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Health Insurance Coverage Among Smaller U.S. Businesses Is Eroding: A Signal From JPMorganChase

Working-age people in the U.S. depend on their employers to provide health insurance; just over one-half of people in America receive employer-sponsored health insurance. But a concerning signal has emerged that calls into question how sustainable the uniquely American employer-sponsored health plan model is: that is that one in 3 small businesses in the U.S. stopped covering health insurance after the worst of the pandemic health effects in 2023 as the companies payroll expenses continued to increase, a statistic raised in The consistency of health insurance coverage in small business: industry challenges and insights, a report from the JPMorganChase Institute

 

U.S. Health Care in 2025 Requires Scenario Planning: The Uncertainties (AI!?) That Inspire DIY Healthcare

By Jane Sarasohn-Kahn on 15 April 2025 in Artificial intelligence, Big Tech, Broadband, Cardiovascular health, Caregivers, Clinical trials, Connected health, Consumer electronics, Consumer experience, Consumer-directed health, CX, Demographics and health, Design and health, Determinants of health, Diabetes, Diet and health, Digital health, DIY, DTC health, Empathy, Employee benefits, Employers, Environment and heatlh, Family, Food and health, Food as medicine, Food security, Future of health care, GenAI, Global Health, GLP-1s, Health access, Health apps, Health at home, Health benefits, Health care industry, Health citizenship, Health Consumers, Health disparities, Health Economics, Health ecosystem, Health equity, Health insurance, Health IT, Health literacy, Health Plans, Health policy, Health politics, Health social networks, Healthcare access, Heart disease, Heart health, Home care, Home economics, Home health, Hospital to home, Hospitals, Housing and health, Literacy, Loneliness, Love and health, Medicaid, Medical bills, Medical innovation, Medical technology, Medicare, Medicines, Nutrition, Obesity, Out of pocket costs, Participatory health, Patient engagement, Patient experience, Pharmaceutical, Pharmacy, Popular culture and health, Prescription drugs, Public health, Remote health monitoring, Retail health, Risk management, Safety net and health, SDoH, Self-care, Sensors and health, Shopping and health, Sleep, Social determinants of health, Social health, Social isolation, Social networks and health, Social security, Telehealth, Transparency, Uninsured, User experience UX, Virtual health, War and health, Wearable tech, Wearables, Weight loss, Workplace benefits

As Weight Watchers prepares to initiate bankruptcy proceedings, I file the news event under “thinking the unthinkable.”                     “Thinking about the unthinkable” is what Herman Kahn, a father of scenario planning, asked us to do when he pioneered the process. In this book, for Kahn, “the unthinkable” was thermonuclear war, and the year was 1962. The book was tag-lined as “must reading for an informed public” and in it, Kahn             I’ve been drawn back to this book lately because of a more intense workflow using

 

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

With potential down-sizing of Medicaid on the short-term U.S. political horizon, a fascinating poll found that most people identifying as Republican would not favor cuts to Medicaid. What fascinates me about this survey, published earlier this week, is that it was conducted by FabrizioWard, a polling firm that has often been used by President Trump.              The firm’s Bob Ward told POLITICO that, “There’s really not a political appetite out there to go after Medicaid to pay for tax cuts. Medicaid has touched so many families that people have made up their minds about what

 

The Biggest Opportunity for Sporting Goods is Consumers’ Physical Inactivity: Learning from McKinsey (with a personal nod to pickleball)

McKinsey just published a detailed report into Sporting Goods 2025, which the firm calls a “new balancing act” that must turn uncertainty into opportunity.               The report is based on five key observations: Only a few sporting goods companies have expanded growth and margins since 2018 — and must “rethink the value chain” in the face of challenging geopolitical headwinds One-half of so-called “active consumers” say that fitness is a core element of their identity, with emotional connections to brands they purchase for the lifestyle Incumbent sporting goods companies are losing market share to

 

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

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

Americans’ financial health was already stressing consumers out leading up to Liberation Day, April 2nd, when President Trump announced tariffs on dozens of countries with whom the U.S. buys and sells goods. A new report from MoneyLion and Mastercard called Health is Wealth is well-timed for today’s Health Populi blog. The study was fielded by The Harris Poll online among 2,092 U.S. adults 18 and older between February 28 and March 4, 2025, so it was completed a month before the tariffs came to hit peoples’ 401(k) savings and employers’ company stock market caps.              

