The aging population is expected to sky rocket in the next decade and the United States has to rethink how it will deliver care for its elderly. With recent advancements in technology, Aging in Place has emerged as strong solution to address this pressing need.

1. HOW CAN TECHNOLOGY SOLVE THE
CHALLENGES OF AN AGING POPULATION?

2. In the coming years, the US elderly population 65+ will surpass the young population in majority. The current care
systems will not be able to sustain this increase due to 3 key problems: cost, access, and disconnect.
Aging in place is emerging as the best solution for both individuals and the government. It is more economic and
more aligned with the needs of the elderly population.
• 89% of seniors wish to remain in their homes for as long as possible
• It would allow savings of $550k over 10 years for the individual and $2-$3 billion per year for the government.
Recent advancements in technology are the enablers for aging in place. Assistive technology for aging in place is
expected to grow from $2 billion today to more than $20 billion by 2020.
Aging in place solutions should cater the needs at the crossroads of smart home and digital health:
• By 2019, the global smart home market will be $120 billion, with the US representing 17%. Almost 40% of
households in the US will be equipped with smart home devices.
• The total revenues for connected health and wellness should amount to $8 billion dollar by 2018. Quantified
self is a young market that is projected to increase by 4x fold in the next 4 years.
EXECUTIVE SUMMARY

3. The US population age 65+ was 44.7M in 2013 and represented 14.1% of the U.S. population. It is expected to
grow to 21.7% of the population by 2040.
By 2060, there will be about 98 million elderly.
IN THE COMING YEARS, THE US ELDERLY POPULATION WILL SURPASS THE YOUNG
POPULATION IN MAJORITY
2015 2040 2060
Baby Boomers
Baby Boomers Baby Boomers
Source: AARP 2015

4. 1 in 4 elderly Americans live in one of three
states: California, Florida, and New York.
Illinois, Michigan, New Jersey, Ohio, Pennsylvania,
and Texas —account for another one-quarter of
Americans age 65 or older
80+ senior facilities are concentrated in Florida
counties (Marion County & Palm Beach County)
Louisville, Kentucky is a very big player in long-
term care, being one of the "headquarters in
nursing home, rehabilitation, assisted living and
home health administration”.
SOME KEY LOCATIONS IN THE U.S. WHERE THE ELDERLY LIVE

5. THE CURRENT CARE SYSTEMS WILL NOT BE ABLE TO SUSTAIN THIS INCREASE DUE TO
3 KEY ISSUES 1) COST 2) ACCESS 3) DISCONNECT
COST
ACCESS
DISCONNECT
Being old is expensive
• For the government through the healthcare programs of Medicare and Medicaid
• For senior individuals and their families through out-of-pocket expenditures
The existing settings will not be able to absorb the increasing number of seniors
and there will be a lack of care givers available
Seniors are both economically and emotionally burdened when they must leave
their homes and are not allowed to maintain their preferred quality of life

6. At the federal level
The retirement of the baby boomer generation is driving costs for Medicare and Medicaid to unprecedented
levels. Medicare will drive costs from 2016-2023, with an average annual increase of 7.3 %.
For this reason, the government is pushing for action to develop in-home health products, increase patient
compliance, and improve disease prevention measures.
At the individual level
The older people get, the more healthcare they use, and the more personal costs they have from non covered
medical bills
In 2009, 94% of people aged 65+ paid for a portion of their health care out of pocket.
THE CURRENT ECONOMIC MODEL TO SUPPORT THE ELDERLY POPULATION IS NOT
SUSTAINABLE
COST
Source: PBS 2014, The Kaiser Family Foundation 2014

7. Americans rely a lot on family caregivers.
In 2015, around 43.5 million families provided care for an
older relative, and 14.9 million for a relative with Alzheimer’s
or dementia.
Given the future population changes, the caregiver support
ratio will decline from its 2010 level of 7 potential caregivers
for each person aged 80+ down to a ratio of 4:1 in 2030 and
3:1 in 2050
Caregiver support ratio (CSR) – "the number of potential family
caregivers aged 45-64 for each person aged 80+"
WITHIN THE NEXT 15 YEARS, THE US WILL FACE A SIGNIFICANT LACK OF CAREGIVERS
FOR ITS ELDERLY POPULATION
ACCESS
Source: AARP, 2013

