A long-term care crisis is brewing around the world: who will provide and pay for LTC?
By 2050, the demand for long-term care (LTC) workers will more than double in the developed world, from Norway and New Zealand to Japan and the U.S. Aging populations with growing incidence of disabilities, looser family ties, and more women in the labor force are driving this reality. This is a multi-dimensional problem which requires looking beyond the issue of the simple aging demographic. Help Wanted? is an apt title for the report from The Organization of Economic Cooperation and Development (OECD), subtitled, “providing and paying for long-term care.” The report details the complex forces exacerbating the LTC carer shortage, focusing
Verizon expanding into remote and mobile health for senior living – what it means for healthy aging and medical costs
The announcement that Verizon, the telecommunications giant, will partner with Healthsense, a home health monitoring company, indicates that the adoption of telehealth services beyond project pilots and government-funds required to bolster the market is real. Verizon is upgrading the FiOS network, which it will extend to senior housing and assisted living communities that would use Healthsense’s suite of remote health monitoring, personal emergency response systems, wireless nurse call, and wellness monitoring products. The broadband FiOS network is upgradeable to 100 megabits per second, which would enable the bandwidth required by home health technologies that require high performance and reliable network connectivity. These
Telemonitoring for health must be patient-centered and participatory
In December 2010, an article describing a telehealth remote monitoring program for heart failure patients concluded that telemonitoring did not improve patient outcomes. The paper, Telemonitoring in Patients with Heart Failure, written by Sarwat I. Chaudhry, M.D, and nine other authors, analyzed 1,653 CHF patients, 826 of whom participated in a remote health intervention: a telephone-based interactive voice-response system that patients dialed into on a daily basis to report symptoms and weight; this was designed to occur every day over six months. These data were then reviewed by patients’ clinicians who could contact patients when data pointed to the clinical need to adjust patients’ medications and other parameters.
The Post-Health Plan Health Plan: Humana
“If nothing else, the health reform bill has signaled the beginning of the end of the health plan as we know and love it,” David Brailer, once health IT czar under President GW Bush and now venture capitalist, is quoted in Reuters on Hot Healthcare Investing Trends for 2011. One health plan Brailer called out that could be relevant in the post-reform, post-recessionary US health world is Humana. I had the opportunity to spend time with Paul Kusserow, Chief Strategy Officer for Humana, during the HIMSS11 meeting. Our conversation began with me asking why the chief strategist for Humana would
Meeker & Murphy on Mobile – through the lens of health
We technology market data junkies look to several thought leaders throughout the year for updates on their forecasts: one of these, for me, is Mary Meeker. Now with KPCB (who some of you know as Kleiner Perkins Caulfield & Myers, the Silicon Valley venture capital company), Meeker has surveyed the morphing field of mobile and finalized her snapshot in Top Mobile Internet Trends, along with her colleague Matt Murphy. Meeker’s Top 10 (drum roll, please) are that: 1. Mobile platforms have reached c4itical mass 2. Mobile is global 3. Social networking is accelerating growth of mobile 4. Time shifting is driving mobile use
The home health hub is digital, mobile and personal
Bet on it, live from Las Vegas at this week’s Consumer Electronics Show (CES): the new home health hub is digital, mobile and personal. More consumers are morphing TV and video watching from the “set” to the computer and mobile platforms, and DIYing more activities of daily living. Health (for both wellness and sickness care) is transforming in this process. This transformation is enabled through consumers’ adoption of technologies that they’re using in their daily lives for entertainment, household management, and communications. Broadband and wireless provide the infrastructure for health care to move beyond the doctor’s office and the hospital, so engaged patients who choose to do
Be Thankful: Engage With Grace
Now that the turkey, champagne, stuffing and other glorious carbs have been consumed. the real dessert is whipped cream on the pumpkin pie: the gift of a conversation about Life and Grace. We each have our stories about how a loved one’s life has ended. If we’re lucky, that beloved person had a good death: in sleep, perhaps, or of simply old age with no hospital events or trauma. Then there are the Rest-of-Us who have the stories of long and painful endings. When you’re already in the situation of making tough health decisions, it’s tough, it’s emotional, it’s irrational,
Broadband: part of the prescription for people with disabilities
6 in 10 U.S. households connected to the Internet via broadband in 2009, rising from 9% in 2001. In the U.S., the gap in the adoption of broadband between lower-income households and higher-income people is 33% — 61% of people with $25,000 to $50,000 household income connect to the Internet at home via broadband; that proportion is 94% for households with over $100,000 a year. Adoption gaps in broadband persist in the U.S. based on income, urban/rural location, race, education, and level of disability. Differences in socio-economic and geographic characteristics explain much of the broadband adoption gap associated with disability
Seniors Are Happy With Rx Plans, Five Years After Part D Begins
Contrary to stereotypes, older people can adapt, learn, and use new products and services. The introduction of Medicare Part D five years ago was an experiment in public policy, with some policymakers fretting about seniors’ ability to navigate a new system. It appears Medicare Part D is a hit, and people are working well with it across gender, age cohorts, incomes (from very low to upper-income strata), educational levels, and especially very sick and disabled people. Among all seniors, 90% have prescription drug coverage. 61% of U.S. adults 65 and over have a Medicare prescription drug plan, 16% are covered by an employer-sponsored
Being Digital Doesn’t Always Mean You’re Young, Demographically Speaking
Being younger demographically doesn’t mean you’re younger, digitally-speaking. Your Real Age isn’t your Digital Age, according to Wells Fargo‘s survey into Americans’ use of advanced tools for daily tasks. The categories of peoples’ digital maturity include: – Digital teens, who are people who are online but don’t use all tools at a ‘high level’ – Digital novices are those people who manage basic tasks online but aren’t yet connecting with others online or managing more complex tasks – Digital adults have the highest digital age, as demonstrated by their using online tools for daily tasks, interacting with others online, and
Thank you, Jared Johnson, for including me on the list of the "Top Voices of Consumer-Centered Healthcare." Your curated community includes some of my closest colleagues and friends in the field to whom I also turn for that health consumer-focused lens. The patient - consumer, caregiver, health citizen - is the primary noun in health/care and self-care is primary care. My thanks for this call-out, JJ!
I am so grateful to Tom Lawry for asking me to pen the foreword for his book, Health Care Nation, which will be published in late March 2025. Tom, known for his pioneering leadership in AI, has rediscovered his voice for health policy -- and health citizenship. He is asking Big Questions and asking us to do the same -- and act on those insights for our own health, the health of people we love, and the health of our fellow health citizens. The uplifting subtitle: "The future is calling and it's better than you think." Onward!
Thanks to Feedspot for naming this blog, Health Populi, as a top 100 best healthcare technology blogs and websites in 2025. It's gratifying to be in such great company with KevinMD, The Health Care Blog, the Journal of AHIMA and other online resources that inform my health-tech views.