in the Age of COVID-19. Our basic needs are reflected in the new 2020 Axios-Harris Poll, released today. For the past several years, I’ve covered the Harris Poll of companies’ reputation rankings here in Health Populi. Last year, Wegmans, the grocer, ranked #1; Amazon, #2. In the wake of the COVID-19 pandemic, U.S. consumers’ basic needs are emerging as health and hygiene, food, and technology, based on the new Axios-Harris Poll on the top 100 companies. This year’s study was conducted in four waves, with the

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The Home and Low-Touch Health Care – a Health Consumer Update from Capgemini

The coronavirus pandemic has been a wake-up call for patients-as-consumers, seeking lower-touch health care services at home or closer-to-home in community health hubs. The need for a holistic platform the serves up a continuum-of-care tools across the patient journey became evident in a matter of months, Capgemini Research Institute calls out in The Health Fix, a research report assessing peoples’ perspectives on health care in the Age of COVIOD-19. Capgemini conducted a survey among over 2,000 consumers living in France, Germany, the United Kingdom, and the U.S. in mid-June 2020. The report found three big shifts in global health citizens’

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The Unbearable Heaviness of Healthcare in America – the Change Healthcare/Harris Poll

The phrase, “burden of health care,” has two usual meanings: one, to do with the massive chronic care burden, and the other, involving costs. There’s a third area of burden in U.S. health care — the onerous patient experience in finding and accessing care, assessed in the 2020 Change Healthcare – Harris Poll Consumer Experience Index. Two in three U.S. consumers feel like “every step of the healthcare process is a chore.” That burdensome patient experience leads to one in two people in America avoiding seeking care, the poll found. That’s not just self-rationing health care due to costs, but due

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Return-To-School Is Stressing Out U.S. Parents Across Income, Race and Political Party

The worse of the coronavirus pandemic is yet to come, most Americans felt in July 2020. That foreboding feeling is shaping U.S. parents’ concerns about their children returning to school, with the calendar just weeks away from educators opening their classrooms to students, from kindergarten to the oldest cohort entering senior year of high school. The Kaiser Family Foundation’s July 2020 Health Tracking Poll focuses on the COVID-19 pandemic, return-to-school, and the governments’ response. KFF polled 1,313 U.S. adults 18 and older between July 14 to 19, 2020. The first line chart illustrates Americans’ growing concerns about the coronavirus, shifting

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Telehealth Platforms: Building Blocks for Omnichannel, Networked Healthcare

In the U.S., the use of telehealth services tripled in the past year, as healthcare providers limited patients from in-person visits for care and patients sought to avoid exposure to the coronavirus in medical settings. With this alignment of virtual care supply-and-demand, it is like telehealth will see “permanent usage increases,” according to Parks Associates’ survey report, COVID-19 – Impact on Telehealth Use and Perspectives. Parks Associates fielded this study the second half of May 2020, surveying 5,008 heads-of-broadband households balancing the sample of respondents for age, gender, income, and education. The report reminds us for context that at the

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More Americans Pivot to Distancing and Mask-Wearing in the Hot Summer of 2020

With growing coronavirus case hotspots in southern and western states, more Americans perceive the pandemic is worsening this summer, shown by a Gallup poll published 20 July 2020. Gallup titles the analysis, Americans’ social distancing steady as pandemic worsens. The first table organizes Gallup’s data by demographics, illustrating a significant gap between how women perceive the exacerbating pandemic compared with men. In early June, roughly one-third of both men and women saw COVID-19 was getting “worse”; five weeks later, in the second week of July, men and women’s perceptions were 12 points apart with more women concerned about the situation

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A New Era of Virtual Care Has Begun, Accenture Finds

Patients embraced virtual care and communications at very high rates in the first months of the pandemic, and want to continue to use telehealth platforms after the pandemic ends. The new era of virtual care has begun and is here to stay, Accenture expects in its latest look at How COVID-19 will permanently alter patient behavior, a patient survey conducted in May 2020. Accenture polled 2,700 patients around the world, 450 participants each from China, France, Germany, Japan, the U.K., and the U.S. Patients represented one of three conditions, with one-third each managing cardiovascular, immunology/rheumatology, and oncology. Topline, consumers “faced

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The Median Hospital Charge In the U.S. for COVID-19 Care Ranges From $34-45K

The median charge for hospitalizing a patient with COVID-19 ranged from $34,662 for people 23 to 30, and $45,683 for people between 51 and 60 years of age, according to FAIR Health’s research brief, Key Characteristics of COVID-19 Patients published July 14th, 2020. FAIR Health based these numbers on private insurance claims associated with COVID-19 diagnoses, evaluating patient demographics (age, gender, geography), hospital charges and estimated allowed amounts, and patient comorbidities. They used two ICD-10-CM diagnostic codes for this research: U07.1, 2019-nCoV acute respiratory disease; and, B97.29, other coronavirus as the cause of disease classified elsewhere which was the original code

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A Toxic Side Effect of the Coronavirus: Financial Unwellness

One in two people in the U.S. say their financial health has been negatively impacted by the COVID-19 pandemic, through job loss, income disruption, or reduced work hours. The 2020 Financial Wellness Census, from Prudential found that one-half of U.S. adults are anxious about their financial future as of May 2020, an increase from 38% in late 2019. Prudential surveyed 3,000 U.S. adults across three generational cohorts: Millennials, Gen X, and Baby Boomers. The economic hit from the pandemic has disproportionately impacted people of color, younger people, women, small business owners, gig workers, and people working in retailer harder than