8. ACCESS
THE 5 MAIN CARE SETTINGS FOR THE AGING POPULATION CAN BE BOTH VERY
EXPENSIVE AND ARE ALMOST AT CAPACITY
Independent Living
Community
Assisted Living Facility Residential Care Facility Continuing Care
Communities
Nursing
Homes
Capacity : 245,000 units
Largest single provider:
Holiday Retirement with a
resident capacity of
40,440 and 315 retirement
communities
Capacity: 1,233,690 units
31,100 facilities
From 2007 to 2010, supply
has increased almost 18 %
Capacity: 851,400
residents
713,300 actual residents
22,200 facilities
Proportion of residential
care communities with for-
profit ownership: 78.4%
Capacity: 570,000
units
350,000 actual
residents
1,900 communities
Capacity: 1.7 Million residents
1.4 million actual residents
15,700 nursing homes
Proportion of nursing homes
with for-profit ownership:
68.2%
Source: AARP, 2012 ; Center for Disease Control & Prevention, 2012 ; Leading Age 2011

9. AGING IN THE PLACE IS THE IDEAL SOLUTION
AFFORDABLE
ACCESSIBLE
ACCEPTED
At an individual level, despite required remodeling costs, aging in place is significantly
less expensive than senior care facilities
At a federal level, aging in place allows savings for both Medicaid and Medicare
enabling savings of $45K annually per participant, or $2-$3 Billion total annually.
Most elderly people can remain in the house they’ve always lived in
Seniors need a stable lifestyle.
89% of seniors wish to remain in their homes for as long as possible with the key
reason being able to live under one’s own rules
Source: U.S. Department of Housing and Urban Development 2013

10. Aging in place is a growing movement that focuses on keeping seniors in their homes longer as they age. One
core element of aging in place is allowing a person to maintain their quality of life. Evidence suggests that
programs that support aging in place may yield cost savings for families, government, and health systems.
Aging in place has also been shown to have health and emotional benefits over institutional care.
Assistive domotics or internet of caring things are home automation technologies that focus on making it
possible for older adults and people with disabilities to remain at home, safe, and comfortable. This field uses
much of the same technologies as home automation for security, entertainment, and energy conservation.
“Assistive technology for aging in place is expected to grow from $2 billion today to more than $20 billion
by 2020.”
RECENT ADVANCEMENTS IN TECHNOLOGY AND ELDERLY TECH SAVINESS CAN MAKE
AGING IN PLACE A REALITY
Source: AARP 2015, Infinaims 2016, Aging In Place Technology Watch 2012

11. SENIORS ARE CLOSELY TAILING THE GENERAL POPULATION IN TECH ADOPTION, AND
GROWTH IS EXPECTED TO CONTINUE
91%
55%
43%
86%
70%
77%
18%
27%
59%
47%
Cellphone Smartphone Tablet/eReader Internet Broadband
Tech penetration in the US, seniors vs general population
(%)
All adults 65+
59%
47%
87%
76%
90%
82%
Internet Broadband
Tech penetration in the US, seniors vs general
elderly population (%)
All 65+ 65+ w/ college degree 65+ w/ >75k$ income
Source: Pew Research Center, Older adults and technology use, April 2014

12. State policymakers and agencies have taken various steps to enable aging in place, including integrating land
use, housing and transportation; efficiently delivering services; providing more transportation choices; and
improving coordination and communication among levels of government.
Certain land use policies can help older adults live closer to or within walking distance of the services they
need
• Integrating Land Use and Transportation Policy
• Transit-Oriented Development (TOD)
Increased mobility options can reduce reliance on transportation by personal car
• Volunteer Driver Laws
• Human Service Transportation Coordination
Affordable, accessible housing can decrease institutionalization and meet consumer demand
• Building Standards that Promote Accessibility
• Naturally Occurring Retirement Community (NORC)
IN THE MEANTIME, STATE LEGISTLATORS ARE PUTTING IN VARIOUS POLICIES TO
SUPPORT SUCCESSFUL AGING IN PLACE
Source: NCSL, Aging in place, 2011

13. Land Use
Transportation
Housing
This is not an exhaustive map, it highlights the trending states
Source: NCSL, Aging in place, 2011
IN THE MEANTIME, STATE LEGISTLATORS ARE PUTTING IN VARIOUS POLICIES TO
SUPPORT SUCCESSFUL AGING IN PLACE

