@AbramBaileyAuD provides very good insights and information. I found the article very good and detailed (I like numbers )
Thanks Abram
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@AbramBaileyAuD provides very good insights and information. I found the article very good and detailed (I like numbers )
Thanks Abram
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Outstanding job on that paper and the underlying survey research, Dr. B. Some very valuable data and advice in there for any one in the market for new hearing aids.
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Appreciate that! After spending way too much time working on it, it feels nice to receive your comments ![]()
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I am proposing asking for a (how much people go that way) and satisfaction survey about technology with asking if they were verified by . I ask because I’ve recently become somewhat skeptical of CROS technology. Maybe it would be worth testing it in HearAdvisor?
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A brilliant study that lifts the fog in this area -at least for the US situation. As noted, the additional sales layer, i.e. manufacturers selling to distributors (audiologists) instead directly to us, is a major (dominant) factor in what patients ultimately pay (the other is, ofc, insurance).
What is sad to see is how slow (in fact, not at all) manufacturers are exploiting the direct-to-customer channel, given that the internet has significantly facilitated the path with community assistance (this forum!) and availability of tools. The article suggests as an option to buy online (#5) but the casual reader may conclude that self-fitting is totally impossible (it is left unmentioned). There are probably legal obstacles there, as for prescription medicines, even if the risk/benefit picture differs drastically.
Those surveyed were predominantly HA users. One would also like to get insight into the extent that costs prevent people from buying HAs in the first place (roughly 70% of the hearing-impaired in the US does not use HAs!) That number ought to be the basis that drives policies for any and all who work in this industry (and its legislature). Setting up such alternative distribution models may help to get this awful statistic down.
A reasonable objection here is that DIY is not for everyone- especially the elderly, so it may not in itself hugely affect HA uptake. However, as your analysis shows, including one efficient channel (namely Costco) releases pressure on the entire system, and lowering costs overall would, I believe, push that 70% down.
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What is the hearing aid uptake in places where ha are free or heavily subsidized? I think I’ve read it’s not all that much better.
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Just checked. With free hearing aids in Denmark and other countries, it is still less than half of those needing hearing aids get them. Still, much better than the less than 30% in the U.S.
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The article suggests as an option to buy HAs online (#5) but the casual reader may conclude that self-fitting is totally impossible (it is left unmentioned).
We had a very small sample of people who reported purchasing Rx on ebay and indicated that they didn’t get a professional fitting.
eBay Purchases Only (no fitting) - By Brand
| Brand | n | % Rec Aids | % Helpful Daily | % Good Value | % Satisfied |
|---|---|---|---|---|---|
| Phonak | 5 | 80% | 100% | 80% | 100% |
| Oticon | 5 | 80% | 100% | 100% | 80% |
| ReSound | 2 | 50% | 50% | 100% | 100% |
| Signia | 2 | 100% | 100% | 100% | 100% |
| Starkey | 1 | 100% | 100% | 0% | 100% |
Guessing this must have been some of our forum users. I share this reluctantly because I don’t suspect most non “prosumers” would get such good outcomes.
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Out of curiosity, why do you refer to ReSound and Signia as “mid-range” brands?
If I did, it was unintentional. What specific sentence are you looking at?
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“Prices varied significantly by brand. Premium brands like Widex ($4,185 avg), Phonak ($4,132), Starkey ($3,893), and Oticon ($3,840) commanded the highest prices, typically ranging from $3,300 to $4,600 per pair. Mid-tier brands including ReSound ($3,327), Signia ($3,256), and Miracle Ear ($2,788) fell in the $2,800–$3,300 range.”
maybe hallucinating.
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I see what I did there. Just trying to bucket the pricing and got confused in my wording. I don’t appreciate that Neville! (though, thanks for pointing out my error)
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Was there a reason bundled versus unbundled was not discussed? That impacts costs with and without insurance.
What does it mean to compare these prices given they represent hardware plus services but the services vary?
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For the record, I didn’t at all mean that to come across as derogatory. Its a tool and it is everywhere, for ill or for good. I am absolutely playing around with using it to write things for me, at least in an assistive role.
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