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Managing the Risks of Fast-Growing Digital Health

Investments in the digital health sector have fast-grown in the past decade, reaching $14bn in 2020 based on Rock Health’s latest read on the market. The COVID-19 pandemic accelerated the field across many industry segments. With such turbocharged growth on the supply side, Beazley, experts in specialty insurance, explores the risks of digital health and wellness in a new report, Digital health, telehealth and wellness: Attitudes to risk and insurance. With great potential for both innovation and reward comes great risks: Beazley points to the facts that, over two-thirds of digital health companies lack insurance coverage for medical malpractice for

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The Rise of the Homebody Economy and Healthcare to the Home

As the coronavirus crisis stretched from weeks into months, now over one year since being defined as a pandemic, U.S. consumers have made significant investments into their homes for working, educating students, cooking, and working out. Welcome to the “rebalancing of the homebody economy,” in the words of McKinsey, out with new data on consumer sentiment during the coronavirus crisis. The continued penetration of vaccines-into-arms in the U.S. is fanning optimism in terms of household economics, personal spending — especially on experiences that get folks “out” of the house. Still, the Homebody Economy will persist even post-COVID, with a growing

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Ten Forces Shaping Health Care in 2021: A View from CVS Health

Expanding omni-channel, data-driven, cost-effective health care in the community, tailoring that care, and attending to mental health paint the picture of health through the lens of CVS Health. The company published the Health Trends Report 2021 today, calling out ten forces shaping health care this year. Those themes are, The Year of the Pharmacist The Next Step Forward in Cardiac Care Cancer Needs a Better Roadmap The EHR Hits Its Stride The Mental Health Shadow of COVID-19 Tailor Care to the Older Patient More Agents that Predict Disease Paying for the New Medical Miracle Virtual Care Goes Mainstream, and Diabetes

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The Digital Transformation of Patients – Update from Rock Health and Stanford

The coronavirus pandemic accelerated digital transformation of organizations, including health care providers. But another patient side-effect of COVID-19 has been the digital transformation of many patients, documented by data gathered by Rock Health and Stanford Center for Digital Health and analyzed in their latest report explaining how the public health crisis accelerated digital health “beyond its years,” noted in the title of the report. Rock Health and Stanford commissioned an online survey among 7,980 U.S. adults from early September to early October 2020 to gauge peoples’ interest in and utilization of digital health tools and telehealth. Rock Health has conducted a consumer digital

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A New Health Literacy Pillar: Personal Data Stewardship

The growing use of APIs in health information technology innovation for patient care has been a boon to speeding development placed in the hands of providers and patients. Using APIs can help drive interoperability and make data “liquid” and useable. APIs can enable “Data liberación,” a concept proposed by Todd Park when he worked in the Obama administration. Without securing patients’ personal health data leveraging APIs, those intimate details are highly hackable explained in All That we Let In, a report from Knight Ink and Appr0ov. It is likely that behind growing health data hacks is the marginally greater financial

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The Health Care Cost Curve is Bending Down – A New View from Deloitte

Over the next 20 years, health care spending in the U.S. will migrate toward well-being and the early detection of disease, away from the funding of America’s sick-care system, according to Breaking the cost curve, a forecast of U.S. health economics in the year 2040 from Deloitte. Current spending on health care in America is roughly $4 trillion (with a “t”) dollars, approaching 20% of the nation’s economy. By 2040, spending is projected to be $8.3 trillion based on future health trends — not historic workflows and delivery mechanisms which would consume an additional $3.5 trillion — close to what we

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The Digital Transformation of Home for Health – Brainstorming with Karsten Russell-Wood of Philips

At the start of CES 2021, I had the opportunity to catch up with Karsten Russell-Wood, Portfolio Marketing Leader, Post Acute & Home, Connected Care at Philips. We brainstormed just as CES 2021 was going to “open,” virtually, for the consumer electronics conference’s first all-virtual meeting. Philips, a longtime major exhibitor at CES, created an entirely new online experience for the CES attendees – a sort of virtual gallery of different exhibits that are accessed from a single point in a “room” with various entry points. One of the company’s key messages for CES 2021 was health care delivered outside

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Call It Deferring Services or Self-Rationing, U.S. Consumers Are Still Avoiding Medical Care

Patients in the U.S. have been self-rationing medical care for many years, well before any of us knew what “PPE” meant or how to spell “coronavirus.” Nearly a decade ago, I cited the Kaiser Family Foundation Health Security Watch of May 2012 here in Health Populi. The first chart here shows that one in four U.S. adults had problems paying medical bills, largely delaying care due to cost for a visit or for prescription drugs. Fast-forward to 2020, a few months into the pandemic in the U.S.: PwC found consumers were delaying treatment for chronic conditions. In October 2020, The American Cancer

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Can Telemedicine Increase Health Equity? A Conversation with Antoinette Thomas, Dave Ryan, and Me with the ATA

“Yes,” we concurred on our session convened by the American Telemedicine Association (ATA) EDGE session today. “We” was a trio including Antoinette Thomas (@NurseTechExec1), Chief Patient Experience Officer with Microsoft, David Ryan (@DavidPRyan), former long-time Global Head of Intel’s Health/Life Science business; and, me. Antoinette posed three questions for all of us to brainstorm, addressing various aspects of health equity. We covered, The theory that telemedicine should increase health equity — where are we and what are the barriers to getting there? The role of social determinants of health in creating equitable opportunities for health citizens; and, Entering a post-pandemic world,

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Ensuring That Humanity Retains Control of Connected Things: A Message from Microsoft at CES 2021

Artificial intelligence (AI) has begun to play a role in health care for predictive analytics, personalization, and public health. On 26th January, I’ll moderate a tweetchat at 1 pm Eastern time, brainstorming the current and future state of and opportunities for AI in health care. I’ll be co-chatting with Microsoft’s AI leader, Tom Lawry (@TCLawry on Twitter). In advance of that discussion, I wanted to feature remarks shared by Brad Smith, Microsoft President, that I recently heard at CES 2021, the annual (this year, virtual) meeting convening the largest community of consumer electronics stakeholders globally Smith wove a crucial, impactful

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Our Homes Are Health Delivery Platforms – The New Home Health/Care at CES 2021

