Laurie Orlov's blog

What is the status and future of remote care technologies? As the research interviews for the 2020 report “Future of Remote Care Technology and Older Adults” wind down, a few themes become apparent. This work began in the summer of 2020 as the Covid-19 lockdown was underway. The pandemic has likely transformed the senior-focused ecosystem. It triggered ingenuity of senior care organizations and vendors; and it energized innovators and prospective investors. Reimbursement of technology was a key policy change in 2020 that fueled adoption and investment in telehealth. That change super-charged growth in telehealth-related companies that had been growing incrementally. And as senior living executives agreed early, from a technology investment standpoint there’s no turning back.

Life has been worsening for older adults – in senior living and at home.  Every day there is some new article about the impact of Covid-19 on older adults -- or another study turns up that you missed. Residents in senior living communities are having a tough time, cut off from activities and visits from family.  Isolation has produced an increase in mental health issues, loneliness and depression – and that would be for those who have a good grasp of what is going on – for those in long-term care, for those with dementia, unable to be hugged by family, it is far worse. What’s been going on with older adults in the context of social isolation and loneliness?

Voice-enabled innovation softly races ahead. Technology innovation announcements whiz by at what seems to be a breakneck pace. Consider Amazon’s Whisper Mode – “I think you just whispered to me – Sau ‘turn on’ Whisper Mode.” Not just for insomniacs, imagine its utility for the faint-voiced older adult wanting to ask a question.  Or consider Apple Family Setup, which enables an Apple Watch to be set up and used without an iPhone, enabling texts, calls and GPS location.  Or in-Car voice technology like Garmin Speak-Plus for directions without a screen (that’s a plus).   Here are five from recent times:

The boomer-and-beyond market has caught the eye of the tech industry.  As a busy September wound down, new announcements in the voice first category were of particular interest. These include GreatCall’s new Lively Flip phone with voice services and the announcement that Amazon’s Alexa has added 80,000 answers to healthcare questions through a partnership with Digital Health company Sharecare. And on 9/24 Amazon announced CareHub, a way to monitor family members from afar. As if that weren’t enough, a tech track at Argentum’s annual (now virtual) conference included a session on Voice First (with Ryan Elza and Nick Patel, sponsored by CDW Healthcare) in a long list of tech enablement session entries. Also at Argentum, existing tech players added features for Covid-19 and more.  Finally, a new report details access limitations and disparate costs for high speed Internet across the US. Here are five other posts:

It’s been an interesting technology week. New announcements in the voice first category were of particular interest. These include GreatCall’s new Lively Flip phone with voice services and the announcement that Amazon’s Alexa has added 80,000 answers to healthcare questions through a partnership with Digital Health company Sharecare. And today (9/24) it announced CareHub, a way to monitor family members from afar. As if that weren’t enough, a tech track at Argentum’s annual (now virtual) conference included a session on Voice First (with Ryan Elza and Nick Patel, sponsored by CDW Healthcare) in a long list of tech enablement session entries. Also on the Argentum site is a product category listing. Here are five from Argentum 2020:

Aging in place – the latest trend. Rant on.  People want to age in place – just ask them, as AARP did in 2018.  Of course, in the not-cited part of that survey, only 59% expected to be able to do so. Little did they know that a pandemic was coming, that visiting with aging family would become a nightmare – with people unable to see their relatives for many months.  The death rates from Covid-19 (or with Covid-19) of seniors in nursing homes and assisted living were horrific on the one hand and daunting to prospective move-ins.  So by late 2020, EVERYBODY wants to age in place – an unprecedented trend, says Rock Health – and health innovators have taken note.

Surprise (maybe) – Philips puts Lifeline business up for auction.  How do I know this? Not from any news article other than PERS Insider, a newly created newsletter for those who track the medical alert industry.  Probably given the Q1 profit drop, they had to do something about the steep revenue decline of their Personal Health businesses.  You may not remember that Philips acquired the Lifeline business in 2006 for $750 million.  What did they get for that investment? The leader in the “Medical Alert/Medical Alarm/PERS space.” You pick the term -- or let the search engine do it in order to show you each paid ad after paid ad.

Venture interest in Aging in Place – is it a turning point?  RockHealth, the "first venture fund dedicated to digital health”, has declared this year a turning point in the market of offerings for older adults (aka baby boomers, particularly those 65+).  In their September, 2020 Aging in Place report, the authors note that demographics, regulatory and policy changes (aka reimbursement via Medicare Advantage plans), and Covid-19’s boosted use of digital health combine to make this a pivotal point.  The oldest baby boomer, it should be mentioned, is 74 now, but the youngest is 56 and may have aging parents who could benefit, depending on health status, from these five offerings from that report. All text is from the websites of the vendors:

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? 

August in the time of Covid-19.  Normally at this time of year, one looks back at the summer just passing and ahead to the autumn of trade shows, travel, and even – gasp -- talking in person.  This year, the emergence of Work From Home (with an acronym WFH!) has isolated most in Zoom rooms and revealed decorating styles, bookshelves and intriguing wall art. The world’s largest annual trade event that many tech firms would spend the fall preparing for, CES in January 2021, has moved to all-online. The irreversible telehealth boom may be slowing and yet, older adults may be unable to benefit.  More from August 2020: