Entries in Surveys & Reports (124)


National Healthcare Measures: A lot of Improvement Overshadowed By Obesity and Diabetes

National Healthcare Measures: A lot of Improvement Overshadowed By Obesity and Diabetes

By Clive Riddle, March 16, 2017

On this Ides of March the CDC
National Center for Health Statistics released Selected Estimates Based on Data From the January-September 2017 National Health Interview Survey with great data covering measures fifteen different selected topics. We selected a key statistic from ten of the topics to share below.

What’s striking is that despite our marked improvement in most topics during the past two decades, the percentage of persons reporting they had excellent health didn’t improve (although half a percentage point better than ten years ago, it is two percentage points lower than twenty years ago.)

The culprits in the case must be due in a large part to the fact we living large(er). Two topics below in which increasing percentages aren’t a good thing are obesity and diabetes, but increase we did. We can make policy and administrative changes that impact the percentage of people with insurance, access  care, receive vaccinations, promote exercise and promote smoking cessation. Obesity and Diabetes seem  tougher to tackle.

·         Percentage of persons without health insurance coverage: 2017  9.0% | 2007 14.5% | 1997 15.4%

·         Percentage of Persons With a Usual Place to go for Medical Care (Age adjusted):  2017  88.1% | 2007 86.5% | 1997 86.3%

·         Percentage of persons of all ages who failed to obtain needed medical care due to cost at some time during the past 12 months (Age Adjusted): 2017 4.4% | 2007 5.8% | 1997 4.5%

·         Percentage of adults aged 65+ who received an influenza vaccination during the past 12 months (Age Adjusted):  2017 70.6% | 2007 66.8% | 1997 63.1%

·         Percentage of adults aged 65 and over who had ever received a pneumococcal vaccination (Age Adjusted):  2017 69.9% | 2007 57.8% | 1997 42.6%

·         Prevalence of obesity among adults aged 20 and over (Age Adjusted):  2017 31.4% | 2007 26.6% | 1997 19.5%

·         Percentage of adults aged 18 and over who met 2008 federal physical activity guidelines for aerobic activity through leisure-time aerobic activity (Age Adjusted):  2017 54.8% | 2007 42.0% | 1997 43.3%

·         Prevalence of current cigarette smoking among adults aged 18 and over (Age Adjusted):  2017 14.3% | 2007 19.7% | 1997 24.6%

·         Percentage of persons of all ages who had excellent or very good health:  2017 66.5% | 2007 66.0% | 1997 68.5%

·         Prevalence of diagnosed diabetes among adults aged 18 and over: (Age Adjusted):  2017 8.4% | 2007 7.5% | 1997 5.3%


Perhaps Accenture’s Surveyed Consumers So Willing To Share Healthcare Data Should Read Accenture’s CyberSecurity Survey Report

Perhaps Accenture’s Surveyed Consumers So Willing To Share Healthcare Data Should Read Accenture’s CyberSecurity Survey Report

By Clive Riddle, March 9, 2018


Accenture has just released a 12-page report with findings from their 2018 Consumer Survey on Digital Health in which they conclude that “Growing consumer demand for digital-based health services is ushering in a new model for care in which patients and machines are joining doctors as part of the healthcare delivery team, and that  “consumers are becoming more accepting of machines — ranging from artificial intelligence (AI), to virtual clinicians and home-based diagnostics — having a significantly greater role in their overall medical care. “


Here’s some survey response highlights shared in the report:

·         19% have already used AI-powered healthcare services, with 66% of these consumers likely to use AI-enabled clinical services

·         Consumer use of mobile and tablet health apps has increased from 16% in 2014 to 48% currently.

·         44% have accessed their electronic health records in patient portals over the past year, with 67% of these consumers seeking information on lab and blood-test results; 55% viewing physician notes regarding medical visits, and 41% looking up their prescription history

·         The use of wearable devices by consumers has increased from 9% in 2014 to 33%t currently.

·         75% view wearables  as beneficial to understanding their health condition; while 73% cite them helping engage with their health, and 73% also cite monitoring the health of a loved one

·         90% are willing to share personal data with their doctor, and 88% are willing to share personal data with a nurse or other healthcare professional.

·         72% are willing today to share with their insurance carrier personal data collected from their wearable devices has increased over the past year, compared to from 63% in 2016.

·         47% are willing so share such data and with online communities or other app users today, compared with 38% in 2016.

·         38% are willing to share data with their employer  and 41% with a government agency


Interestingly while consumers seem to trust sharing their data most with their doctor and clinical professionals much more than their health plan, another Accenture survey recently released on healthcare cybersecurity found that while overall 18% of healthcare organization employees were willing to sell confidential data to unauthorized parties for as little as between $500 and $1,000; there was considerable disparity between plans and provider offices: 21% from provider organizations would sell confidential data compared to 12% from payer organizations.


Peter Kongstvedt on the Amazon Healthmarket, Coming Soon to an Alexa Near You

By Clive Riddle, March 2, 2018

Lendedu released survey results this week on consumer acceptance if Amazon ventured into several financial related markets including virtual currency, banking, lending, investment and insurance. Their survey involved polling 1,000 consumers who purchased something from Amazon within that past 30 days.

