Family caregivers

AARP’s Innovation 50+ Live Pitch starts today – what's new?  This marathon tried to put 20 pounds of entrants (culled from many more) into the 10-pound bag of a two-day pitch event across two broad categories. So following this trend towards compression, we will leave FinTech to others and just focus on the Caregiving Health Technology firms. While the pitch may be fresh, some, as noted, may not be new. Placed in context by taking note of what’s in (or was in) market and similar to these finalists. In the alphabetical order presented and updated with winners noted -- link to available websites or descriptions -- minus Twitter handle:  

Pundits perpetuate the myth of non-use of so-called caregiver technology. [Rant on.] According to AARP, 40 million caregivers are taking care of an older, sicker person -- so says an oft-quoted 2013 AARP Public Policy Report statistic. A different AARP/Catalyst 2016 survey asserts only 7% of these caregivers use technology to help them. What is the 'technology' they won't use? And what is the theory as to why they won’t? Says Jeff Makowka of AARP: "Since many such caregivers also hold down regular jobs, they simply don’t have time to try some new technology." But if they’re working (or of working age), three-fourths of them have smartphones. And given the data-hogging nature of smartphones, all are fairly new. But wait, he also cited an example of an Amazon Echo as deployed for a family member with dementia -- enabling endless repetition of questions like 'What time is it?' etc. Okay, we have to ask, is the Echo a 'caregiving technology?' How about Facebook, described as a caregiver 'mecca'? Do survey respondents consider those technologies when asked?

Consider the Gallup-Healthways survey about community well-being.  Naples, Florida, is at the top. Really? Perhaps this caught your eye last week when you saw the Gallup survey about well-being.  For those who missed it, the survey ranked well-being of adults 18 and older in a community (town) by specific factors -- Purpose, Social, Financial, Community, and Physical.  At the highest level, Naples was followed by the town of Barnstable on Cape Cod. Consider that the attribute ‘Physical,’ for example, meant “Having good health and enough energy to get things done daily.” So look past the survey. These towns are comparatively wealthy by national measures -- the median income for a household in Naples is $66K and for those over age 75, it is $71K.  For Barnstable, median income is $62.1K – and note that 20% of the Barnstable population is 65+, higher than the 135 national percentage. In Naples, the median age is 60 and an eye-popping 42% of the population is aged 65+.

Tech-enabling home care is one lens on future of care.  Venture capitalists listen carefully for trends fueled by talk in the media.  During the past several years, they heard plenty -- about the longevity economy and an investment-related network, digital health watchers like Rock Health and Startup Health 'moonshots', and all things boomer and their tech interest about the future. So they saw home care as a growth opportunity.  Buried in and mostly around the wave of investment and media interest in boomers (oldest age now is 71), the tech industry also noodled a bit more about the over-hyped Internet of Things, emerging voice recognition technologies, and technology adoption trends (everybody except for those aged 75+).

Why does tech-enabled home care show potential? Growing life expectancy and shrinking assets limit options of older adults in late life, leaving those who may need care more likely to receive it at home. The biggest constraint for this industry is scarcity of willing workers. Although a greater role for technology is envisioned by many, the highly fragmented home care industry has made incremental progress in achieving it.  As the industry matures, standard practices and tech-enablement have begun to take shape. With the coming age wave, venture capitalists have been intrigued and funding has exploded, exceeding $200 million by 2016 year end. 

At an event this week with that title – it makes you wonder. What will living to 100 be like in 40 years?  In 2014, there were 72,197 Americans aged 100 or older, according to a report from the Centers for Disease Control and Prevention.  That number is up 44% since 2000, so that is presumably the good news. Moving forward, the projection is for an even more impressive number – 603,971 anticipated by 2060. The bad news?  The cause of death from Alzheimer’s disease among centenarians has also increased by 119% since 2000.