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How Retailers Are the New Public Health Purveyors

CVS stopped selling tobacco on October 1, 2014. In that moment, a Fortune 100 company stepped an entire foot, and not just a toe, into public health waters. [I covered that event with joy here in Health Populi as soon as it was announced months earlier on February 14th]. The company re-branded from CVS/pharmacy to CVS Health. That was a watershed moment in U.S. public health history, a wave that has continued to grow over the past six years to this moment, in the thick of the coronavirus pandemic. This week’s news that Best Buy will require shoppers to wear

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From Dr. Fauci to Peloton, Healthcare and Wellness Baked Into Ad Age’s Top 20 Brands for 2020

Advertising Age announced their list of the top 20 brands in 2020 this week. Ad Age’s lens on these was heavily tinted by consumers’ lives coping with the coronavirus pandemic: “The coronavirus has brought new attention to typically boring, decades-old consumer staples, while hastening the rise of digital newcomers that were only just beginning to gain traction pre-pandemic,” Ad Age explains in the introduction to the list of the selected brands. As the editors of the MadMen-and-Women’s most influential industry publication, they explain, “Ad Age chronicles 20 brands that are having a moment.” This moment to them as well as

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How Covid-19 Can Inspire Tech-Enabled Value-Based Health Care in a Cash-Constrained America

“The COVID-19 pandemic…has highlighted like never before the pitfalls of paying for healthcare based on the number of patients seen and services rendered,” a Modern Healthcare article asserted in mid-June 2020. In other words, the U.S. health care financing regime of volume-based payment didn’t fare well as millions of patients postponed or cancelled procedures and visits for fear of contracting the virus in the halls, offices and clinics of hospitals and doctor’s offices. “Just imagine if you were 100% fee-for-service,” commented Dr. Fuad Sheriff, a primary care physician whose practice is based on capitated payments. “You would have been dead

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Most Virtual Care Consumers, Satisfied With Visits in the COVID Era, Expect It for Future Care

Within days of the coronavirus pandemic emerging in the U.S., health care providers set up virtual care arrangements to convene with patients. Three months into the COVID-19 crisis, how have patients felt about these telehealth visits? In Patient Perspectives on Virtual Care, Kyruus answers this question based on an online survey of 1,000 patients 18 years of age and older, conducted in May 2020. Each of these health consumers had at least one virtual care visit between February and May 2020. The key findings were that: Engaging in a virtual visit was a new-new thing for 72% of people Patients’

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Trust Is a Key Social Currency for COVID-Embattled Consumers

The coronavirus pandemic has re-shaped patients into consumers, concerned about managing the risk of contracting the virus, millions of people experiencing months of sheltering, working, learning, and cooking at home. Combine these new life-flows with conflicting information about the nature, severity, and life-span of COVID-19: From three levels of government leaders: The President and the Executive Branch at the Federal Level, Governors of States, and Mayors of cities; Public health agencies, especially the U.S. Centers for Disease Control and the World Health Organization; Mass media; and, Social media. Re-entering life in the “next normal” requires a large dose of trust,

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Beyond Care and Outcomes, Hospitals Must Deliver on Civics, Inclusivity, Equity, and Value – Lown Institute’s Best Hospitals

The core business of hospitals is patient care, often baked with teaching and research. But wait — there’s more, asserts the Lown Institute in their approach to ranking America’s Best Hospitals in 2020. The Institute’s methodology for assessing what’s “best” addresses ten pillars. Several of these are the “stick-to-the-knitting” components of the Webster Dictionary definition of hospital work: patient outcomes, clinical outcomes, avoiding overuse, patient safety, and a recent focus, patient satisfaction. Community benefit has been part of a hospital’s life, especially in the not-for-profit world where hospitals must demonstrate goodwill generated for and provided in the neighborhoods in which

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Faster Pace for Corporate Investments and Behavioral Health in COVID-Driven Digital Health Era

The pace of digital health investments quickened in the first half of 2020, based on Rock Health’s look at health-tech financing in mid-year. Digital health companies garnered $5.4 billion in the first half of the year, record-setting according to Rock Health. Underneath this number were very big deals, shown by the size of the blue bubbles in the first graphic from the report. Note that in H1 2020, the average deal size exceeded $25 mm. Among the largest deals valued at over $100 mm were ClassPass (raising $285 mm), in the business of virtual fitness classes;  Alto Pharmacy, a digital

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Wear A Mask and Save 5% of US GDP: My Independence Day Holiday Wish

“And please…please…please wear a face covering,” Dr. Jerome Adams, the U.S. Surgeon General pleaded on June 30, 2020, during a speech to U.S. Public Health Workers. [You can fast forward to second #42 to hear Dr. Adams’ impassioned plea to his fellow Americans. s Wearing a mask or face covering reminds me of an early economics lesson from Adam Smith: that actions I take that are good for you can be good for me. “In addition to caring about our own well-being, we also naturally care about the well-being of others,” Ryan Patrick Hanley wrote in his assessment of Adam

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U.S. Hospitals Will Lose $323 Billion in 2020 – Before Accounting for Growing COVID Cases

U.S. health systems are projected to lose $323 billion in 2020 due to declining inpatient and outpatient volumes caused by the COVID-19 pandemic’s impact on the “normal” hospital business. Hospitals racked up over $200 bn in losses between March and June 2020. according to the American Hospital Association’s report, Hospitals and Health Systems Continue to Face Unprecedented Financial Challenges Due to COVID-19. AHA suggests that the $323 bn loss figure may be underestimated, as growing coronavirus cases are emerging in certain states: as of this writing, Arizona, Arkansas, Florida, Louisiana, South Carolina, Texas, and Utah among those states heating up.