By Jane Sarasohn-Kahn on 18 January 2021 in Aging, Aging and Technology, Baby health, Big data and health, Bio/life sciences, Bioethics, Boomers, Broadband, Business and health, Connected health, Consumer electronics, Consumer experience, Consumer-directed health, Coronavirus, COVID-19, Data analytics and health, Demographics and health, Dental care, Design and health, Diagnostics, Digital health, Digital therapeutics, Electronic medical records, Exercise, Fitness, Food and health, GDPR, Grocery stores, Guns and health, Health and Beauty, Health at home, Health care marketing, Health citizenship, Health Consumers, Health costs, Health disparities, Health Economics, Health ecosystem, Health engagement, Health equity, Health marketing, Health media, Health Plans, Health policy, Health politics, Health privacy, Health regulation, Healthcare access, Healthcare DIY, Heart disease, Heart health, HIPAA, Home care, Hospitals, Housing and health, Internet and Health, Internet of things, Medical device, Medical innovation, Nutrition, Obesity, Oral care, Patient engagement, Patient experience, Pharmacy, Physicians, Popular culture and health, Prevention and wellness, Primary care, Privacy and security, Public health, Remote health monitoring, Retail health, Robots and health, Safety net and health, SDoH, Self-care, Sensors and health, Sleep, Smartwatches, Social determinants of health, Social responsibility, Sustainability, Telehealth, Telemedicine, Transparency, Trust, Virtual health, Wearable tech, Wearables, Wellbeing

The coronavirus pandemic disrupted and re-shaped the annual CES across so many respects — the meeting of thousands making up the global consumer tech community “met” virtually, both keynote and education sessions were pre-recorded, and the lovely serendipity of learning and meeting new concepts and contacts wasn’t so straightforward. But for those of us working with and innovating solutions for health and health care, #CES2021 was baked with health goodness, in and beyond “digital health” categories. In my consumer-facing health care work, I’ve adopted the mantra that our homes are our health hubs. Reflecting on my many conversations during CES

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Do-It-Yourself Innovation Comes to Health at Home – Telehealth, Fjord 2021 Trends and #CES2021

The pandemic has digitally transformed those people who could work from home, school at home, and undertake daily life-flows as health citizens tried to keep the coronavirus (and other people) at-a-distance. “Emerging hand-in-hand with place displacement, activity displacement is simply about the change in how people do things. Almost overnight, school lessons and doctors’ appointments were online. Yoga classes, concerts and weddings were streamed via Zoom,” Fjord Trends 2021 from Accenture Interactive observes. “Historically, people have often been quick to adopt new digital technology and slower to adapt to what it can help them achieve,” Fjord noted. But COVID-19 has

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Health Is Everywhere at #CES2021 – CTA’s CES 2021 Tech Trends to Watch

Spending on connected health monitoring devices in the U.S. will reach $845 million based on the forecast of the Consumer Technology Association, convening the annual 2021 CES this week in a virtual format. CTA unveiled the 2021 key trends we’ll see presented this week through the online exhibition hall and in educational sessions on the CES.Tech platform. Six major themes emerge at #CES2021: digital health, robotics and drones, 5G connectivity, vehicle technology, smart cities, and over all — digital transformation. All of these have applications in health and health care, especially accelerated in need by the COVID-19 pandemic which has

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The Digital Consumer, Increasingly Connected to Health Devices; Parks Associates Kicking Off #CES2021

In 2020, the COVID-19 pandemic drove U.S. consumers to increase spending on electronics, notably laptops, smartphones, and desktop computers. But the coronavirus era also saw broadband households spending more on connecting health devices, with 42% of U.S. consumers owning digital health tech compared with 33% in 2015, according to research discussed in Supporting Today’s Connected Consumer from Parks Associates. developed for Sutherland, the digital transformation company. Consumer electronics purchase growth was, “likely driven by new social distancing guidelines brought on by COVID-19, which requires many individuals to work and attend school from home. Among the 26% of US broadband households

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Preparing for a Long-COVID Lifestyle in 2021 – A Health-At-Home Focus for CES 2021

In the U.S., the latest read on supply-and-demand for COVID-19 vaccines illustrates a gap between what had been promised for the first phase of vaccine rollout versus the reality of supply chain challenges, cold storage, and 50-state and local fragmentation at the last mile for U.S. health citizens. An op-ed published in yesterday’s Washington Post by Dr. Robert Wachter of UCSF and Dr. Ashish Jha of Brown University found these two wise physicians feeling “punched in the face” with the state of coronavirus vaccination in America. As a result, they soberly, pragmatically recommended administering just the first jab of vaccine

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The 2021 Health Populi TrendCast – Health Care, Self-Care, and the Rebirth of Love in Public Health

In numerology, the symbolic meaning behind the number “21” is death and re-birth. In tarot cards, 21 is a promise of fulfillment, triumph, and victory. How apropos that feels right now as we say goodbye and good riddance to 2020 and turn the page for a kinder, gentler, healthier New Year. It would be sinful to enter a New Year as challenging as 2021 promises to be without taking the many lessons of our 2020 pandemic life and pain into account. For health care in America, it is a time to re-build and re-imagine a better, more equitable landscape for

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Consumers Demand Digital Transformation Across Their Health Care Experiences

From appointment scheduling to checking in, payment and clinical encounter follow-up, patients now expect digital experiences across the health care continuum….and really great ones, like they get from Amazon and other platforms that earn high net promoter scores. That is the big message from the 2020 Healthcare Consumer Experience Study published by Cedar, based on the input of 1,502 U.S. adults who paid a medical bill between October 2019 and October 2020. The timing of this study coincided with the start of the COVID-19 pandemic in the U.S. through at least seven months of American patients’ experiences in 2020. Two-thirds

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Home Is the Health Hub for Older People – Learning from Laurie Orlov

By April 2020, over one million Medicare members were receiving health care via telemedicine. The graph here shows you the hockey-stick growth for virtual care use by older Americans into the second month of the coronavirus pandemic. The COVID-19 public health crisis up-ended all aspects of daily living in America for people of all ages. For older Americans, avoiding the risk of contracting the tricky virus in public, and especially, in health care settings, became Job 1. The pandemic thus nudged older people toward adopting digital lifestyles for daily life, for shopping, for praying, and indeed, for health care. Laurie

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The Comforts of Home Drive Demand for Healthcare There

Two in three U.S. consumers skipped or delayed getting in-person medical care in 2020. One in 2 people had a telehealth visit int he last year. Most would use virtual care again. The coronavirus pandemic has mind-shifted how patients envision a health care visit. Today, most consumers prefer the idea of getting health care at home compared with going to a doctor’s office. Most Americans also like the idea of recovering at home instead of at a medical facility after a major medical event, according to the report, Health-at-Home 2020: The New Standard of Care Delivery from CareCentrix. COVID-19 has

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Consumers Seek Health Features in Homes: How COVID Is Changing Residential Real Estate

