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Issue 682
September 15
 
 
 
 
 
Healthcare Marketing
WTF Ipsos, a treasure trove of insights
Source: Ipsos

Ipsos surveyed 1,120 Americans and asked them about HCP engagement, AI in health, and what makes them healthy. This data is part of their "What The Future" reporting (what did you think it meant? -Ed.).

Better than the report are the full data tables the firm released alongside. We scoured these data for items that Wire readers would find useful.

81% Visit PCP at Least Annually
 

When it comes to the primary care physician, most Americans are doing their due diligence. 

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Chart created from data in Ipsos source
 

However, when AI access is phrased as an actual HCP visit, numbers plummet. The question reads as: "In general, how often do you visit/consult with each of the following for yourself? - AI providers (e.g., Woebot, Youper, Florence)"

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Chart created from data in Ipsos source
 

The raw data file also includes OB/GYN, mental health providers, and dental providers.

Patients Are Overwhelmed But Still Do Own Research
 

The same numbers of Americans indicate dismay that they don't know who to trust when it comes to online information as also say they research online extensively. There is no indication in the data these are the same people, the numbers just line up.

ipsos-wtf-healthinfo-560
Chart created from data in Ipsos source
 

As we can see, 65% are doing their own research. The answer was worded as "I do my own research to understand what food, medicine and lifestyle choices are healthy and what aren’t."

73% Want HCP To Know Costs
 

Nearly three-quarters of Americans want their doctor to understand the costs of prescribed therapies. This starts making HCPs into financial advisors helping patients navigate the health and insurance landscape.

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Chart created from data in Ipsos source
 
You Are What You Eat
 

When asked about the main factors that determine personal health, food comes first. Then genetics.

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Image adapted for email from Ipsos source
 
74% Trust Doctor With Data, 27% AI
 

It's no surprise that Americans trust their doctor with their health data more than AI. We wonder how many of the 73% who don't trust AI also have rings, watches, or smartphones that gather health data...

ipsos-wtf-info-560
Chart created from data in Ipsos source
 

The full data tables have a lot of info on menopause, if that's of interest, and some more general questions.


Read the full story from Ipsos
 
 
 
 
Regulatory
White House memo, letters, and NOVs, oh my
Source: The Hill

Well, that was quite a week, eh? (Sigh, yes -Ed.)

Even folks living under rocks know about the White House Memo on prescription drug advertising and its promise to hold the industry to the current rules.

We Are Generally Disliked and Mistrusted
 

To understand where this memo and directed activities are coming from, its useful to understand that the general public aren't really fans of DTC ads.

The fundamental trouble for pharma when it comes to advertising is that citizens see the profit motive and immediately feel untrusting. The Hill story includes a poll and 82% of its respondents support a DTC ban.

The question was "To what extent do you support or oppose a ban on direct-to-consumer advertising of prescription drugs?"

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Poll taken on 10AM on Friday, numbers may be different at publication
 

If you want to see what actual patients think, rather than the general public, check out our coverage of Swoop's latest study.

Even the White House Isn't Talking Bans
 

The memo essentially doubles-down on the existing FDA rules and this means that the current guidances we work from are still valid.

The Commissioner of Food and Drugs shall take appropriate action to enforce the Federal Food, Drug, and Cosmetic Act’s prescription drug advertising provisions, and otherwise ensure truthful and non-misleading information in direct-to-consumer prescription drug advertisements.

 
Keep On Keeping On
 

Klick obviously has a POV coming on this (ping your Klick rep to get a copy) but the general approach is "keep on keeping on."

For example, social media posts almost always have full ISI included. There is no "abbreviated statement" for these posts so they likely won't be affected by any enforcement activities that focus on that.

The Memo Conflates Sponsored & Private Content
 

The memo refers to a meta analysis from the Oxford Journal of Pharmaceutical Health Services Research which commits the intellectual crime (link to related Wire story -Ed.) we are disappointingly used to at this point: conflation of sponsored and non-sponsored content. This study is highlighted in the "Dear Pharma" letters sent out.

On social media platforms, deceptive advertising is sadly the current norm. A 2024 review in the Journal of Pharmaceutical Health Services Research reveals that while 100% of pharmaceutical social media posts highlight drug benefits, only 33% mention potential harms. Moreover 88% of advertisements for top-selling drugs are posted by individuals and organizations that fail to adhere to FDA "fair balance" guidelines.

 

If you remove from this analysis the private citizen content that does not fall under the FDA purview, those numbers go to 100% compliance because pharma follows the rules.

Letters Are Coming, Likely Overstatement of Efficacy
 

Recent letters from the FDA, though few in number, do highlight a focus on overstatement of efficacy and we expect that to continue in the larger volumes promised by the FDA.

This is the most likely letter topic for online promotion (rather than insufficient risk information) because full ISI is already the norm there.