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Stressed Out By COVID and Civil Unrest – the APA’s Stress in America Survey, Part 2

“Now” is the lowest point in history that most Americans can remember: 7 in 10 people in the U.S. feel this way, up from 56% in 2018 and 2019. Furthermore, 4 in 5 people in the U.S. say the future of America is a significant source of stress, as discussed in Stress in the Time of COVID-19, Volume Two, a report covering a poll of U.S. adults sponsored by the American Psychological Association. APA’s Stress in America research has been one of my annual go-to’s for better understanding U.S. residents through the lens of health consumers and, especially this year

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Health Insurance and Demand for Masking, Testing and Contact Tracing – New Data from The Commonwealth Fund

The coronavirus pandemic occasioned the Great Lockdown for people to shelter-at-home, tele-work if possible, and shut down large parts of the U.S. economy considered “non-essential.” As health insurance for working-age people is tied to employment, COVID-19 led to disproportionate loss of health plan coverage especially among people earning lower incomes, as well as non-white workers, explained in the Commonwealth Fund Health Care Poll: COVID-19, May-June 2020. The Commonwealth Fund commissioned interviews with 2,271 U.S. adults 18 and over between 13 May and 2nd June 2020 for this study. The survey has two lenses: first, on health insurance coverage among working

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What Will Healthcare Costs Be After COVID? PwC Looks Behind the 2021 Numbers

Whether healthcare spending in 2021 increases by double-digits or falls by one-third directly depends on how the coronavirus pandemic will play out over the rest of 2020, based on PwC’s annual report on medical cost trends for 2021. The three cost scenarios are based on assumptions shown in the fine print on the first chart: The medium scenario, a sort of “return to normal” where medical trend could stay even at 6.0%, equal to the 2020 trend. This assumes that healthcare spending recovers by October 2020 as patients return to hospitals and doctors’ offices for regular care patterns. In 2021,

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How Can Healthcare Bring Patients Back? A Preview of Our ATA Session, “Onward Together” in the COVID Era

Today kicks off the first all-virtual conference of the ATA, the American Telemedicine Association. ATA’s CEO Ann Mond Johnson and team turned on a dime over the past few months, migrating the already-planned live conference scheduled in early May to this week, all online. I’ll be midwifing a panel this afternoon at 440 pm Eastern time, initially focused on how health care can garner patient loyalty. That theme was given to us in the fourth quarter of 2019, when initial planning for ATA 2020 had begun. What a difference a few months make. Not only has ATA pivoted to an

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As Americans Start to Return-to-Work in the Summer of COVID, Mental Health is a Top Concern Among Employers

Most U.S. employers worry about workers’ mental health and substance use as employees begin returning to work in the summer of 2020. About 4 in 5 U.S. companies are “very concerned” or “concerned” about employees’ chronic illnesses, acute illnesses, and injuries along with behavioral health issue, based on McKinsey’s annual employer survey which coincided this year with the COVID-19 pandemic. Challenges of opioid use in the workforce remain a concern for two-thirds of U.S. companies, as well. Some 9 in 10 U.S. companies say behavioral health has a negative impact on workforce productivity. In response, 7 in 10 employers are

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Economic Anxieties Rise, Medical and Vacation Plans Delayed: the COVID-19 Consumer in June 2020

Some 6 in 10 people in the U.S. have been financially impacted by COVID-19. Those most negatively affected by the pandemic tend to be younger, Gen Z age group and African-American, 63% of whom felt financial pressure directly due from the virus and the national economic lockdown. By late May 2020, 34% of black Americans had lost their jobs compared with 21% in late April, compared with 18% of white consumers, reported in The COVID-19 Pandemic’s Financial Impact on U.S. Consumers, survey research from TransUnion. This post describes data from TransUnion’s Wave 9 report, which polled 2,086 U.S. adults 18

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An Airline, A Hospital and A Disinfectant Brand Walk Into A(n Airport) Bar–the New Health/Care Collaboration in the Age of COVID

You’ve heard the one about three characters walking into a bar. A new collaboration between United Airlines, Cleveland Clinic and Clorox reminded me of that scenario, and that in the age of the coronavirus pandemic, collaboration can bolster our health. In the era of COVID-19, people — consumers. patients managing chronic conditions, and caregivers (whether for younger or older loved ones) — are concerned about contracting the virus. In U.S. states where governors mandated shelter-at-home for much of the first half of 2020, millions of people have become conditioned to physically distance, wear face coverings, and #StayHome. In particular, workers

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In the Pandemic, We’re All About Food

The coronavirus pandemic has pushed people down Maslow’s hierarchy of needs toward our basic hunting-and-gathering survival mode: shopping for hygiene products for home and personal care, seeking out masks (both functional and fashionable), and building out our pandemic pantries with shelf-stable foods. In addition to the pure physiological need of food for survival, “Consumers have a greater focus on health and immunity. They also have a desire to exhibit more control,” Charlie Arnot, CEO of The Center for Food Integrity, said on the Professional Dairy Producers’ Dairy Signal webinar on consumer food trends during COVID-19. We’ve become a nation of

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How Philips Has Pivoted In the COVID-19 Pandemic: Connected Care From Hospital to Home

What a difference 90 days makes. I was scheduled to meet with Roy Jakobs, Chief Business Leader of Connected Care at Philips, at HIMSS in Orlando on 9th March 2020. I’d interviewed Roy at CES 2020 in Las Vegas in January to catch up on consumer health developments, and the March meeting was going to cover Philips’ innovations on the hospital and acute care side of the business, as well as to learn more about Roy’s new role as head of Connected Care. HIMSS cancelled the conference just days before it was to commence….due to the great disruption of COVID-19.