The coronavirus pandemic has shifted everything that could “come home,” home. THINK: tele-work, home schooling for both under-18s and college students, home cooking, entertainment, working out, and even prayer. All of this DIY-from-home stuff has been motivated by both mandates to #StayHome and #WorkFromHome by government leaders, as well as consumers seeking refuge from contracting COVID-19. This risk-shift to our homes has led consumers to re-orient their demands for home purchase features. Today, home is ideally defined as a safe place, offering comfort and refuge for families, discovered in the America at Home Study. The Study is a joint project of

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The COVID-19 Era Has Grown Health Consumer Demand for Virtual Care

Over one-half of Americans would likely use virtual care for their healthcare services, and one in four people would actually prefer a virtual relationship with a primary care physician, according to the fifth annual 2020 Consumer Sentiment Survey from UnitedHealthcare. What a difference a pandemic can make in accelerating patients’ adoption of digital health tools. This survey was conducted in mid-September 2020, and so the results demonstrate U.S. health consumers’ growing digital health “muscles” in the form of demand and confidence in using virtual care. One in four people would consider online options as their first-line to evaluating personal health

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COVID-19 Has Accelerated Consumers’ Interest in Healthy Home Tech

One in two U.S. adults say their concerns about personal health and wellness increased in the past year: in particular, stress and anxiety, and sleep and eating habits. Despite spending more time at home due to the COVID-19 pandemic, few people believe they live in a “healthy home.” The vast majority of consumers are concerned about some aspect of their home’s health, like air or water quality, according to Healthy Home Technologies , a report published in October 2020 by the Consumer Technology Association (CTA), convener of the annual CES. For the research, CES interviewed 1,500 U.S. adults in late

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The Coronavirus Pandemic Turbocharged Digital Health Investment in 2020

2020 will be remembered for disruption and dislocation on many fronts; among the major blips in the year will be it remembered as the largest funding year for digital health recorded, according to Rock Health’s report on the 3Q2020 digital health funding. This funding record (“already” before year-end, tallied by the third quarter as Rock Health notes) was driven by “mega”-deals accelerated during the public health crisis of COVID-19. In the third quarter of 2020, some $4 billion was invested in U.S. based digital health start-ups adding up $9.4 billion in 2020….so far. This is $1.2 billion more than two

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Telehealth Update from J.D. Power, Amwell, Cigna, GoodRx, and a Trio of Smart Doctors

In the first six months of the COVID-19 pandemic, telehealth was a “bright spot in the ‘new normal,’” according to a report from J.D. Power, Telehealth Patient Satisfaction Surges During Pandemic but Barriers to Access Persist. But as the report’s title asserts, most telehealth users experienced obstacles to accessing and using virtual care platforms that drove less positive consumer experiences. Overall, the telehealth segment achieved a higher consumer satisfaction score (860 points out of 1,000) than other sectors J.D. Power has studied including health insurance, insurance and financial services. J.D. Power assessed two categories of telehealth vendors: direct-to-consumer (DTC) and

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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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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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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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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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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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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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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 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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News from the Consumer Technology Association and Withings Further Demonstrates Private Sector’s Role in the Pandemic and Public Health

This week, announcements from the Consumer Technology Association (CTA) and Withings further bolster the case for the private sector bolstering public health in this pandemic…and future ones to come beyond the Age of the Coronavirus. Since the pandemic emerged, CTA has been reaching out to members and stakeholders to be a useful resource for the consumer electronics industry and its customers. Digital health resources have been an especially useful touch point for CTA’s constituents (including me, as a member who is active with the Association). On 27th July, CTA announced the Association’s launch of the Public Health Tech Initiative. In

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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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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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Growing Evidence for eConsults – the Asynchronous, Clinician-to-Clinician Platform for Telehealth

Health care providers stood up virtual health care services with lightning speed as the coronavirus pandemic emerged in the U.S. Telehealth and its various flavors enabled both patients and providers to manage the risk of contracting the virus, especially at a time when little was known about the nature of transmission, treatment and prevention — except for washing hands, covering one’s face, and isolating when showing symptoms. In Electronic Consultations (eConsults): A Triple Win for Patients, Clinicians, and Payers, the Milbank Memorial Fund explores the evidence supporting the growth of asynchronous electronic consultation encounters between patients and clinicians. Note that

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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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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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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 and COVID-19 in the U.S.: A Conversation with Ann Mond Johnson, ATA CEO

Will the coronavirus inspire greater adoption of telehealth in the U.S.? Let’s travel to Shanghai, China where, “the covid-19 epidemic has brought millions of new patients online. They are likely to stay there,” asserts “The smartphone will see you now,” an article in the March 7th 2020 issue of The Economist. The article returns to the advent of the SARS epidemic in China in 2003, which ushered in a series of events: people stayed home, and Chinese social media and e-commerce proliferated. The coronavirus spawned another kind of gift to China and the nation’s health citizens: telemedicine, the essay explains. A

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Consumers’ Embrace of Digital Health Tech Stalls, and Privacy Concerns Prevail – Accenture’s 2020 Research

Millions of dollars and developers’ time have been invested in conceiving and making digital health tools. Yet with that bullish supply side of digital health,  there was a marked decline in peoples’ use of them in the past two years, found by Accenture in their latest health consumer survey, Digital is Transforming Health, So Why is Consumer Adoption Stalling? Use of mobile apps to track personal health activity fell from nearly 1 in 2 consumers to 1 in 3. Use of wearable tech nearly halved, from 33% to 18%, between 2018 and 2020. Some, but not necessarily a majority, of

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Why CTA’s Shepherding AI Is Important for Re-Imagining Healthcare

The Consumer Technology Association (CTA), collaborating with industry stakeholders, has ushered in a standard for artificial intelligence in health care.   CTA is the membership organization for companies that innovate, manufacture and market consumer-facing tech like big-screen TVs, slick new autos, video games and voice assistants. So what’s an organization like CTA doing with AI and health care? Let me connect the dots. Check out this graphic taken from my book, HealthConsuming: From Health Consumer to Health Citizen. This shows the ten categories of tech I revisit each year at CES, CTA’s annual mega-conference of new-new things in consumer electronics

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Will Trade Data for (Cheaper) Health Care – USC’s View of the Future

Patients are now front-line payors in the U.S. health care system. As such, American health consumers are wrestling with sticker shock from surgical procedures, surprise medical bills weeks after leaving the hospital, and the cost of prescription drugs — whether six-figure oncology therapies or essential medicines like insulin and EpiPens. To manage personal health finances, patients-as-payors are increasingly willing to face trade-offs and change personal behaviors to lower health care costs, based on research in The Future of Health Care Study from USC’s Center for the Digital Future. The Center analyzed the perspectives of 1,000 U.S. adults in August 2019 regarding

