Laurie Orlov's blog

Is the healthcare consumer ready for voice assistants? Not quite.  There is a technology overhaul underway – the biggest change in user experience since the introduction of the web browser in 1991. Voice First technology – the ability to use natural language to speak to and be spoken to by devices and software – has become at least one mandatory user interface in every business and consumer interaction.  From Voice recognition technology to Smart Speakers to Voice Assistants, it is now pervasive – in the year 2020, 50% of all searches will be by voice. From a sheer quantity standpoint, the plethora of devices from Amazon (claiming sales of 100 million gadgets at the end of 2018, plus a dozen new ones introduced for the 2019 holiday sales period) captures the stampede nature of the market.  However, by end of January, 2019, Google claimed to have Google Assistant running on 1 billion devices – and by the summer, began declaring a new version – Google Assistant 2.0.

Who do you trust? Rant on. A long WSJ article details how trusting people can be and why robocall scams work.  A woman listened to a voice mail message saying that it was the FBI and that her identity had been stolen. (That was the first and only robo-dialed call).  When they spoke, the caller told her to turn over all savings, further telling her not to tell anyone about his step-by-step instructions as to where to move the money, nearly $340,000. Why did this 60-something oncology nurse listen to this caller over a several-day period?  Why did she agree to stay in a hotel for two days while the money was in motion?

LeadingAge in San Diego and more.  Entrepreneurs clearly see the opportunity for providing tech-enabled services to help care for older adults.  Large events like Leading Age, Argentum, and sub-events within CES and HIMSS all point to the business potential that draws startups as well as new offerings from existing players – in what may become an increasingly crowded market. Here five recent announcements, two from the Startup Garage at Leading Age in San Diego -- adding three others from recent press releases.  All information is drawn from the websites of the companies themselves.

Medication non-adherence – it’s serious. This medication non-adherence (not filling prescriptions or missing dosages) is a major health issue – resulting in 10% of hospitalizations, 125,000 deaths, and costing the healthcare system up to $300 billion/year.  Consider that 1 in 5 Medicare patients are re-admitted to the hospital within 30 days after discharge – half of them because of medication non-adherence. In a study by Walgreens, researchers found that every 1% improvement in adherence saves about $50 in healthcare spending.

October was a long and extravagant month for the tech market.  Between trade events, including the Connected Health Conference in Boston, LeadingAge in San Diego, HLTH in Las Vegas, the Aging 2.0 Revolutionize Conference in Boston which was highlighted by the reveal of Venture Capital investor Dominic Endicott's $2 Trillion Age-Tech market size, making the Consumer Technology Association's $29 Billion look cautious. No doubt there were also many smaller events throughout the country. Here are the October blog posts:

How much time do we spend setting up our ‘smart’ phones?  Every few years, I change phones. In the past, Android-to-Android, I wasted at least a full day customizing all the ‘improved’ features the way they were on the previous phone, setting up home screens, eliminating bloatware, and downloading apps that did not properly convert.  This time, it took me most of 2 weekend days to set up an iPhone to join family photo sharing. The access to photos – that was one of the good parts. Otherwise, it was maddening and sent me out to forums again and again.  I learned about the also-constant bug-fix upgrades, email addresses masquerading as Apple IDs (don’t get me started) and other apparently arbitrary design decisions whined about online. And then there was the stylistic non-charm of repositioning jiggling apps icons.  But yay, now I see shared photos and learned how to stop auto-play of videos in Safari.

You are increasingly likely to have a wearable -- around your neck or on your wrist. You may collect your own data for your own tracking and use.  For those who see a wearable in a health context, they may be disappointed to know that their doctor doesn’t seem to care or know what to do with your heart rhythm data.  But you can gain great benefit from tracking your performance (exercise, heart rate) – competing with yourself, and feeling the satisfaction from any improvement over time.  What are the benefits of wearables today -- and in the future?

Announcements of new offerings are arriving – will they/can they be used?  Hopefully these 5 will offer benefit that can and will be realized by older adults. Writers of these 2019 articles about the topic are not so sure that new technologies for this population may not be reaching their intended audience. That can be due to a variety of barriers, including fear that they are not using them properly (UCSD study), lack of internet access (which would limit awareness), low technology literacy (TechCrunch), including lack of familiarity with terminology, and physical challenges (research from MPDI). Here are five new technologies that could provide benefit to older adults – content is from the companies:

Hearing aids should appeal to those with significant hearing loss.  It’s a given that hearing loss interferes with communication – which itself is a risk for social isolation – as well as fall risk and dementia.  Ironically, according to the recently published and comprehensive MarketTrak10 survey, the decision to wear them is so often delayed years – the delay resulting from excuses like “hear well enough; can’t afford; too expensive; no coverage.”  Given the associated risks and isolation from delay, it is surprising that until recently, the devices were well-matched with the excuses.  What’s changed to overcome all of these excuses?

Fall and red leaves arrived as typical late in the month.  But as inevitable as those changes are, other notable events occurred during September – including AARP’s partnership with Getty Images to combat age bias in advertising. Also in September, Medicare changes were introduced encouraging technology use by health providers, particularly telehealth services. This may boost the use of telehealth technology (for example remote visitations) which has seen a rise of consumer interest in recent polling, though not a corresponding rise in adoption by the majority of physicians. The four blog posts from September: