Aging and Health Technology Watch

HLTH 2024 wrapped up last week in Las Vegas – where else?  AI was a big topic – transformational, embedded in health tech, capitalizing on the buzz. Or growing caution, concern about regulation, data quality issues, depending on the perspective. Others fretted about the state of healthcare in the US (not good), physician burnout (not good) and the health status of Americans, especially the mental health of young people (not good).  All these despite the promise of AI-enablement of laborious processes, hospital at home, conversational AI, new drugs, and many tech innovations. Looking through the exhibitor list, fifty-eight companies self-identified as AgeTech at HLTH.

The tech user experience – still flawed and in need of fixing.  As noted in the May report, The User Experience Needs an Upgrade, the requirement to use smartphones and other tech is growing exponentially – in-person and by-telephone experiences have disappeared or deteriorated.  Yet there are few useful ways to help older adults navigate the thicket of user interfaces, and this only becomes more obvious as AI capabilities emerge that could be extremely useful, but finding and understanding them is, well, work.  Frustration bubbles up here and there – AARP’s 2024 Tech Trends and Adults 50+ noted that only 61% of adults aged 70+ felt they had the digital skills to fully take advantage of being online. 

Concerns about AI are all around, but its future role is inevitable.  There it is, one consumer well-publicized survey after another, whether it is the WSJ,  Pew Research or AARP,  even as adoption in business, healthcare and other industries grows.  Consumers continue to express worry – but in the meantime…82% of companies are either using or exploring use of AI today. That parallels the senior living and care organizations interviewed for this new report – there is a combination of evaluating, limited use, and actually in use with benefit. Interviewees contributed ideas, actual projects and concerns, helping to shape the new report, The Future of AI in Senior Living and Care.

A new study offers a conundrum, or maybe a marketing problem.  Most Americans 50 and older don’t trust AI-generated health information, says a new poll published by the University of Michigan. But they do trust their own ability to figure out what information is good and what isn’t when they look for it.  They say they trust WebMD, Healthline. And yet only 32% said it was easy to find accurate health advice.  But how would you know what is accurate? And the 84% who said they got health information from a health care provider, pharmacist, friend or family member in the past year. A friend or family member?  Really?

It’s that awful time – the hurricane season. The time when the national hurricane center forecasts, repeated ad nauseum, are destined to frighten everyone, no matter how far from affected regions. The same broadcast can dwell on cones and paths, shout at those in beach areas that the evacuation instructions are meant for them – “IF YOU STAY, YOU WILL DIE!” Mapping the cone of the hurricane and talking constantly about evacuation sounds like a plan – but some observe that the distance required to evacuate to safety could be long – and thus talking about availability of shelters makes more sense. So residents who will 'shelter in place' stock up before stores begin closing, and gas stations run out of gas . Then they watch the 24-hour source of all fear – cable news, looking for guidance from Jim Cantore, that icon among storm trackers.

No surprise – AI tools are already part of senior living operations and planning. The research phase is nearly complete for the report on AI in Senior Living and Care.  It is increasingly apparent that AI is not a future for many. it is already solving vexing problems that proprietary or existing apps could not effectively tackle, whether in senior living or skilled nursing home environments. Although a few interviewees felt that AI tools were 'not quite ready for prime time' all saw that the future benefit, particularly in terms of more effective use of data, optimizing workloads of staff, and proactive monitoring of the wellbeing of residents. The report will quote specific executives about their experiences, but here are insights from the 20 conversations held to date:

Is aging in place a smart strategy? Here we go again.  In a brand new and similarly rosy article in the Wall Street Journal, more of the same mediocre advice is offered about how to prepare. Have a frank talk with family members. Maybe do some home modifications (those rickety stairs? Or a $20,000+ elevator), or address that lengthy distance from a supermarket? Maybe the 3-4% of older adults with long-term care insurance will pay for home care that averages $24,000/month for round-the-clock care.  Hmmm. Or voice-activated devices, says an AARP exec, will be helpful for his long-distance aging parents. Says a family, we want Mom to stay in her house, and so we pay $4000 per month for care, because staying in her house is keeping her alive. Really.

The FDA jumps to approve when Apple approaches.  This sounded familiar, and merits a look back to a blog post from September 2018: “When Apple speaks, a puzzled market listens. When Apple announces, industries crane their necks to hear. They announced two features of a new watch, ECG monitoring and fall detection. In July, Tim Cook apparently did not want to get into the world of FDA regulation. Well, that was then – or he just wasn’t saying. In this new watch, both the ECG feature and fall detection have received FDA clearance within 30 days of applying, startling some observers who noted that closer to 150 days was more typical for a medical device. Healthcare observers are concerned that false positives from ECG readings could propel people unnecessarily to already-overloaded Emergency Rooms. To date, the Apple Watch may have been of greatest interest to 40 year old males. Interestingly, 70% of cases of atrial fibrillation are among the 65+ population. Does Apple really want the 65+ population to buy an Apple watch?” Did it happen?

Aging in place is a business opportunity as much as it is a personal strategy.  The apparent enthusiasm for aging in place has fueled interest among home builders. Consumer aging in place desires provide work for home remodelers, adding features that make a home more accessible as people age. But for older adults, the motivation for aging in place is also an economic necessity.  The monthly cost of moving into senior housing, above $5500 nationwide, is out of the reach of most people. Remaining in a home and planning modest remodeling modifications will be the approach for most who want to stay.

Sensor-based remote monitoring of older adults – a good idea in 2009.  That year, GE acquired the sensor-based monitoring technology, QuietCare from Living Independently Group (LIG). Sensors could be placed around the home and alerts transmitted about the older adult – across multiple rooms, motion, and lack of motion could all be detected without a wearable. At that time, the ‘home health monitoring’ market was projected to grow to $7.7 billion by 2012. That did not happen, but fast forward to 2023 – market sizing indicates a sizable ‘remote health monitoring’ space. In the 15 years since the QuietCare acquisition, much has happened – although many players left the space when it was unclear how to make money in it.