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Most Workers and their Employers Want to Receive Digital Healthcare On-Demand

Most employers and their workers see the benefits of digital health in helping make health care more accessible and lower-cost, according to survey research published in Health on Demand from Mercer Marsh Benefits. Interestingly, more workers living in developing countries are keener on going digital for health than people working in wealthier nations. Mercer’s study was global, analyzing companies and their employees in both mature and growth economies around the world. In total, Mercer interviewed 16,564 workers and 1,300 senior decision makers in companies. The U.S. sample size was 2,051 employees and 100 decision makers. There’s a treasure trove of insights

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What Health Plans, Hospitals and Health Systems Can Learn from CES 2020

At this year’s CES — that’s the annual meta-meet-up of tech-loving folks from around the world who meet in Las Vegas to see the latest in all forms of consumer electronics and technology, from smart refrigerators and sexy sleek cars to videogames and personal emergency systems — there was a lot for the health care industry to soak up. I explain what was not only hot, but impactful, for health care providers and plans in the Medecision Liberation Blog published today. This year’s #CES2020 wasn’t as much about the shiny new things in the Internet of Things as it was

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Physicians Lean In to Digital Health, Especially Telehealth and Remote Monitoring

More U.S. doctors are using digital health tools in patient care, with quickening adoption of telehealth and remote monitoring technology, according to a study from the American Medical Association (AMA). This survey, conducted in 2019 among 1,359 U.S. physicians, follows up AMA’s research conducted in 2016 and largely reflects the original questionnaire to be able to understand real changes among doctors’ use of tech in practice. As part of this rigorous study design, AMA used particular definitions for the seven tools the study gauged: remote monitoring for efficiency, remote monitoring and management for improved care, clinical decision support, patient engagement,

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The Pace of Tech-Adoption Grows Among Older Americans, AARP Finds – But Privacy Concerns May Limit Adoption

One in two people over 50 bought a piece of digital technology in the past year. Three in four people over fifty in America now have a smartphone. One-half of 50+ Americans use a tablet, and 17% own wearable tech. The same percentage of people over 50 own a voice assistant, a market penetration rate which more than doubled between 2017 and 2019, AARP noted in the 2020 Tech and the 50+ Survey published in December 2019. For this research, AARP worked with Ipsos to survey (online) 2,607 people ages 50 and over in June and July 2019. Across all

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Dr. Roboto? Stanford Medicine Foresees Digital Doctors “Maturing”

Physicians are evolving as digital doctors, embracing the growing role of data generated in electronic health records as well as through their patients using wearable technologies and mobile health apps downloaded in ubiquitous smartphones, described in The Rise of the Data-Driven Physician, a 2020 Health Trends Report from Stanford Medicine Stanford Medicine interviewed 523 physicians and 210 medical students and residents in September and October 2019 to assess clinicians’ perspectives on digital health topics for this study. The study title citing the “data-driven physician” is based on the key survey finding that doctors are preparing to embrace data, from both traditional

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The Heart of Health at CES 2020 – a Postscript from Pew

I wrote my heart-health update from #CES2020 this morning, curating a little portfolio of digital health tech announced this week in Las Vegas that could put our heart-health in our hands, mirrors, clothing, and bathroom mats. Imagine my delight to find consumer research published this week by the Pew Research Center on wearable tech adoption and perceptions. And the perfect data point to complement my CES heart-health discussion here — that 4 in 10 U.S. adults would allow a fitness tracker supplier to share the user’s personal health data with researchers to study heart disease. It’s also encouraging that 1

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The Heart of Health at CES 2020 – Evidence & Innovation Bridge Consumers and Doctors

The digital health presence at CES 2020 is the fastest-growing segment of consumer technologies at the Show this year, increasing by 25% over 2019. Heart-focused technologies are a big part of that growth story. In fact, in our search for devices and tools underpinned with clinical proof, evidence is growing for consumer-facing technology for heart-health, demonstrated by this year’s CES. Wrist-worn devices, digital therapeutics, patient engagement platforms, pharma and health plans converged at this year’s CES, with the professional association “blessing” of the American College of Cardiology who granted a continuing medical education credit for physicians attending a one-day “disruptive

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The Internet of Teeth – The Growth of Oral Health at CES 2020

The presence of health and medicine is growing at CES, the annual conference of all-things-tech for consumers. At this week’s Show in Las Vegas, we see that the Internet of Healthy Things (a phrase coined by Dr. Joe Kvedar) has taken hold and gone mainstream in remote health monitoring, wearable tech, and heart rate tracking which is now embedded (and expected by health-seeking consumers) in wristbands. An expanding category in the Internet of Healthy Things is oral care. Let’s call this the Internet of Teeth, yet another riff on “IoT.” Of course, oral health goes well beyond teeth and toothbrushes.

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“Digital Health Is An Ecosystem of Ecosystems” – CTA’s 2020 Trends to Watch Into the Data Age

In CTA’s 2020 Consumer Tech Forecast launched yesterday at Media Day 1 at CES, Steve Koenig VP of Research, said that, “digital health is an ecosystem of ecosystems.” Health, medical and wellness trends featured large in the forecast, which brought together key trends for 5G, robotics, voice tech, AR/VR/XR, and the next iteration of IoT — which Steve said will still be called “IoT,” but in this phase will morph into the “Intelligence of Things.” That speaks to Steve’s phrase, “ecosystem of ecosystems,” because that’s not just “digital” health — that’s now the true nature of health/care, and what is

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Living in Digital Healthcare Times – Kicking off #DigitalHealthCES & #CES2020

Today is Day 1 of two Media Days at #CES2020 in Las Vegas, kicking off this manic week of the Consumer Electronics Show at the Mandalay Bay convention center. For several years, I’ve convened with journalists and industry analysts from around the world for these two days before the “official” opening of CES to hear the latest news from some of the largest tech-focused companies on Earth. Announcements come from across industry sector — from automotive and transportation, telecoms, consumer goods, entertainment, social media, travel, and retail…with platform technologies playing a role including but not limited to AI, AR/VR/XR (the

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What HealthyThinker Is Thinking About Health at CES 2020

Next week, the Consumer Technology Association (CTA) will convene CES, the Consumer Electronics Show, where over 180,000 tech-minded people from around the world will convene to kick the tires on new TVs, games, smart home devices, 5G connections, 3-D printing, drones, and to be sure, digital health innovations. At #CES2020, exhibitors in the health/care ecosystem will go well beyond wearable devices for tracking steps and heart rate. I’ll be meeting with wearable tech innovators along with consumer electronics companies and retailers. I’ve also scheduled get-togethers with pharma and life science folks, health plan people, and execs from consumer health companies.