14. Homes with technologically advanced systems to
enable domestic task automation, easier
communication, and higher security.
Quynh Le, 2012
The smart home market will reach $120 billion by
2019 — up from $33 billion in 2013.
Juniper Research 2014
All healthcare-related applications, technologies
and delivery systems that result from the
confluence of medicine, genomics and the
technologies that comprise the digital space.
Digital Health makes use of interconnected
technologies to embrace the entire spectrum of
healthcare providers, consumers and researchers.
Nuviun, 2014
The Digital Health industry is a conglomerate of
many industries and is expected to exceed $200
billion globally by 2020.
Arthur D Little, 2014
AGING IN PLACE IS AT THE CROSSROADS OF SMART HOME AND DIGITAL HEALTH,
TWO BOOMING SECTORS
Smart Home Digital Health

15. TECH ADVANCEMENTS HAVE LED TO A HORIZONTAL GROWTH FOR THE SMART
HOME MARKET, NOW INTERSECTING WITH THE DIGITAL HEALTH MARKET
"Home is the fastest growing setting for healthcare“
Rick Valencia, Sr. Vice President Qualcomm & General Manager, Qualcomm Life
Digital HealthSmart Home
Communications To contact loved ones To contact emergency services
Smart sensors To keep track of daily activities To check adherence to a medication regimen
Safety To detect burglary To detect falls & shocks
Lighting To adapt lighting to user’s activities To help seniors with vision deficiency
Source: The Future of Healthcare, 2015

16. Government
AGING IN PLACE HAS BOTH PRIVATE & PUBLIC AND FOR PROFIT & NON PROFIT
STAKEHOLDERS THAT COMPANIES NEED TO BE AWARE OF
SENIOR CITIZENS AND THEIR FAMILIES
45M PEOPLE Associations/Non
Profit
Senior Care
Settings
Independent Living
Community
Assisted Living
Facility
Residential
Care Facility
Continuing Care
Communities
Nursing Homes
Health Care Providers
Nurses
Hospitals
Clinicians
Solution Providers

17. Personal Communication
Home Safety
Health Care
AGING IN PLACE IS COMPRISED OF 3 KEY SEGMENTS THAT ARE SCATTERED WITH
BOTH INCUMBENTS AND YOUNG STARTUPS

18. SUCCESSFUL AGING IN PLACE SOLUTIONS CAN FACILITATE REMOTE CARE GIVING,
HOME SAFETY, AND HEALTH CARE
Remote Monitoring
Medication reminders
Daily medical testing
Medical care coordination
Healthcare
Fall prevention
Security
Lighting
Home Safety
Remote Caregiving
Family caregiving coordination
Communication
Relationships
Fighting loneliness
Source: Infiniaims 2015

19. Personal Communication Home Safety Health Care
Must have • Easy onboarding
• Accessible from any device
• User friendly
• Includes phone & video calls
• Immediate detection
• Alerts & notifications
• HIPAA compliant
• Medical grade
Should have • Text messages
• Cost effective
• Easy onboarding
• Customer support 24/7
• User friendly
• Data analytics
• Highly customizable
• Nice design
• Long range device coverage
• Cost effective
• Easy onboarding
• Accessible from any device
• Customer support 24/7
• User friendly
• Data analytics
• Highly customizable
• Long range device coverage
• Cost effective
Would like to
have
• Customer support 24/7
• Includes all forms of communications
• Nice design
• Accessible from any device • Includes all forms of
communications
• Nice design
PERSONAL COMMUNICATION IS DRIVEN BY CONVENIENCE WHILE HOME SAFETY &
HEALTH CARE ARE DRIVEN BY RELIABILITY & ACCURACY

20. More than ⅓ of those aged 65+ live alone and the percentage rises with age.
One third of informal caregiving occurs at a distance with family members coordinating provision of care,
maintenance of independence, and socialization for frail elders living at home.
1. Better communication
2. Improved safety and monitoring
3. Greater focus on wellness and prevention
4. More opportunity to participate in society
WHAT WILL IT TAKE TO SUCCESSFULLY AGE IN PLACE
National Institute of Nursing Research, NIH, 2015