In the insurance arena, consumers were asked about Life, auto and health insurance: “If offered, would you be open to the idea of using the listed insurance product created by Amazon?” For health insurance, 35.8% said yes, 31.3% said no and 32.9% were unsure. 41.6% of the consumers who were Amazon Prime users said yes. Acceptance for auto insurance was nine percentage points higher and life insurance was two percentage points higher.

Just over a month ago, most everyone in the healthcare universe got excited or at least paid notice when AmazonBershireJPMorgan healthcare was announced. Of course some such as Sam Baker cautioned in Axios that “We don't know what they're even trying to do” and that “other big companies have tried something similar.”

A month later AmazonBershireJPMorgan healthcareis still a blank canvas that we’re allowed to paint our own perceptions into. Healthcare media reported on the Lendedu survey results with headlines such as 35.8% of Americans would use an Amazon health insurance plan.

The national treasure of healthcare wit and expertise that is Peter Kongstvedt, MD FACP had this to say in response (including footnotes) to these headlines:

“Who wouldn’t be eager to sign up for an undescribed health plan, for which we can imagine it to be low-cost, super-convenient, available through Alexa, delivered in your home by the same day, and come with unlimited music and video streaming?* Few if any barriers to achieving this. Merely need to tell hospitals, physicians, and drug manufacturers what they will accept as payment in full and their obligation to meet Just-in-Time delivery, and they will all fall all over themselves to be in the Amazon HealthMarket.® ”

* PrimeHealth® 12-month subscription required, renewable at PrimeHealth’s sole discretion. Treatment options and bandwidth limitations may apply. Offer only available in U.S. states and territories. Acceptance denotes consent with all EULA Terms and Conditions including your Blood oath to forever abandon WalMart® and Apple® iTunes®.


The State of the Uninsured and Health Insurance Coverage

The State of the Uninsured and Health Insurance Coverage

by Clive Riddle, February 23, 2018


The National Center for Health Statistics has just released updated health insurance coverage estimates from selected states using 2017 National Health Interview Survey data.  Here are seven things to know about their findings for the first 9 months of 2017:


1.     28.9 million (9.0%) persons of all ages were uninsured, not significantly different from 2016, but 19.7 million fewer persons than in 2010.

2.     12.7% of adults aged 18–64, were uninsured, 19.5% had public coverage, and 69.3% had private health insurance coverage.

3.     4.4%  of adults aged 18–64 (8.6 million) covered by private health insurance plans obtained their coverage through the federal or state-based exchanges.

4.     Adults aged 25–34 were almost twice as likely as adults aged 45–64 to lack health insurance coverage (17.3% compared with 9.2%)

5.     4.9%  of children aged 0–17 years, were uninsured, 41.9% had public coverage, and 54.6% had private health insurance coverage.

6.     The percentage uninsured decreased significantly for all age groups from 2013 through the first 9 months of 2017, ranging from –6.2 percentage points for ages 45–64 to –10.7 percentage points for ages 18–24.

7.     43.2% of persons under age 65 with private health insurance were enrolled in a high-deductible health plan (HDHP) compared to 39.4% in 2016


However, as a warning sign that 2018 may see slippage in these insurance coverage, the Minnesota Department of Health just issued an ominous press release, indicating that “last year Minnesota saw one of its largest, one-time increases in the rate of people without health insurance since 2001. The uninsured rate rose from 4.3 percent in 2015 to 6.3 percent, leaving approximately 349,000 Minnesotans without coverage.”

Employees Feel Their Own Health Plan is Better Than Most Others

Employees Feel Their Own Health Plan is Better Than Most Others

By Clive Riddle, February 9, 2018

Surveys have consistently shown over the years that the public generally ranks Congress low in esteem, but their personal Congressman is held in higher regard. Health Plans, like Congress, have been a favorite target as well, but similarly – people tend to like their personal coverage more than how they view health plans overall.

AHIP has just released a 42-page report of findings from their national survey “The Value of Employer Provided Coverage” that not only reinforces this phenomenon – in which respondents rank their own plan higher than their overall view how health care is covered, but also makes the case that consumers place employer provided coverage in higher regard than the nation’s health coverage system as a whole. On top of that, there is perhaps less angst about the nation’s health insurance system overall than one might have thought.

63% were satisfied with the nation's current health insurance system, and 31% were dissatisfied. 71% were satisfied with their own health plan, and 19% were dissatisfied. 60% felt their personal cost was reasonable and 29% felt the cost was unreasonable, while 66% felt the cost was unreasonable for Americans as a whole. 52% described their deductible as reasonable, while 36% said it was unreasonable. However, for those dissatisfied with their plans, 82% cited costs as the main reason.

72% say they are adequately informed about health insurance benefits under their plan, yet only 20% understand that employers average paying above 75% of the total costs.

In other findings from the survey:

·         71% remain concerned the cost of health care will continue to rise

·         56% prioritize comprehensive benefits while 41% prioritize affordability of plans.

·         46%said health insurance was a deciding factor in choosing their current job

·         56% support keeping employer provided coverage tax free, and 13% oppose

·         58% prefer increased market competition while 42% support increased government involvement to address costs

·         Prescription drug coverage (51%), preventive care (47%), and emergency care (47%) rank among the benefits that matter most.