 

How BioPharma Can Improve Consumers’ Experience and Health

Patients as health consumers now know what “good” looks like in their digital experiences. People have tasted the convenience and respect they feel from well-designed, streamlined omnichannel retail experiences, and they now expect this from health care — specifically supported by the pharmaceutical companies who manufacture the medicines they use in managing chronic conditions, we learn in ixlayer ixInsights 2025: Pharma’s Role in Improving the Health Experience from ixlayer and Ipaos.             The patient-focused report gets specific about people dealing with asthma, COPD, Type 2 diabetes, heart disease, psoriasis, and atopic dermatitis with a lens on

 

What is a Consumer Health Company? Riffing Off of Deloitte’s Report on CHCs/A 2Q2025 Look at Self-Care Futures

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

The health care landscape in 2030 will feature an expanded consumer health industry that will become, “an established branch of the health ecosystem focused on promoting health, preventing, disease, treating symptoms and extending healthy longevity,” according to a report published by Deloitte in September 2024, Accelerating the future: The rise of a dynamic consumer health market. While this report hit the virtual bookshelf about six months ago, I am revisiting it on this first day of the second quarter of 2025 because of its salience in this moment of uncertainties across our professional and personal lives — particularly related to

 

Still Life in Need: Art, Food Justice, and Health

As Thomas Jefferson reminded us, travel makes us wiser…but less happy. And so it is when you confront a piece of art that makes you stop in your tracks, swim in it, and know what it’s saying in terms of what you know you know.                           Such was the case yesterday during a walking meeting through the Frist Art Museum in Nashville when I passed by this quilt, a multimedia work titled “Still Life in Need” by Lee Colvin, a local artist. This work was part of a

 

Health Care Nation – How to Inspire a Rosa Parks Moment for Healthcare in America?

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

 

From Bowling Alone to Eating Alone – What the Shift to Take-Out Food Means for Our Social Well-Being and Mental Health

New data from the American Time Use Survey, research conducted by the U.S. Census Bureau and the Bureau of Labor Statistics, shows that Americans now favor eating in-home compared with eating out at restaurants. Corroborating this shift is other data from the National Restaurant Association sharing that 74% of all restaurant traffic in 2023 came from “off premises” customers — that is, from takeout and delivery — up from 61% in the pre-COVID era. What does this mean for our health, well-being, and sense of community and connectivity?             I’m preparing a new talk to

 

One Way to Improve U.S. Healthcare, Lower Costs and Drive Outcomes? “Unvendor,” Asserts Dr. Harm Scherpbier in His New Book

Health information technology professionals charged with selecting, implementing, updating, and paying for health IT in hospital and care delivery settings are essentially the first-line “consumers” of health IT – specifically, electronic health records. But these health IT leaders feel far from empowered and choiceful as consumers in todays EHR vendor “monoculture,” Harm Scherpbier, MD, explains in his book, Unvendor.                   I spent time with Harm to discuss the book, its backstory, and what he hopes to accomplish by raising the issue of single-vendor health IT and how clinicians, health IT staff, and

 

Art Collides with Health Policy: When “When Calls the Heart” Met MAHA This Week

Art reflects life — or in this case, bumps into life and health care — once again when the pop culture facet of my own media consumption converges with a news announcement where the timing of these events is just too uncanny. It never occurred to me I’d ever write about the Hallmark Channel in the Health Populi blog. But reading the news that President Trump’s administration plans to cut funding for the ongoing 30-year study into diabetes and pre-diabetes — the landmark National Diabetes Prevention Program (NDPP) — dovetailed (or perhaps more honestly stated, collided) with the plotline of

 

The New “Paging Dr. Google?” DTC-AI for Health Care

While most people in the U.S. who have used large language models (like ChatGPT) for informal learning, entertainment, and getting information about products and services, 39% of U.S. adults have also tapped into LLMs to source information about physical or mental health. This insight is brought to us in the brilliantly titled report, Close encounters of the AI kind, from the Imagining the Digital Future Center at Elon University. The principle author of the survey report is the Center’s Director, Lee Rainie, whose name many of you will know from his two+ decade career at the Pew Research Center (and

 

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

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

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

 

A Mis-Trust Hangover for Health Care 5 Years After COVID Began – an Edelman Trust Barometer Update

On March 11, 2020, The World Health Organization announced that the coronavirus was deemed a pandemic. WHO Director-General Dr. Tedros Adhanom Ghebreyesus asserted, “We have called every day for countries to take urgent and aggressive action. We have rung the alarm bell loud and clear.” Five years later, Edelman has fielded a survey to determine what some 4,000 health citizens living in 4 countries (Brazil, India, the UK, and the U.S.) are thinking and feeling about life after COVID-19 — and especially where their trust lies in institutions, fellow citizens, and future public health emergencies. I listened in on a discussion

 

The Top Patient Safety Risks in 2025 Are Mostly About the “Human OS” – Reading ECRI’s Annual Report

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

 

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

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

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

 

Think Quintuple Aim This Week at #HIMSS25

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

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

 

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

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

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

 

Telehealth, Right Here, Right Now: Calling on Congress to Vote for America’s Health and Well-being

In the U.S., there are some issues that still unite most Americans in 2025. We can agree that, • The cost of eggs is too high • AI can be both exciting and promising at the same time as concerning • It sucks to have your personal data cyberattacked and breached, and, • Having access to telehealth is important. While I would be really sad to give up my omelets, I’m sticking a mindful toe into AI for some simple workflows, and I’m still dealing with the aftermath of the Change Healthcare data breach, it’s the looming telehealth deadline that’s