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Saving Money as a Financial Vaccine: BlackRock Finds Consumer Savings Drain and Etsy Sellers Not Saving Much

“Americans are feeling incredible financial pressure as a result of the COVID outbreak,” John Thompson, Chief Program Officer with the Financial Health Network. One in three people in the U.S. has skipped or stopped paying a bill, and over half of Americans have used emergency savings, according to a survey from the BlackRock Emergency Savings Initiative (ESI). BlackRock, the investment firm, allocated $50 million in February 2019 to form the ESI, focused on helping people with lower incomes to bolster savings and financial health. BlackRock partners in the ESI with the Financial Health Network, CommonWealth, the Center for Advanced Hindsight Common

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Americans’ Concerns About the US Healthcare System Loom Larger Than Worries About Their Own Care

The coronavirus pandemic has further opened the kimono of the U.S. healthcare system to Americans: four months into the COVID-19 outbreak, most consumers (62%) of people in the U.S. are more concerned about other people not having access to high quality health care versus themselves. This is a 16 point increase in concern in May 2020 compared with the response to the same question asked in February in a poll conducted by the University of Chicago Harris School of Public Policy and The Associated Press-NORC Center for Public Affairs Research (the AP-NORC Center). The AP-NORC Poll found more of this

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Addressing Health Equity Must Include Digital Equity Beyond Access To Medical Services and Insurance

The 21st Century Cures Act emphasizes patients’ control of personal health information. ONC rules issues in March 2020 called for more patient-facing health tools and apps to bolster health consumer engagement and empowerment. But the emergence of the coronavirus in the U.S. revealed many weakness in the American health care system, one of which has been health inequities faced by millions of people — especially black Americans, who have sustained higher rates morbidity and mortality for COVID-19. There have also been digital health divides found in the COVID-19 pandemic, discussed in a timely essay in JAMA, Digital Health Equity as

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Telehealth Is Just Healthcare Now – One Post-COVID Certainty, Three Reports

As we wrestle with just “what” health care will look like “after COVID,” there’s one certainty that we can embrace in our health planning and forecasting efforts: that’s the persistence of telehealth and virtual care into health care work- and life-flows, for clinicians and consumers alike and aligned. There’s been a flurry of research into this question since the hockey-stick growth of telemedicine visits were evident in March 2020, just days after the World Health Organization uttered the “P-word:” pandemic. Three recent reports (among many others!) bolster the business and clinical cases for telehealth in America in terms of: A

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The Hair Economy in the COVID-19 Pandemic: Control, Wellness, and Self-Care

The barbershop and beauty salon are important community touch points for health, wellness, and social connection in so many peoples’ lives. In my book, HealthConsuming: From Health Consumer to Health Citizen, I feature the black barbershop to introduce a chapter on “The New Retail Health.” In the COVID-19 pandemic, how we’re dealing with hair is a metaphor for personal control, for political statements, for mental health, and for overall well-being. Check out Geoff Coates’ (known as Sadochicken, from Vancouver) take on “how quarantine hairdos are lookin’,” here. Can you see yourself? I can (it’s the “Corona Bangs” style for me,

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More U.S. Patients Scheduling Doctors’ Appointments, Welcoming Telehealth Into Their Visit-Mix

By May 14th, 2020, one-half of consumers in the U.S. expected they would schedule a medical appointment in the next two months. “As the country emerges from COVID-19, we’re watching consumer confidence shift back to where it was prior to the onset of this crisis,” noted Dr. Brad Bowman, Chief Medical Office at Healthgrades. The company published the COVID-19 Patient Confidence Study, a survey launched in late March. Since the first poll was conducted on March 27th, Healthgrades has conducted the study weekly among 200 patients age 18 and over to gauge peoples’ “confidence” in making typical health care decisions through

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Financial Insecurity Among U.S. Workers Will Worsen in the Pandemic — Especially for Women

Millions of mainstream, Main Street Americans entered 2020 feeling income inequality and financial insecurity in the U.S. The coronavirus pandemic is exacerbating financial stress in America, hitting women especially hard, based on PwC’s 9th annual Employee Financial Wellness Survey COVID-19 Update. For this report, PwC polled 1,683 full-time employed adults between 18 and 75 years of age in January 2020. While the survey was conducted just as the pandemic began to emerge in the U.S., PwC believes, “the areas of concern back in January will only be more pronounced today,” reflecting, “the realities of the changing employee circumstances we are

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Trust My Doctor and Fear the Office: The Telehealth Opportunity in and Beyond the COVID-19 Pandemic