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The 2020 Social Determinants of Health: Connectivity, Art, Air and Love

Across the U.S., the health/care ecosystem warmly embraced social determinants of health as a concept in 2019. A few of the mainstreaming-of-SDoH signposts in 2019 were: Cigna studying and focusing in on loneliness as a health and wellness risk factor Humana’s Bold Goal initiative targeting Medicare Advantage enrollees CVS building out an SDOH platform, collaborating with Unite US for the effort UPMC launching a social impact program focusing on SDoH, among other projects investing in social factors that bolster public health. As I pointed out in my 2020 Health Populi trendcast, the private sector is taking on more public health

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Despite Greater Digital Health Engagement, Americans Have Worse Health and Financial Outcomes Than Other Nations’ Health Citizens

The idea of health care consumerism isn’t just an American discussion, Deloitte points out in its 2019 global survey of healthcare consumers report, A consumer-centered future of health. The driving forces shaping health and health care around the world are re-shaping health care financing and delivery around the world, and especially considering the growing role of patients in self-care — in terms of financing, clinical decision making and care-flows. With that said, Americans tend to be more healthcare-engaged than peer patients in Australia, Canada, Denmark, Germany, the Netherlands, Singapore, and the United Kingdom, Deloitte’s poll found. Some of the key behaviors

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Most Consumers Are Interested in Using a Voice Assistant for Some Type of Health Care

While 75 million people in the U.S. have a smart speaker at home, only 1 in 13 Americans have used a voice assistant like Alexa or Google Assistant for health care. But over one-half of consumers would like to access a voice assistant for some aspect of their health care, according to a study from Orbita and Voicebot, Voice Assistant Consumer Adoption in Healthcare. The study polled 1,004 U.S. adults 18 and over in September 2019. In 2019, few health care providers have adopted voice assistants into their workflows. The report calls out one big barrier to early adoption especially

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A Health Future with Lyft and Uber as Patient Data Stewards: Rock Health’s 2019 Consumer Survey

Patients searching online for health information and health care provider reviews is mainstream in 2019.  Digital health tracking is now adopted by 4 in 10 U.S. consumers. Rock Health’s Digital Health Consumer Adoption Report for 2019 was developed in collaboration with the Stanford Medicine Center for Digital Health. Rock Health’s research has tracked peoples’ use of telemedicine, wearable technology, digital health tracking, and online health information since 2015, and the results this round show relative flattening of adoption across these various tools. Rock Health’s top-line findings were that: Patient-generated health data creates opportunity, and potential challenges Online health information is

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The Promise of Telehealth for Older People – the U-M National Poll on Healthy Aging

Older people are re-framing their personal images and definitions of aging, from continuing to work past typical retirement age, Skyping and texting with grandchildren, and traveling to destinations well beyond the “snowbird” locales of Florida and Arizona to more active and often charitable/volunteer situations in developing economies. And so, too, are older folks re-imagining how and where their health care services could be delivered and consumed. Most people over 50 years of age are cautious but open to receiving health care virtually via telehealth platforms, according to the National Poll on Healthy Aging from my alma mater, the University of Michigan. U-M’s

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Prelude to Health 2.0 2019: Thinking Consumers At the Center of Digital Health Transformation

“Digital transformation” is the corporate strategy flavor of the moment across industries, and the health are sector isn’t immune from the trend. As this 13th year of the annual Health 2.0 Conference kicks off this week, I’m focused on finding digital health innovations that engage people — consumers, caregivers, patients, health citizens all. This year’s conference will convene thought leaders across a range of themes, and as is the Health 2.0 modus operandi, live demo’s of new-new things. As Health 2.0 kicks off today in pre-conference sessions, there is useful context described in a new report from the American Hospital

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Why Humana Joined CTA – The Pivot from “Health Insurance” to Behaving as a Health-Tech Start-Up

“Every company is a tech company,” Christopher Mimms asserted in the Wall Street Journal in December 2018. Connectivity, artificial intelligence, and automation are now competencies every company must master, Mimms explains. This ethos underpins Humana’s decision to join CTA, the Consumer Technology Association which hosts CES every January in Las Vegas. If you read this blog, you know one of the fastest-growing “aisles” at the annual conference is digital health. Humana joined up with CTA’s Health and Fitness Technology Division this month. Last year, Humana hired Heather Cox in the new post of Chief Digital Health and Analytics Officer, reporting directly

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Telehealth Awareness, Access and Adoption: Updates from J.D. Power, the ATA and FAIR Health

When you think “J.D. Power,” your mind probably imagines reviews of automotive performance, retail shopping experiences, or perhaps even health insurance plan customer service. Expanding its report-card role in the health ecosystem. J.D. Power has undertaken a survey on consumer satisfaction with 31 telehealth providers across 15 measures, which will be published in November 2019. In advance of the full report, the organization released a summary on telehealth access and satisfaction, which I’ll discuss in this post. I’ll also weave in the latest insights from the ATA 2019 State of the States report updating legislative/regulatory telemedicine activity at the U.S.

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100 Million People in America Lack Broadband — an On-Ramp to Health and Safety

One in three Americans does not have a broadband connection, according to a new report from the NPD Group. This means that about 100 million people in the U.S. can’t benefit from telehealth and other digital health connections that can bolster self-care, home care, and lower cost care. Most of these folks in the broadband-digital divide live in rural America/ “The so-called digital divide, between those that can or cannot make the best use of the Internet, can be clearly felt in rural markets where the lack of broadband impacts everything from entertainment to the educational system,” Eddie Hold, President

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The Growth of Emerging Consumer Electronics Categories Adds to Digital Health Platforms

Of the $401 billion that will flow through retailers for consumer technology products, many of the fastest-emerging categories will play a role as platforms for health and medical care at home and in wearable tech. This is my tea-leaf read from reviewing the projections in the report, U.S. Consumer Technology Sales and Forecasts, July 2019, from the Consumer Technology Association (CTA). [CTA is annual convener of CES, the world’s largest consumer electronics meet-up.] Along with artificial intelligence (AI) and fast 5G networking, the forecast also quantifies growth prospects for smart speakers, home robots, wireless earbuds, smartwatches. and in-vehicle technology —

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Health Care and Consumers in 2030: A Profile from KPMG

A “one layered delivery network through which patients can move seamlessly as they age and their needs evolve” will be the new health care platform to meet patients’ demands by 2030, according to a forecast from KPMG’s Healthcare and Life Sciences Institute. In Healthcare 2030: The consumer at the center, the KPMG team explores the demographic shifts and market drivers that will challenge the health care industry in the current U.S. delivery and financing system. The lens on that 2030 future is a consumer-centric delivery model that KPMG believes will be a solution to dealing with a demographic divide between