However, anything is possible. If you get a letter and you want to share it with the Wire editorial team we'd love to see it. Just reply to this email and attach it, we'll get it.

Also reporting:

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Read the full story from The Hill
 
 
 
 
Influencer Marketing
55% of Americans use social for health
Source: KFF

A study from KFF asked 1,283 Americans about their usage of social media and influencer content for health topics. They found that just over half at least occasionally use social media for health topics. 

The question being answered is "How often, if at all, do you use social media such as Facebook, X, Instagram, TikTok, YouTube, or similar sites or apps to find health information and advice?"

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Image adapted for email from KFF source
 

The researchers also asked about trust in the information being presented: "Thinking about health information and advice you may see on each platform, would you say that most, some, a little, or none of that information is trustworthy?"

In the following chart we totaled the positive answers into a single number.

kff-inf-platforms-560
Image adapted for email from KFF source
 

We can see the demographics of the platforms at work here. The younger users are more likely to use the platforms for health information, and so TikTok floats to the top. These numbers are users of the platform, not absolute.


Read the full story from KFF
 
 
 
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Are You Learning Everything You Can from an FDA “No”?
     
     

Klick’s latest POV, From No to Know: Translating Regulatory Setbacks into Competitive Advantages, analyzes 200+ Complete Response Letters to reveal why submissions fail and how teams can avoid the same pitfalls. Discover how regulatory insight, early alignment, and adaptive planning can help you build stronger, faster, and more confident submissions.

Turn setbacks into strategic advantage.

 
Read our perspective now
 
 
 
Insurance & Cost
90%+ insurance rejections for many conditions
Source: IQVIA

This report came out at the end of July but its message is timeless: patients are having treatments slowed down by prior authorizations. The first chart is the most shocking, over 90% rejection rates across four major conditions.

iqvia-pa-rejections-560
Image adapted for email from IQVIA source
 

Notice that for two conditions, hypertension and osteoporosis, the one-year mark still has over 50% of patients rejected for a prescribed therapy.

These rejections can be as simple as "no" meaning the drug simply isn't covered by a payor or everyone's favorite cost-savings measure: prior authorization.

iqvia-pa-reasons-560
Image adapted for email from IQVIA source
 

Of the patients that did overcome insurance reluctance to pay for a drug, the time needed could exceed nine weeks in some cases. The averages were around 30 days.

iqvia-pa-time-560
Image adapted for email from IQVIA source
 

This report from IQVIA really highlights the obstacles that patients face for some conditions when dealing with commercial insurance.


Read the full story from IQVIA
 
 
 
 
Generative AI
85% of us use AI at least weekly, but not for content
Source: Basis

Basis conducted a survey of 140 marketing and advertising professionals in July to see how our approaches to AI have changed since 2023. Far more marketers are now using AI every day with 68% nearly every day.

basis-ai-usage-560
Image adapted for email from Basis source
 
AI Usage Starts With Ideation and Research
 

This year, only 25% of respondents said that they use AI tools for generating content. We looked at the previous data and lined up the entries. One question changed considerably (marked with *), from using AI for summarizing meetings or content to "streamlining processes." It's not really the same question, but we lined that data up anyway.

basis-ai-tasks-560
Image adapted for email from Basis source
 

We can see research grew a lot while ad personalization fell off. Using AI for production-level content remains low as the tools remain hard to control (but not impossible as our maestro Owen Osbourne, Director of Generative AI Design, often demonstrates).

Tools Used Basically Match Tools Purchased
 

When asked what generative AI tools they use, marketers gave predictable answers.

basis-ai-used-560
Image adapted for email from Basis source
 

However, only 66% of the companies actually pay for subscriptions. Seeing that ChatGPT is split into three subscription tiers we can see that it remains dominant. Assuming little overlap in respondents, that is 89.1% paying for some form of OpenAI product, which tracks with usage.

basis-ai-paid-560
Image adapted for email from Basis source
 

This report is 37 pages of marketing's use of AI. Grab a copy and see how your team ranks and maybe get ideas on how to incorporate more AI into your workflows.


Read the full story from Basis
 
 
 
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Generative AI
AI alone not yet trustworthy
Source: Ipsos

The findings of this question from Ipsos of 1,085 Americans won't surprise any users of AI. People don't trust it unless a human is involved.

ipsos-ai-trust-560
Image adapted for email from Ipsos source
 

Notice that employed Americans trust it more than the average. We have advice for the authors though based on this statement:

There are two key barriers to overcome to increase trust in AI: Get people to trust AI tools enough to use them themselves, and get people to trust the output of AI tools.

 

We actually don't want people to trust the output of AI yet. Anyone who uses AI daily knows that you need to be an expert in your field to use it because it will still gleefully spout nonsense with unrepentant consistency. 

Once that issue is fixed then, and only then, we can start asking Americans to generally trust the output.