Doctors maintain their top status as U.S. patients’ most-trusted source of coronavirus information. However, as patients continue to be concerned about exposure to COVID-19, 3 in 5 are concerned about being at-risk to the virus in their doctor’s office, according to research from the Alliance of Community Health Plans (ACHP) and AMCP, the Academy of Managed Care Pharmacy. Patients’ concerns of COVID-19 risks have led them to self-ration care in the following ways: 41% have delayed health care services 42% felt uncomfortable going to a hospital for any medical treatment 45% felt uncomfortable using an urgent care or walk-in clinic,

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Stress in America – COVID-19 Takes Toll on Finances, Education, Basic Needs and Parenting

“The COVID-19 pandemic has altered every aspect of American life, from health and work to education and exercise,” the new Stress in America 2020 study from the American Psychological Association begins. The APA summarizes the impact of these mass changes on the nation: “The negative mental health effects of the coronavirus may be as serious as the physical health implications,” with COVID-19 stressors hitting all health citizens in the U.S. in different ways. Beyond the risk of contracting the virus, the Great Lockdown of the U.S. economy has stressed the U.S. worker and the national economy, with 7 in 10

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Health Care In the COVID-19 Era – PwC Finds Self-Rationing of Care and Meds Especially for Chronic Care

Patients in the U.S. are self-rationing care in the era of COVID-19 by cutting spending on health care visits and prescription drugs. The coronavirus pandemic’s impact on health consumers’ spending varies depending on whether the household is generally a healthy family unit, healthy “enthusiasts,” dealing with a simple or more complex chronic conditions, or managing mental health issues. PwC explored how COVID-19 is influencing consumers’ health care behaviors in survey research conducted in early April by the Health Research Institute. The findings were published in a May 2020 report, detailing study findings among 2,533 U.S. adults polled in early April

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What $6,553 Buys You in America: A Luxury Watch, a Year at Valdosta State, or a PPO for One – the 2020 Milliman Medical Index

Imagine this: you find yourself with $6,553 in your pocket and you can pick one of the following: A new 2020 Breitling Navitimer watch; A year’s in-state tuition at Valdosta State University; or, A PPO for an average individual. Welcome to the annual Milliman Medical Index (MMI), which gauges the yearly price of an employer-sponsored preferred-provider organization (PPO) health insurance plan for a hypothetical American family and an N of 1 employee. That is a 4.1% increase from the 2019 estimate, about twice the rate of U.S. gross domestic product growth, Milliman points out in its report.   Milliman bases

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Sex, Drugs, Mental Health and COVID Tests – A DTC Reboot for Health?

This week, Hims & Hers announced they would be a new consumer-facing retail channel for coronavirus testing. You can order the test here for $150 cash out-of-pocket. The packaging states that this is a saliva test, “to detect current presence of COVID-19.” The fine print on the Hims website states: This test has been authorized by the FDA under an Emergency Use Authorization for use by authorized laboratories. This test has not been FDA cleared or approved. This test has been authorized only for the detection of nucleic acid from SARS-CoV-2, not for any other viruses or pathogens. This test

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How COVID-19 Has Re-Shaped Health Care Delivery So Far

COVID-19 is re-shaping health care in America across many dimensions. In Shifts in Healthcare Demand, Delivery and Care During the COVID-19 Era, IQVIA presents a multi-faceted profile of the early impacts of the pandemic on U.S. health care. In the report, published in April 2020, IQVIA mined the company’s many data bases that track real-time data, including medical claims, flu data, sales data, oncology medical and pharmacy claims, formularies, among other sources. Top-line, IQVIA spotted the following key shifts in U.S. health care since the start of the coronavirus pandemic: Patients’ use of health services Impacts on medicine use, influenced

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Seeking Comfort and Safety for Being Well: Consumers Turn to Virtual Health Modes

“We’re not getting back to business as usual any time soon,” Sage Growth Partners and Blackbook Research introduce their latest report on the COVID-19 pandemic, As the Country Reopens Safety Concerns Rise. One of the areas that won’t be getting “back to business” soon will be patients’ visits to doctors’ offices, hospitals, and urgent care centers, the report notes, based on a survey conducted among 591 U.S. consumers on April 28 and 29, 2020. Millions of U.S. health consumers’ feel unsafe, an increase among those who feel that way compared with SGP/Blackbook’s study from last month, a concern that ratcheted

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How COVID-19 Is Driving More Deaths of Despair

In the current state of the COVID-19 pandemic, we all feel like we are living in desperate times. If you are a person at-risk of dying a Death of Despair, you’re even more at-risk of doing so in the wake of the Coronavirus in America. Demonstrating this sad fact of U.S. life, the Well Being Trust and Robert Graham Center published Projected Deaths of Despair from COVID-19. The analysis quantifies the impact of isolation and loneliness combined with the dramatic economic downturn and mass unemployment with the worsening of mental illness and income inequity on the epidemic of Deaths of

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Food In-Security in a Coronavirus America

One in 10 people in the U.S. were defined as food-insecure without consistent access to nutritious food options in 2019. The COVID pandemic has quickly and negatively impacted food insecurity in America, detailed in an assessment from NIHCM on the current state of food insecurity in America. As many as 4 in 10 U.S. households reported being food-insecure as of April 2020. That includes 20% of children living in the U.S. lacking nutritious food on a daily basis. The NIHCM adopted the definition of food insecurity from the USDA Adult Food Security Survey which is a 10-question poll asking people

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TransUnion Reveals the Home Economics and Social Determinants of COVID-19

  Today, 7th May 2020, the U.S. Bureau of Labor Statistics announced that about 3.17 million jobs were lost in the nation in the last week. This calculated to an unemployment rate of 15.5%, an increase of 3.1% points from the previous week. Total jobs lost in the COVID-19 pandemic, starting from the utterance of the “P” word, has been ___ in the I.S. The virus’s global impact has led to what IMF called the Great Lockdown, resulting in economic inertia and contraction since Asia and Europe reported the first patients diagnosed with the coronavirus. The economic impact the world

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Consumers Focus on Basic Needs in the COVID-19 Pandemic: Is Self-Care a New Normal?

