healthcare

What happens when people avoid health-related in-person care? Rant on. Nearly a third of older adults, according to a National Council on Aging post, are foregoing visits to emergency rooms, afraid of catching the virus. Or they are avoiding outpatient visits, afraid of Covid-19, but also concerned about cost of care.  And the cumulative number of lost visits since mid-March continues to grow.   Family concerns about health and Covid-19 also continue to delay or prevent some move-ins to senior living communities.  Presumably, some avoidance is occurring even in circumstances where there is a pressing need for a move, such as worsening dementia.  But is telehealth viable for the oldest? 

Companies and products worth noting in August.  It may be the dog days of summer, but life and innovation move forward – and so it is with offerings to note that serve older adults. In particular, it is great to see the emergence of Primetime Partners, specifically focused on the aging-related market opportunity. The first, HomeEXCEPT was one missed at the time, emerging from a 2017 AARP Innovation Business Plan competition. The last was offered by a giant US network.  Go figure.

May was an unmerry month of angst and abject failure. All around, we have been locked down beginning in March. We have been incredulous, watching older adults die alone in a nursing home, and then dying in many nursing homes. Then half of the 30 million small businesses shut down temporarily. Then hospitals limited admissions in anticipation of an onslaught – and limiting their revenue-generating business – and some shut down completely. And on and on. In May came the trickling of re-openings and beginning of renewed life, though very different from that previous life.  We wait and watch to see what will be different, especially for older adults and their access to technology, moving forward. Here are six blog posts from a May unlike any previous:

Nursing homes – consternation, condemnation are words that rule the day. Rant on. It must be tough to be focal points for nursing home policy these days. Even as a task force is being set up to focus on nursing homes, on the one hand, that seems positive. On the other hand, Leading Age CEO was 'enraged' about shortages of PPE.  And seniors (AARP) who are most likely NOT in nursing homes, demand that workers have adequate PPE, that the public be notified which nursing homes have cases of Covid-19, workers are striking at nursing homes, and so on. Go back to 2019, for just a moment. What were the top issues early in the year?  "Challenges facing nursing homes serving primarily long-stay residents covered by Medicaid; workforce challenges, which are unlikely to dissipate; nursing home regulations; and the growing popularity of Medicare Advantage."

The coronavirus pandemic has prompted instant behavior and tech changes.  And not just about hand washing and social distancing.  For the past two days, it’s apparent that the seemingly forever slow growth of telehealth adoption has entered a new, “When can I have that? Yesterday?” phase.   This applies to caring for and treating the 2.5 million in senior living communities, including nursing homes. Some senior living providers have been ahead of the game for some time with telehealth, like Asbury Communities and Holiday Retirement -- offering services for residents at times when physicians cannot be on site. But the interest and use of telehealth in senior living has been accelerating since April 2019, when Medicare Advantage plans began covering it. And further, when senior living companies were enabled to provide their own Medicare advantage plans, that piqued more interest in telehealth.  All that's left is to install the connectivity to make it effective.