What’s Causing Fewer Primary Care Visits in the US?

Health Populi

Americans who have commercial health insurance (say, through an employer or union) are rarely thought to face barriers to receiving health care — in particular, primary care, that front line provider and on-ramp to the health care system.

Come Together – A Health Policy Prescription from the Bipartisan Policy Center

Health Populi

Among all Americans, the most popular approach for improving the health care in the U.S. isn’t repealing or replacing the Affordable Care Act or moving to a Medicare-for-All government-provided plan. Addressing employer-sponsored health insurance.

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The Ill Health of Rural Hospitals in Four Charts

Health Populi

hospitals are in poor fiscal health. Health Populi’s Hot Points: The nine key high-impact factors suggest areas where rural hospitals could risk-manage for their survival. Time to re-imagine as the future of rural health and healthcare.

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

Health Populi

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. health care delivery.

A Tale of Two Americas as Told by the 2019 OECD Report on Health

Health Populi

That’s what came to my mind when reading the latest global health report from the OECD, Health at a Glance 2019 , which compares the United States to other nations’ health care outcomes, risk factors, access metrics, and spending. health care system.

Will Vertical Integration Kill the Primary Care Practice?

Health Blawg

Once the federales blocked the health insurance company mega-mergers, it was only a matter of time before alternative approaches to rearranging the three-dimensional chessboard of the healthcare-industrial complex would emerge. Health insurance, pharmacy and urgent care all under one roof.

Income Inequality is Fostering Mis-Trust, the Edelman 2020 Trust Barometer Observes

Health Populi

Last year, it was the employer who was the most-trusted touch-point in citizens’ lives the world over, I discussed in Health Populi one year ago. Together, these three factors erode workers’ confidence in jobs and their personal household economies and financial health.

Longevity Stalls Around the World And Wealth, More Concentrated

Health Populi

First, we’ll mine the Health at a Glance 2019 annual report covering data on population health, health system performance, and medical spending across OECD countries. Americans have relatively less access to a doctor when care is needed, the OECD report revealed.

Having Health Insurance Is A Social Determinant of Health

Health Populi

Health insurance was on the collective minds of American voters in the 2018 midterm elections. These were the two top health care issues among voters in late 2018, a Kaiser Family Foundation poll at the time assessed. Health Populi’s Hot Points: Do I state the obvious here?

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

Health Populi

“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 As Health 2.0 This week, Health 2.0 The post Prelude to Health 2.0

Will Vertical Integration Kill the Primary Care Practice?

Health Blawg

Once the federales blocked the health insurance company mega-mergers, it was only a matter of time before alternative approaches to rearranging the three-dimensional chessboard of the healthcare-industrial complex would emerge. The very idea of collapsing four of the five dominant national health care insurance companies into two was therefore a nonstarter. Health insurance, pharmacy and urgent care all under one roof. Health Care Law and Consulting.

Will Vertical Integration Kill the Primary Care Practice?

Health Blawg

Once the federales blocked the health insurance company mega-mergers, it was only a matter of time before alternative approaches to rearranging the three-dimensional chessboard of the healthcare-industrial complex would emerge. The very idea of collapsing four of the five dominant national health care insurance companies into two was therefore a nonstarter. Health insurance, pharmacy and urgent care all under one roof. Health Care Law and Consulting.

Will Vertical Integration Kill the Primary Care Practice?

Health Blawg

Once the federales blocked the health insurance company mega-mergers, it was only a matter of time before alternative approaches to rearranging the three-dimensional chessboard of the healthcare-industrial complex would emerge. The very idea of collapsing four of the five dominant national health care insurance companies into two was therefore a nonstarter. Health insurance, pharmacy and urgent care all under one roof. Health Care Law and Consulting.

Will Vertical Integration Kill the Primary Care Practice?

Health Blawg

Once the federales blocked the health insurance company mega-mergers, it was only a matter of time before alternative approaches to rearranging the three-dimensional chessboard of the healthcare-industrial complex would emerge. The very idea of collapsing four of the five dominant national health care insurance companies into two was therefore a nonstarter. Health insurance, pharmacy and urgent care all under one roof. Health Care Law and Consulting.

Will Vertical Integration Kill the Primary Care Practice?

Health Blawg

Once the federales blocked the health insurance company mega-mergers, it was only a matter of time before alternative approaches to rearranging the three-dimensional chessboard of the healthcare-industrial complex would emerge. The very idea of collapsing four of the five dominant national health care insurance companies into two was therefore a nonstarter. Health insurance, pharmacy and urgent care all under one roof. Health Care Law and Consulting.

Hospitals Suffer Decline in Consumer Satisfaction

Health Populi

For historic trends, you can check out my coverage of the 2014 version of this study here in Health Populi. The 2019 ACSI report bundles finance/banks, insurance (property/casualty, life and health) and hospitals together in one document. What can health care learn from beer?

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

Health Populi

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. In 2019, 28 states have payment parity policies for Medicaid.

In 2020, PwC Expects Consumers to Grow DIY Healthcare Muscles As Medical Prices Increase

Health Populi

Internally, health industry business leaders are prioritizing several workforce strategies in the new year, first and foremost to confront digital transformation. But on the road to digital transformation, health care organizations will encounter barriers and a bumpy journey.

Slow Food, Slow Medicine: What Italy Can Teach America About Health

Health Populi

In addition, America’s overweight and obesity epidemic results in lost worker productivity, mental health and sleep challenges, and lower quality of life for millions of Americans. can learn from the food culture, policy and economy of Italy when it comes to health.

World Health Day 2019: Let’s Celebrate Food, Climate, Insurance Coverage and Connectivity

Health Populi

Today, 7 April, is World Health Day. With that in mind, I devote this post to three key social determinants of health (SDOH) that are top-of-mind for me these days: food for health, climate change, and universal health coverage. Why a World Health Day?