Personal health, food and medicine, safety and financial security are consumers’ top priorities as of April 2020, learned in consumer research analyzed in How COVID-19 will permanently change consumer behavior from Accenture. Both health and economic concerns plague consumers around the world as people “strive to adapt to a new normal,” Accenture reports. “Fear is running high as individuals contemplate what this crisis means for them…for their families and friends, and the society at large,” the report sets the table on the evolving behaviors of consumers in the pandemic. On an individual, personal level, two-thirds of people are fearful for

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Drive-Thru Health, In and After the Pandemic

Physical distancing and sheltering-in-place at home are becoming norms in our pandemic life-flows. We’ve seen the advent of drive-through and drive-up weddings, wakes, and high school graduation rites. And when food, hygiene supplies, and medical care can’t be delivered by Amazon or Instacart via FedEx, UPS, or the U.S. Postal Service, there’s always the automobile — which, in the U.S., is also part of COVID-19 consumers’ coping mechanisms for hunting-and-gathering the stuff of survival. The automobile has played a particularly unique role in American consumer culture, especially in the suburbanization of the country after World War II. THINK: American Graffiti

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Food, Housing, Energy and Medical Care – the Material Hardships of COVID-19 in America

The Coronavirus has impacted every aspect of human life: first, the direct biological impact of COVID-19 on people, as of today the cause of over 63,000 deaths in the U.S. along with unquantifiable morbidity among millions of Americans who are surviving the virus and the toll on family caregivers. Beyond the direct physical impact of the virus, social and emotional health impacts are emerging now due to physical distancing, mandates to #StayHome, and telecommuting to jobs when possible. Mental health impacts will persist as a pandemic after the Coronavirus pandemic, I’ve previously detailed here in Health Populi. On a global

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COVID-19’s Consumer Health Care Behaviors: Telehealth, Trauma, and Trust, via PwC

In a matter of several weeks, people living in the U.S. have endured massive personal social, emotional, physical and fiscal disruption due to the COVID-19 pandemic. State mandates to shelter at home, the adoption of wearing face masks and covers in public, and re-making dining tables and dens into home-working spaces for kids in school or parents telecommuting, American homes have morphed into petri dishes of people undergoing dramatic changes in a very short time. A new report from PwC looks at peoples’ changes in health behaviors in the first two months of the pandemic, asking whether these changes will

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“Everyday Life” Factors Into Our Health Risks for COVID-19, Welltok Explains

By Jane Sarasohn-Kahn on 28 April 2020 in Coronavirus, COVID-19, Social determinants of health

Everyday factors can make a big difference in a person’s current and future health risks and needs, we’re learning in the COVID-19 pandemic, detailed in a new Welltok research report, Social Determinants of Health Matter: Voice of the Consumer. “The current public health crisis underscores the importance of leveraging SDOH as a way to effectively provide timely, relevant support that is truly going to make a difference for people’s total wellbeing,” Bob Fabbio, Welltok’s CEO, explained in a press release. “It’s not only about predicting high-risk individuals, but also those that may be feeling isolated, financially insecure or emotionally unstable that

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How COVID-19 is Hurting Americans’ Home Economics in 2020

Beyond the physical and clinical aspects of the COVID-19 pandemic are financial hits that people are taking in the shutdown of large parts of the U.S. economy, impacting jobs, wages, and health insurance rolls. Some 1 in 2 people in the U.S. who have had their income impacted by the coronavirus have either fallen behind in paying off credit card debt or other bills, had problems paying for utilities, have lagged in paying for housing (rent or mortgage), been challenged paying for food, or other out-of-pocket costs. We learn about these fiscal hits from COVID-10 from the latest Health Tracking Poll

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COVID-19 Reveals Urgent Need for Universal Mental Health Care

The coronavirus pandemic has dramatically disrupted every aspect of life for everyday people, ratcheting up stress across all families: The mandate to #StayHome, being physically distanced from work colleagues, beloved family and friends, and our community touchpoints The fear and risk-management of contracting the COVID-19 virus, for ourselves and our families The economic shock or either losing our jobs, seeing our savings eroding from 401(k) plans, losing our health insurance, or all of the above If we’ve kept our jobs in the pandemic, the novel work environment at-home — with children afoot, some of whom are now forced to be

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Health, Wealth & COVID-19 – My Conversation with Jeanne Pinder & Carium, in Charts

The coronavirus pandemic is dramatically impacting and re-shaping our health and wealth, simultaneously. Today, I’ll be brainstorming this convergence in a “collaborative health conversation” hosted by Carium’s Health IRL series.  Here’s a link to the event. Jeanne founded ClearHealthCosts nearly ten years ago, having worked as a journalist with the New York Times and other media. She began to build a network of other journalists, each a node in a network to crowdsource readers’-patients’ medical bills in local markets. Jeanne started in the NYC metro and expanded, one node at a time and through many sources of funding from not-for-profits/foundations,