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Healthcare Just Got SMAC’ed – Accenture’s Post-Digital Era for Health

Social, mobile, analytics and the cloud now underpin the health care industry. We’ve been SMAC’ed, and Accenture’s Digital Health Tech Vision 2019 believes we’re in a post-digital era ripe with opportunity. Five trends comprise the Vision: DARQ Power, the acronym for Distributed ledger technology, Artificial intelligence (AI), extended Reality, and Quantum computing. Adopting these applications can help health care reduce costs, drive labor efficiency and support people-centered design and experience. Get to Know Me is the use of technology to develop and deepen relationships with people. As an example of this trend, Accenture points to Mindstrong which leverages AI and

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The Persistent Rural/Urban Broadband Gap Is Bad for Health

              In the U.S., rural residents’ access to broadband at home continues to lag behind urban and suburban dwellers, the Pew Research Group noted in a May 2019 research note on Americans’ use of technology. The Pew survey explored Americans’ adoption of technology and found that rural dwellers are also less likely to have multiple devices than non-rural consumers. Across the four types of tech studied, it’s smartphones that top the list of penetration in rural areas (at 71%), closely followed by computers (desktop or laptop, with 69% adoption), broadband (at 63%) and tablets

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The Promise of Digital Health and the Privacy Perils – HealthConsuming Explains, Part 4

The supply side of digital health tools and tech is growing at a hockey-stick pace. There are mobile apps and remote health monitors, digital therapeutics and wearable tech from head-to-toe. Today in America, electronic health records (EHRs) are implemented in most physician offices and virtually all hospitals. Chapter 5 of my book, HealthConsuming: From Health Consumer to Health Citizen, details the promise of digital health: wearable, shareable and virtual. Today, we can also call on Alexa to remind us to take medications, play nostalgic music when we are lonely, check our physical activity status with Fitbit, and query WebMD about

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Telehealth In 2030 – Notes From the Future At #ATA19 with Safavi, Holt, Bathina and Swafford

What will telemedicine look like in 2030?  imagined Kaveh Safavi, Accenture’s Senior Managing Director and Health of Global Healthcare Practice. Kaveh was brainstorming the future of telehealth a decade from “now,” with three innovators attending #ATA19: Deepthi Bathina of Humana, Matthew Holt of Catalyst Health (and Co-Founder of Health 2.0), and Kim Swafford of Providence St. Joseph. This week convened the ATA annual conference where healthcare industry stakeholders met up to deal with the current telehealth environment and imagine what the future prospects would/could be. As Kaveh invoked the futuristic theme, I couldn’t help thinking about Elroy Jetson, pictured here

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Health/Care Everywhere – Re-Imagining Healthcare at ATA 2019

“ATA” is the new three-letter acronym for the American Telemedicine Association, meeting today through Tuesday at the Convention Center in New Orleans.  Ann Mond Johnson assumed the helm of CEO of ATA in 2018, and she’s issued a call-to-action across the health/care ecosystem for a delivery system upgrade. Her interview here in HealthLeaders speaks to her vision, recognizing, “It’s just stunning that there’s such a lag between what is possible in telehealth and what is actually happening.” I’m so keen on telehealth, I’m personally participating in three sessions at #ATA19. On Monday 15th April (US Tax Day, which is relevant

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Digital Health As A Basic Human Need – the Dentsu Digital Society Index 2019

We are all Homo informaticus these days, multi-channel, multi-platform beings using digital platforms. “Computing is not about computers anymore. It is about living,” Nicholas Negroponte wrote in Being Digital. He said that in 1995. In that quarter-century since Negroponte made that prescient observation, we come to better understand that being a Digital Society has its upsides and downfalls, alike. We need a “new needs model” for the digital age, asserts a new report, Human Needs in a Digital World, the 2019 Digital Society Index report from the Dentsu Aegis network. Taking Maslow’s Hierarchy of Needs as a basic construct, the Index

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Digital Transformation Is The New Mantra But Can’t Happen Without Access To Connectivity

As more of our “things” get digitally connected, there’s an unanswered question about how our connected lives impact human life and health. A new report from the OECD asks and answers: How’s Life in the Digital Age? Opportunities and Risks of the Digital Transformation for People’s Well-being. This research is part of OECD’s ongoing series asking the Big Question, “How’s Life?” A prevailing current mantra in work and daily living is “digital transformation.” The OECD broadly defined the phrase in their 2017 paper on the topic as follows: Mobility, cloud computing, the Internet of things (IoT), artificial intelligence (AI) and big

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Open Table for Health: Patients Are Online For Health Search and Physician Reviews

Seeking health information online along with researching other patients’ perspectives on doctors are now as common as booking dinner reservations and reading restaurant reviews, based on Rock Health’s latest health consumer survey, Beyond Wellness for the Healthy: Digital Health Consumer Adoption 2018. Rock Health has gauged consumes’ digital health adoption fo a few years, showing year-on-year growth for “Googling” health information, seeking peer patients’ physician and hospital reviews, tracking activity, donning wearable tech, and engaging in live telehealth consultations with providers, as the first chart shows. The growth of tracking and wearable tech is moving toward more medical applications beyond fitness

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“Telehealth is a digital distribution channel for health care” – catching up with Roy Schoenberg, President and CEO of American Well

Ten years ago, two brothers, physicians both, started up a telemedicine company called American Well. They launched their service first in Hawaii, where long distances and remote island living challenged the supply and demand sides of health care providers and patients alike. A decade later, I sat down for a “what’s new?” chat with Roy Schoenberg, American Well President and CEO. In full  transparency,  I enjoy and appreciate the opportunity to meet with Roy (or very occasionally Ido, the co-founding brother-other-half) every year at HIMSS and sometimes at CES. In our face-to-face brainstorm this week, we covered a wide range

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Consumers’ and Physicians’ Growing Embrace of Digital Health via PwC

Most consumers would be willing to try an FDA-approved app or online to treat a medical condition, as well as receiving hospital care at home if would be less costly. We’ve reached an inflection point on the demand side among consumers for digital health options, PwC suggests in their report on the New Health Economy coming of age. The report outlines health/care industry issues for 2019, with a strong focus on digital health. Whether a menu of care options including virtual health to access specialists across the U.S., post-hospital virtual visits, or hospital care at-home, a majority of Americans supports

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A Smarter Home for Healthy Living at CES 2019….and a nod to Microsoft