Food As Medicine: Grocery Stores Expand as Health Destinations While the Federal Government Cuts Food Stamps

Health Populi

There’s something like cognitive dissonance as I prepare my 2020 Health Populi TrendCast of what to expect in the health/care ecosystem in the new year. It’s clear that people want to engage in health via the food they buy and consume.

How We Spend Versus What We Get: America’s Healthcare Spending Makes for Poor Health

Health Populi

These sobering statistics were published in Health Care Spending in the Untied States and Other High-Income Countries this week in JAMA, the Journal of the American Medical Association. Note the last line of that matrix, population with health care coverage: the U.S.

Health Care and the Democratic Debates – Round 2 – Battle Royale for M4All vs Medicare for All Who Want It – What It Means for Industry

Health Populi

But this was Round 2 of the debate, with ten more White House aspirants sharing views — sometimes sparring — on issues of immigration, economic justice, climate change, and once again health care playing a starring role from the start of the two-hour event.

Heart Disease in America: Zip Code Determines Cardiovascular Disease-Destiny

Health Populi

Researchers analyzed data on cardiovascular disease mortality, nonfatal health outcomes, and risk factors by age, sex, and year from 1990 to 2016 for the U.S. Health Populi’s Hot Points: We know that geography can be destiny when it comes to understanding peoples’ health status.

Self-Care is Healthcare for Everyday People

Health Populi

Patients are the new healthcare payors, and as such, taking on the role of health consumers. In fact, health and wellness consumers have existed since a person purchased the first toothpaste, aspirin, heating pad, and moisturizing cream at retail. This is self-care, healthcare.

The $4 Trillion Health Economy of 2020

Health Populi

In 2020, national health expenditures (NHE) in the United States will exceed $4 trillion to cover 334.5 of health spending per person. Together, these three categories will comprise just over 80% of health spending in 2020.

CVS + Aetna: Inflection Point in US Healthcare, Merger Approved Update

Health Populi

CVS Health’s acquisition of Aetna was approved this week by U.S. This post updates my initial thoughts on the deal, given the morphing US healthcare market on both the traditional health services front and fast-evolving retail health environment.

Medical Costs Are Consuming Americans’ Financial Health

Health Populi

Spending on medical care costs crowded out other household spending for millions of Americans in 2018, based on The U.S. Healthcare Cost Crisis , a survey from West Health and Gallup. health care system for themselves and their families; but 38% of U.S.

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

Health Populi

Psychological needs: While digital tech can enhance users’ sense and control of health and well-being, only 38% of people believe this need is met. This is why I so often repeat that broadband connectivity is a social determinant of health.

Rationing Care in America: Cost Implications Getting to Universal Health Coverage

Health Populi

That percentage of people who delay medical cost based on the expense has remained stable since 2006: between 29 and 31 percent of Americans have self-rationed care due to cost for over a decade. Consider the 2020 Presidential elections and calls for universal health care.

Health Care and the Democratic Debates – Part 1 – Medicare For All, Rx Prices, Guns and Mental Health

Health Populi

Lester Holt, Savannah Guthrie, and Jose Diaz-Balart asked the ten candidates questions covering guns, butter (the economy), immigration, climate change, and of course, health care — what I’m focusing on in this post, the first of two-debate-days-in-a-row. health care.

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

Health Populi

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.

A Matter of Trust, Perception, Risk, and Uncertainty – The Big Issues Raised by the Acquisition of PatientsLikeMe and Other Patient Data Transactions

Health Populi

If you’re in health care and don’t live under a rock, you have probably heard that United Health Group (UHG) has acquired PatientsLikeMe (PLM). Some people care and some don’t about the profit motives that may attach to use of the data that drive discovery.

Bowing to physician pressure, CMS delays visit code changes

Henry Kotula

At the top of our list: CMS significantly expanded telemedicine coverage, and will now reimburse for telemedicine and telephone visits for brief check-ins, evaluation of patient-submitted images or remote monitoring data, as well as more comprehensive and preventive care visits.

Multimorbidity In the US – Obesity As A Key Driver of Health Spending

Health Populi

Underlying this clinical and economic phenomenon is obesity, which primary care doctors are challenged to deal with as a chronic condition along with typically co-occurring comorbidities of hypertension, diabetes, and hyperlipidemia. In the U.S.,

Top Six Healthcare Executive Challenges in 2019

Henry Kotula

Organizations that are the most successful will focus more on patient care than revenue, and they will see improved outcomes and reduced costs as a result. Primary care. Healthcare consumers are demanding more convenient and more affordable care options. [link].

Obese, Access-Challenged and Self-Rationing: America’s Health Vs Rest-of-World

Health Populi

gets relatively low ROI for its relatively exorbitant spending on healthcare, noted once again in the latest Health at a Glance , the annual OECD report on member nations’ healthcare systems. The answer is, “not well across most population health, access, and mortality measures.”

Pre-Existing Conditions: A Bipartisan, National Health Priority

Health Populi

Thus we public health folk say that a person’s ZIP code can be more important than her genetic code. Protecting pre-existing conditions in health insurance outranks lowering the price of prescription drugs and repealing the ACA, voters say.

Healthcare Is Local: Channeling Tip O’Neill in the 2018 Midterm Election Results

Health Populi

As I wrote about yesterday (about learning from Governor Kasich), people keen on healthcare should pay attention to the states, which are laboratories for health reform. Health Populi’s Hot Points: How might healthcare play out locally in the next 1-3 years?

GAO: rural hospital closures increasing, South hardest hit

Henry Kotula

CMS Administrator Seema Verma released a rural health strategy in May aimed at improving access and quality of care in rural communities. [link]. Dive Brief: Hospitals across the U.S.