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Healthy Thinking: Inside the Mind of the COVID-19 Consumer

Stress is up, smoking increasing, drinking more alcohol….Americans are tapping into a variety of coping mechanisms in the coronavirus outbreak, with health on their collective minds. Toluna and Harris Interactive are collaborating on the COVID-19 Barometer, publishing biweekly data on consumers’ views on the coronavirus pandemic. The data here are a snapshot of consumers taken through the Toluna-Harris poll conducted among 1,047 U.S. adults between 9-20 April 2020. The first chart shows various life-flows Americans have adopted in April, all risk factors impacting peoples’ overall health status and mental well-being. There were demographic differences across these factors: more women felt

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The Patient-as-Payor in the Coronavirus Pandemic

One in three working age people in the U.S. lost their job as a response to the COVID-19 pandemic, some of whom lost health insurance and others anxious their health coverage will be threatened, revealed in a survey from The Commonwealth Fund published on April 21, 2020. 2 in 5 people in America who are dealing with job insecurity are also health insurance insecure, the study found, as shown in the pie chart. The Commonwealth Fund commissioned the poll among 1,001 U.S. adults 18 to 64 years of age between 8-13 April 2020. Nearly all Americans believe the dots of

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In the U.S., the Spread of Infectious Disease Now Seen As Bigger Threat Than Terrorism – Pew

The spread of infectious disease is the new terrorism in the eyes of Americans. The most significant major threat to the U.S. is infectious disease, four in five Americans said in March 2020, closely followed by terrorism (in general), the spread of nuclear weapons, and cyberattacks from other countries. For the study, the Pew Research Center commissioned a telephone survey conducted among 1,000 U.S. adults in March 2020. Large majorities of people are also highly concerned about China’s growing power and influence, global climate change, Russia’s power and influence, the condition of the global economy, and global poverty. The percent

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Americans’ Sense of Well-Being Falls to Great Recession Levels, Gallup Finds

It’s déjà vu all over again for Americans’ well-being: we haven’t felt this low since the advent of the Great Recession that hit our well-well-being hard in December 2008. As COVID-19 diagnoses reached 200,000 in the U.S. in April 2020, Gallup gauged that barely 1 in 2 people felt they were thriving. In the past 12 years, the percent of Americans feeling they were thriving hit a peak in 2018, as the life evaluations line graph illustrates. Gallup polled over 20,000 U.S. adults in late March into early April 2020 to explore Americans’ self-evaluations of their well-being. FYI, Gallup asks consumers

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The Epidemic After the Pandemic is Stress and Anxiety in America – Learning From Ginger

“U.S. workers were stressed before COVID-19; now, stress levels are through the roof,” based on data analyzed by Ginger, the digital behavioral health innovator, asserting this major mental health headline in its latest press release. Working Americans were becoming increasingly stressed, distressed, and anxious in February 2020, when Ginger fielded this study. Key data points from their analysis of U.S. workers’ feelings about the COVID-19 pandemic included: 7 in 10 working people said this was the most stressful time of their working lives 7 in 10 workers believed fellow employees in their companies were significantly less productive due to stress

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The Unsurprising Surprise of Social Determinants in COVID-19 Mortality

“Covid-19 exposes America’s racial health gap,” asserts The Economist, the weekly news magazine based in London, UK, in an advanced essay dated 11 April 2020. The subtitle of the piece: “African-Americans appear more vulnerable to the virus.” The phrase, “your ZIP code is more important than your genetic code” has become the common mantra for public health people communicating the concept of the social determinants of health: those factors outside of medical services that shape peoples’ overall health and well-being. Two days ago, the Centers for Disease Control (CDC) published data that showed African-Americans were dying from complications of the

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The Grocery Store as Social, Health — and Sickness — Destination

On Monday, 6th April 2020, the Prime Minister of New Zealand, Jacinda Ardern, has determined that the Easter Bunny and the Tooth Fairy are essential workers in our age of the coronavirus pandemic. The PM has posted an Easter egg coloring project on her Facebook page to support children (and people like me who like to color) in the #StayHome era. In the U.S., the day before on Sunday 7th April, Dr. Deborah Birx advised Americans that, “The next two weeks are extraordinarily important. This is the moment to not be going to the grocery store, not going to the

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The Coronavirus Impact on American Life, Part 2 – Our Mental Health

As the coronavirus pandemic’s curve of infected Americans ratchets up in the U.S., people are seeking comfort from listening to Dolly Parton’s bedtime stories, crushing on Dr. Anthony Fauci’s science-wrapped-with-empathy, and streaming the Tiger King on Netflix. These and other self-care tactics are taking hold in the U.S. as most people are “social distancing” or sheltering in place, based on numbers from the early April 2020 Kaiser Family Foundation health tracking poll on the impact of the coronavirus on American life. While the collective practice of #StayHome to #FlattenTheCurve is the best-practice advice from the science leaders at CDC, the NIAID

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The Coronavirus Impact on American Life, Part 1 – Life Disrupted, and Money Concerns