Health begins at home. I found evidence for that, beyond my own N of 1 understanding, in a research article published in the UK in 2000 by Lyn Harrison and Frances Heywood. Lyn and Frances tested three assumptions that they believed linked housing and health: that housing contributes to health; that housing is not routinely included in health or social planning;’ and that the potential contribution of primary care is wasted. Their conclusion: that the housing-health link was not receiving the recognition that connection needs. Nearly two decades later, that housing-health link still isn’t universally embraced by health care stakeholders. But

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Costs, Consumerism, Cyber and Care, Everywhere – The 2019 Health Populi TrendCast

Today is Boxing Day and St. Stephens Day for people who celebrate Christmas, so I share this post as a holiday gift with well-wishes for you and those you love. The tea leaves have been brewing here at THINK-Health as we prepared our 2019 forecast at the convergence of consumers, health, and technology. Here’s our trend-weaving of 4 C’s for 2019: costs, consumerism, cyber and care, everywhere… Health care costs will continue to be a mainstream pocketbook issue for patients and caregivers, with consequences for payors, suppliers and ultimately, policymakers. Legislators inside the DC Beltway will be challenged by the

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Blood Pressure From the Wrist for the First Time – Welcome, Omron HeartGuide

For the first time, we can take a clinically accurate blood pressure measurement from our wrist — welcome to the first of its kind wrist-worn blood pressure monitor, HeartGuide, brought to market by Omron. I know this journey has been a long, patient one, as I came to know Ranndy Kellogg, Omron’s President and CEO, several years ago at CES. Back in 2017, I spoke with Ranndy about the vision for BP measurement for Everyday People that would be a streamlined, simple consumer experience that the traditional armband and pump didn’t offer. I wrote about that conversation in The Huffington

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Broadband As Social Determinant of Health – Microsoft’s Plan to Bolster Rural Access

In the U.S., the highest levels of unemployment are in places that often have the lowest access to broadband connectivity. And, “without a proper broadband connection, these communities can’t start or run a modern business, access telemedicine, take an online class, digitally transform their farm, or research a school project online,” Microsoft President Brad Smith said yesterday as the company announced their continued commitment to expanding broadband in rural America. Microsoft is expanding a program the company launched last year to address the rural broadband gap in the U.S. The Airband Initiative is working from Northwest Georgia to South Africa to bolster

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A Concerning Gap in Cybersecurity for Connected Medical Technology

Notwithstanding mass adoption of antivirus protection and firewalls among healthcare providers, there remains a security gap for biomedical technologies, according to a report from Zingbox. This concerning finding was confirmed in recent observations from Gartner, which wrote in a market trends report that, “generally, medical devices are not replaced for at least ten years, with many running old software that has not been updated or patched.” Zingbox learned that most healthcare executives say they’re confident in their ability to protect connected medical devices: 79% of health IT professionals say they have real-time information about which connected devices are vulnerable to

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The Single Market for Healthcare in Europe: Learnings for the U.S.

When I asked my longtime colleague and friend Robert Mittman, with whom I collaborated at Institute for the Future for a decade, how he managed international travel and jet lag, he said simply, “The time zone you’re in is the time zone you’re in.” This lesson has stayed with me since I received Robert’s advice over twenty years ago. Over the next two weeks, as I work alongside colleagues and clients in the EU and soon-to-Brexit UK, I am in time zones five and six hours later than my home-base of US Eastern Time. But the time zones I’m working

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How Digital Health Can Stimulate Economic Development

It’s National Health IT Week in the US, so I’m kicking off the week with this post focused on how digital health can bolster economic development. As the only health economist in the family of the 2018 HIMSS Social Media Ambassadors, this is a voice through which I can uniquely speak. In February 2009, President Barack Obama signed into law the American Recovery and Reinvestment Act (ARRA), less formally known as the Stimulus Bill. This was the legislation best known for addressing and helping to bring the U.S. out of the Great Recession. A lesser-known component of ARRA was Title

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As Workers’ Healthcare Costs Increase, Employers Look to Telehealth and Wearable Tech to Manage Cost & Health Risks

Family premiums for health insurance received at the workplace grew 5% in 2018: to $19,616, according to the 2018 KFF Employer Health Benefits Survey released today by the Kaiser Family Foundation (KFF). These two trends combine for a 212% increase in workers’ deductibles in the past decade. This is about eight times the growth of workers’ wages in the U.S. in the same period. Thus, the main takeaway from the study, KFF President and CEO Drew Altman noted, is that rising health care costs absolutely remain a burden for employers — but a bigger problem for workers in America. Given that

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The Importance of Broadband and Net Neutrality for Health, to the Last Person and the Last Mile

California’s Governor Jerry Brown signed into law a net neutrality bill this weekend. Gov. Brown’s proverbial swipe of the pen accomplished two things: he went back to the Obama-era approach to ensure that internet service providers treat all users of the internet equally; and, he prompted the Department of Justice, representing the Trump Administration’s Federal Communications Commission (FCC), to launch a lawsuit. California, home to start-ups, mature tech platform companies (like Apple, Facebook and Google), and countless digital health developers, is in a particularly strategic place to fight the FCC and, now, the Department of Justice. Nearly two dozen other states

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When Life and Health Insurance Blur: John Hancock, Behavioral Economics, and Wearable Tech

Most consumers look to every industry sector to help them engage with their health. And those companies include the insurance industry and financial services firms, we found in the 2010 Edelman Health Engagement Barometer. John Hancock, which covers about 10 million consumers across a range of products, is changing their business model for life insurance. Here’s the press release, titled, “John Hancock Leaves Traditional Life Insurance Model Behind to Incentivize Longer, Healthier Lives.” “We fundamentally believe life insurers should care about how long and well their customers live. With this decision, we are proud to become the only U.S. life insurance

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Going Digital for Health Is a New-Normal for Consumers

Using digital health tech is a new normal for U.S. consumers, including Seniors, found in the 2018 digital health consumer survey from Deloitte. The title of the report, “Consumers are on board with virtual health options,” summarizes the bullish outlook for telehealth. That’s the consumer-demand side of the equation. But the tagline begs the supply side question: “Can the health care system deliver?” For a decade or longer, we’ve noted the slow uptake of telehealth and digital health tools among healthcare providers. But the consumer pressures, along with evidence-based self-service options for health – both for “care” and for wellness,

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The Digital Health Consumer According to Rock Health

Looking for health information online is just part of being a normal, mainstream health consumer, according to the third Rock Health Digital Health Consumer Adoption Survey published this week. By 2017, 8 in 10 U.S. adults were online health information hunters. Six in 10 Americans looked for reviews of healthcare providers online, another new-normal consumer digital health activity. But only one in four people had used wearable technology for health, and one in five had participated in a live video telemedicine encounter. The Rock Health team observes that “the needle has not moved equally across every type of digital health solution.” Thus the