Read the full story from Ipsos
 
 
 
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Glass Box Transparency for Confident MLR Reviews
     
     

Compliance decisions shouldn’t be a “black box” mystery.

Guardrail™ uses “glass box” transparency to clearly explain every compliance flag with evidence-backed insights. No hidden logic, just clear decisions that accelerate approvals and boost your team’s confidence.

 
See Guardrail in Action
 
 
 
Generative AI
71% of social shoppers satisfied with AI
Source: Emplifi

Emplifi has a report out that shows some very specific data. We say it's specific because the study on which it's based is highly selective:

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854 Americans

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Who use at least two social platforms at least twice a week

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Who have interacted with a brand on social media within six months

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Who use or are aware of AI technology

 
AI Benefits All About Speed
 

When asked for the top reason they like AI for brand interactions, it's about speed and access. 

emplifi-ai-reasons-560
Chart created from data in Emplifi source
 
71% Are Satisfied With AI
 

When asked if they are satisfied with their AI-driven support experiences, 71% said Very or Somewhat.

emplifi-ai-sat-560
Chart created from data in Emplifi source
 
Hold On, Healthcare Maybe Not So Much
 

While these consumers are excited about AI for their retail or food delivery purchases, they may not be quite as excited about Healthcare. Our industry ended up at the bottom of the rankings for where AI would most improve customer service.

emplifi-ai-industries-560
Image adapted for email from Emplifi source
 
AI Is Used For Research
 

That said, AI is still critical for healthcare products and services. Consumers are using the technology to research purchases so you know those behaviors will also affect healthcare research as well.

emplifi-ai-tasks-560
Image adapted for email from Emplifi source
 

Read the full story from Emplifi
 
 
 
 
Video
70% say great creative is storytelling & visual design
Source: TripleLift

A report from TripleLift looks at programmatic video (not social), what makes great creative, and how to measure it.

It's The Visuals
 

Respondents focused on the story (all components) and the visual design of online video when describing how they define "great creative."

triplelift-criteria-560
Image adapted for email from TripleLift source
 
Engagement (And Clicks) Is The Top Metric
 

The top two items in the "how do you measure" question are both engagement in that clicks are engagement, albeit usually the best kind. The next two, conversion and ROAS, can be harder for pharma that deals with the non-digital "chasm" of patient/HCP conversations.

triplelift-metrics-560
Image adapted for email from TripleLift source
 
It's Not Just Us--No One Has Enough Creative
 

Pharma sometimes feels singled out because our regulatory processes make creative more expensive than other industries and so we tend to make fewer versions. However, while that's true, other industries also complain of not enough creative for testing (yay, I guess? -Ed.).

This question asked where creative falls short in campaigns.

triplelift-blocks-560
Chart created from data in TripleLift source
 

Read the full story from TripleLift
 
 
 
 
Video
51% of leisure time is watching video
Source: The VAB

An infographic from the VAB highlights how important video (TV and other sources) is to Americans. With just over five hours between work and sleep, 2.5 of those hours are with video.

vab-leisure-560
Chart created from data in VAB source
 

Read the full story from The VAB
 
 
 
 
Social Media
Nepalese decide on interim leader via Discord polls
Source: The Independent

Political turmoil in Nepal turned deadly recently as the government banned social media to keep protestors from communicating. In the streets, security forces used live ammunition against protestors. The protestors overthrew the government and the military stepped in.

The story for Wire readers is, first, there was shockingly little news on the turmoil in Nepal. Second, the protestors were organized on Discord and used that platform to decide on an interim leader.

The outlet reported that one server with more than 145,000 members hosted a debate about who could be an interim leader. Over the week, multiple polls were held by representatives of the protest movement on the social media platform Discord to nominate possible leaders. Ms Karki emerged as a favourite, widely praised for her integrity.

 

Read the full story from The Independent
 
 
 
 
Market Research
"Light" internet usage is now daily
Source: Pew Research

Pew Research has data on global internet usage. The communications technology has become so pervasive that now "daily" usage is considered light.

pewresearch-internet-560
Image adapted for email from Pew Research source
 

Fun fact, the author started using the Internet back in the 1980s (it was capitalized as a proper noun back then). If you want boring stories of 80x25 character screens, 1200 baud modems, UNIX and Telnet, and the late Dr. Dave Godfrey, a man far ahead of his time, just reply to this email (fine, talk to the readers, I don't care -Ed.).


Read the full story from Pew Research
 
 
 
 
Clinical Trials
Only 30% of clinical trials in the US
Source: Statista

It's impossible to tell, but it looks like most clinical trials are single country (the EU could easily be an outlier here). Only 5% are US and another country and 65% are ex-US.

statista-clinical-global-560
Image adapted for email from Statista source
 

Read the full story from Statista
 
 
 
 
 
 
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