Nearly 3 in 4 Americans see their lives disrupted by the coronavirus pandemic, according to the early April Kaiser Family Foundation Health Tracking Poll. This feeling holds true across most demographic factors: among both parents and people without children; men and women alike; white folks as well as people of color (although fewer people identifying as Hispanic, still a majority). There are partisan differences, however, in terms of who perceives a life-disruption due to COVID-19: 76% of Democrats believe this, 72% of Independents, and 70% of Republicans. Interestingly, only 30% of Republicans felt this way in March 2020, more than

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How the Coronavirus is Reshaping Consumer Trust – The Edelman Trust Barometer Lens and Health Impacts

U.S. consumers were re-shapen by the 2008 Recession in two key ways: people took on more self-service DIY daily life-flows, seeking self-sufficiency and less dependence on institutions; and, consumers became more value-sensitive both in terms of financial value and personal values. As Americans confront the clinical and fiscal realities of the coronavirus in the U.S., the trust people feel with organizations, brands and information sources is shifting, a special report from Edelman explains. In Brand Trust and the Coronavirus Pandemic, Edelman focuses its trust lens on the pandemic and consumers’ shaken confidence in business and government institutions. These findings have

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How the Coronavirus and Technology Are Reshaping Home-Work, -Life and -Health

As people conform to the #StayHome lifestyle to #FlattenTheCurve of the coronavirus pandemic, technology is transforming peoples’ home lives for working, playing, and socializing. The Consumer Technology Association has conducted the COVID-19 Impact Study assessing the use of technology at home, exploring U.S. households’ changing behaviors for consuming content, stocking the pantry, engaging with social media, and using online health and fitness tools. This research surveyed 1,004 U.S. adults 18 and over in March 2020 — early in the U.S. pandemic’s national “curve.” U.S. consumers’ top five technology purchases in mid-March 2020 were for smartphones, laptop computers, TVs, and headphones/earbuds.

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Honor Your Doctor – It’s National Doctors Day Today (and EveryDay)

Today, March 30, is National Doctors Day. We honor doctors annually on this day. But every day, we must honor physicians for bolstering the health and wellness of our fellow Americans, our beloved families and friends, and our selves. The Coronavirus Pandemic reminds us of the precious and scarce resource that is our national supply of physicians in America — numbering about 750,000 active clinicians in the U.S. according to the U.S. Bureau of Labor Statistics. Even before the COVID-19 crisis, physicians in America had been feeling increasingly burned out and depressed. The 2020 WebMD survey on the state of

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West Virginia Was the Last State to ID a COVID-19 Positive Patient; The States’ Residents Are At Highest Risk for Severe Reaction to C19

Gallup has estimated 11 Million in U.S. at Severe Risk If Infected With COVID-19 in research published today. And the health citizens of West Virginia would be at greatest risk for having a severe reaction to the coronavirus. A “severe reaction” here means being critically ill or dying. The forecast doesn’t focus on the whole number of people in the US. who would be at-risk of contracting the coronavirus; the 11 million is the total number of Americans who have a “very high chance of becoming critically ill or dying” if 100% of the country were infected with C19. This

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Wistful Thinking: The National Health Spending Forecast In a Land Without COVID-19

U.S. health care spending will grow to 20% of the national economy by 2028, forecasted in projections pre-published in the April 2020 issue of Health Affairs, National Health Expenditure (NHE) Projections. 2019-28: Expected Rebound in Prices Drives Rising Spending Growth. NHE will grow 5.4% in the decade, the model expects. But…what a difference a pandemic could make on this forecast. This year, NHE will be $3.8 trillion, growing to $6.2 trillion in 2028. Hospital care spending, the largest single component in national health spending, is estimated at $1.3 trillion in 2020. These projections are based on “current law,” the team

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Steps Count: More Steps Are Self-Care Goodness in the COVID-19 Lifestyle

There’s evidence in this week’s JAMA of a dose-response relationship between peoples’ steps and lower mortality. In other words: more steps done daily is statistically significantly associated with death from all causes. Furthermore, step intensity didn’t make a difference in mortality rates, shown in the JAMA-published study, Association of Daily Step Count and Step Intensity With Mortality Among US Adults. The publication of this study is incredibly well-timed given the fact that hundreds of millions of people around the world are in lockdown, #StayHome lifestyles this week, and will be for many weeks to come. Going outside for fresh air

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In the US COVID-19 Pandemic, A Tension Between the Fiscal and the Physical

“Act fast and do whatever it takes,” insists the second half of the title of a new eBook with contributions from forty leading economists from around the world. The first half of the title is, Mitigating the COVID Economic Crisis.  The book is discussed in a World Economic Forum essay discussing the economists’ consensus to “act fast.” As the U.S. curve adds new American patients testing positive for the coronavirus, the book and essay illustrate the tension between health consumer versus the health citizen in the U.S.  For clinical context, as I write this post on 24th March 2020, today’s U.S.

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In A Nation “At War” with the C19 Virus, Partisan Healthcare Differences Persist

More Democrats would want to get tested for the coronavirus (C19) than would Republicans. And, more women than men believe that a vaccine to address the COVID-19 pandemic believe that treatment would be offered at no-or-low-cost under a Democratic president versus President Trump. These are two key insights gleaned from a look into U.S. adults’ perspectives on the C19 virus in the second week of March 2020. What Are Americans’ Views on the Coronavirus Pandemic? asks and answers an NBC News/Commonwealth Fund Health Care Poll published on 20th March 2020. NBC News and the Commonwealth Fund polled 1,006 people 18

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