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Best Buy Bets on AgingTech in the Expanding Retail Health Ecosystem

With the acquisition of GreatCall, a mature player in the aging-tech space, Best Buy is doubling down on consumer health [email protected] This week at Best Buy. the electronics retailer,  it’s out with CDs and in with technology for aging at home. The company announced that it would buy GreatCall for $800 million. A snippet from the announcement from Best Buy’s press release is shown in the first diagram, noting that GreatCall’s membership is approaching 1 million subscribers who use mobile phones and connected devices, “providing peace of mind to their loved ones.” Beyond the obvious “falling and I can’t get

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How to Make Healthcare More Intelligent and Trustworthy: Accenture’s Digital Health Tech Vision 2018

“Do no harm” has been the professional and ethical mantra of physicians since the Hippocratic Oath was first uttered by medical students. The origins of that three-word objective probably came out of Hippocrates’ Corpus, which included a few additional words: “to do good or to do no harm.” The proliferation and evolution of digital technologies in health care have the potential to do good or harm, depending on their application. Doing good and abstaining from doing harm can engender trust between patients, providers, and other stakeholders in health. Trust has become a key currency in provider/patient/supplier relationships: 94% of health executives

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Consumer Trust, Privacy and Healthcare – Considering #HIMSS18 in the Stark Light of Facebook and Cambridge Analytica

What a difference a couple of weeks make…. On 1st March 2018, two over-arching issues remained with me leaving Las Vegas and #HIMSS18: the central, recognized role of cybersecurity threats in healthcare, and the growing use of consumer-facing technologies for self- and virtual care. Eighteen days later, we all learned about Cambridge Analytica’s misuse of 50 million Americans’ social network data posted on Facebook. We who work in healthcare must pose the questions: going forward, how trusting will patients, consumers and caregivers be sharing their personal health information (PHI)? Will people connect dots between their Facebook lives – and their

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Wearable, Shareable, Virtual: The Demands of the Digital Health Consumer in 2018

As I wrote here in April 2017, telehealth and virtual healthcare are mainstreaming. This week at the 2018 annual HIMSS conference, telehealth is playing a mainstream role in discussions about right-sizing and right-placing healthcare.     The evidence for telehealth’s tipping point is rooted in new research published today by Accenture on Patients + Doctors + Machines, Accentures’ 2018 Consumer Survey on Digital Health. I sat down today with Dr. Kaveh Safavi who leads Accenture’s healthcare practice to discuss the results of this study into peoples’ atttudes toward healthcare technology and innovation. Three in four consumers in America say technology is

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#Engage4Health: How Patients Are Morphing Into Healthcare Consumers, for #HIMSS18

This blog appears today as part of a #HIMSS18 primer series for attendees, and the industry at large, to discuss major health IT issues that will help move health and healthcare delivery forward in 2018 – and beyond. I’m grateful to HIMSS to be one of 20 Social Media Ambassadors appointed for this year’s conference, which convenes in Las Vegas at the Sands Expo Center from March 5 to 9th, 2018.  Prioritizing the patient-as-consumer through my health economic lens, the biggest priorities will be: Engaging patients in self-care and driving health and health plan literacy to better manage constrained access

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Heart-Love – Omron’s Holy Grail of Blood Pressure Tracking on the Wrist

It’s February 1st, which marks the first of 28 days of American Heart  Month – a time to get real, embrace, learn about, and engage with heart health. Heart disease kills 610,000 people in the U.S. every year, equal to 1 in 4 deaths in America. It’s the leading cause of death for both men and women in the U.S. Knowing your blood pressure is an important step for managing the risks of heart disease. That hasn’t yet been available to those of us who quantify our steps, weight, sleep, food intake, and other health metrics. In 2017, Hugh Langley

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Healthcare EveryWhere: Philips and American Well Streamline Telehealth

Two mature companies in their respective healthcare spaces came together earlier this month to extend healthcare services where patients live and doctors work, via telehealth services. Philips, celebrating 127 years in business this year, has gone all-in on digital health across the continuum of care, from prevention and healthy living to the ICU and hospital emergency department. American Well is among the longest operating telehealth companies, founded in 2006. Together, these two established organizations will transcend physician offices and ERs and deliver virtual care in and beyond the U.S. I had the opportunity to sit down with Ido Schoenberg, MD,

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Healthy Living in Digital Times at CES 2018

Connecting Life’s Dots, the organization Living in Digital Times partners with CES to deliver conference content during the show. At CES 2018, LIDT is connecting a lot of dots to help make health streamline into daily living. Robin Raskin, founder, kicked off LIDT’s press conference setting the context for how technology is changing lifestyles. Her Holy Grail is to help make tech fun for everybody, inclusive for everybody, and loved by everybody, she enthused. LIDT has been a presence at CES for many years, conceiving the contest the Last Gadget Standing, hosting  tech-fashion shows with robots, and supporting a young innovators

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Smarter, Streamlined, Connected Consumers – The Promise of CES 2018

Journalists and industry analysts from around the globe have come to Las Vegas which, this week, is the mecca for new-new electronic things that companies think consumers will be keen to buy. On media day 1, I spoke with a colleague from the Netherlands who covers audio, a sector that’s certainly in disruption; an automotive analyst from India covering autonomous vehicles; and, a mobile tech guru based in Dubai, to identify just a few of my media friends who have gathered here to research and write on their respective beats. In these conversations, there are some common buzzwords floating around

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Searching Las Vegas for Health at CES 2018

While a phrase containing the words “health” and “Las Vegas” may seem a dichotomy, there will be a lot of health-tangent goods and services I’ll be seeking next week at the annual CES. This year, health will be ubiquitous at this huge conference, whose three-letter acronym for “consumer electronics show” typically conjures up images of shiny new things in the guise of automobiles, video games, big TV screens, and drones. At CES 2018, health will go beyond wearable tech and the first phase of fitness that’s been growing at the meeting over the past five years since I began attending

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What Healthcare Can Learn from Volkswagen: A Scenario of a Post-Healthcare World

As I am finalizing my schedule for meet-ups at CES in Las Vegas for early January 2018, I’m thinking about digital devices and wearable tech, connected cars, smart homes, and the Internet of Things through my all-health, all-the-time lens. My friends at TrendWatching write today about the automaker, Volkswagen, which has a division called MOIA started in 2016. VW, like most car manufacturers, is working on strategies to avoid being disrupted and made irrelevant as tectonic forces like autonomous cars and shared rides innovate and re-define the nature of personal transportation. MOIA is a brand and a self-described “social movement.”

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