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Broken trust
To:Brew Readers
Healthcare Brew // Morning Brew // Update
A new report finds people aren’t exactly feeling trustful of insurers these days.

Hi. LinkedIn released its annual top startups list that highlights the fastest-growing startups, both in terms of investor dollars and job applicants, and a number of healthcare companies are named. Despite this spike, Silicon Valley Bank’s midyear report found H1 2025 was healthcare’s “worst fundraising year in more than a decade.” Win some, lose some…?

In today’s edition:

Trust in insurers declines

Making Rounds with BeSound

What we’re excited for at HLTH

—Caroline Catherman, Cassie McGrath

PAYERS

Illustration of a business man getting rained on by downward arrows.

Feodora Chiosea/Getty Images

As people across the country consider their 2026 health insurance options, there’s a massive elephant in the room: Some aren’t thrilled with the industry right now.

As part of a Sept. 24 report, global research and advisory firm Forrester found only 54% of 12,036 insurance customers describe health insurers as trustworthy.

Though several 2023 and 2024 surveys found the vast majority of consumers were satisfied with their coverage, that is the past.

Forrester found waning trust may impact business. Survey results included in the report show that of 7,512 customers, those with less trust in their insurer were 10.3x more likely to switch insurers compared to high-trust customers, up from 2.4x more likely in 2024.

“As consumer choices expand, including not buying health insurance, the risk of churn becomes more pronounced,” Forrester Principal Analyst Arielle Trzcinski told Healthcare Brew.

The distrust has been building in recent years.—CC

Presented by HSBC

CANCER

A portrait of founder and CEO of BeSound, Bailey Renger.

BeSound

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Breast cancer screening has long been skewed toward older patients who are more likely to be diagnosed with the disease. But in recent years, rates have jumped among younger women.

As breast cancer cases have risen 1% among women over 50 each year from 2012 to 2022, rates also rose 1.4% in women under 50, according to the Breast Cancer Research Foundation. In fact, breast cancer is the leading cause of cancer death among US women ages 20 to 49, the nonprofit also reported.

That’s why Bailey Renger created BeSound. The startup officially launched on Sept. 30 with $6.8 million in seed funding, co-led by Overwater Ventures, Kindred Ventures, and Muse Capital, according to a press release. BeSound aims to detect and prevent breast cancer in young women by providing imaging and results within 24–48 hours for an up-front cost of $350. The process can typically take a few days, the National Breast Cancer Foundation wrote on its site.

Renger previously worked as a physicist, quantum computing research fellow at Harvard University, and NASA researcher.

See the full convo here.—CM

HLTH

It’s that time of the year again! The HLTH conference is returning to Las Vegas from Oct. 19–22, which means Healthcare Brew reporter Cassie McGrath is currently at the Strip to keep you posted on all the highlights from The Venetian this year.

Here’s what we’re most excited to dive into at the conference:

  1. Some big names are in attendance, per usual. In 2025, expect speakers like billionaire and Cost Plus Drugs co-founder Mark Cuban, actor Rob Lowe, health plan Centene CEO Sarah London, California-based Kaiser Permanente Chair and CEO Greg Adams, Cleveland Clinic President and CEO Tom Mihaljevic, and Novo Nordisk President Dave Moore.
  2. Yours truly is moderating a panel alongside experts from health plans called “GoFund Health: The New Ways to Pay” about alternative health plans on Monday at 3:30pm with president and CEO of Imagine360 Jeff Bak, CEO of CrowdHealth Andy Schoonover, and head of strategy and partnerships at Sidecar Health Nancy Wang.
  3. There’s also bound to be conversations around the government shutdown, the end of subsidies, and open enrollment that we’re keeping an eye on. Health tech and the rise of AI in the industry is also a hot topic this year as more products like note-taking scribes and agents—as well as more research into their effectiveness—are coming forward.
  4. Otherwise, we’re looking forward to the panel “How CMS Is Modernizing Healthcare,” with Amy Gleason, acting administrator at the US DOGE Service, as well as discussions on topics like health equity and affordability.

Hope to see you there!—CM

VITAL SIGNS

A laptop tracking vital signs is placed on rolling medical equipment.

Francis Scialabba

Today’s top healthcare reads.

Stat: 1,262. That’s how many pickleball-related eye injuries were reported in 2024, as the sport has grown in popularity. (the New York Times)

Quote: “This year is a nightmare. [Medicare enrollees] have to know more than they ever have had to know.”—Marcia Mantell, a retirement planning consultant, on the complicated changes coming to Medicare (the Wall Street Journal)

Read: These are the workers whose healthcare coverage is most at risk due to the government shutdown. (the Washington Post)

Future forward, founder first: Healthcare leaders access dedicated sector experts, an extensive global network, and a robust suite of banking products and services with HSBC Innovation Banking US. See more details.*

*A message from our sponsor.

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