Technologies for Long-Term Care and Home Healthcare: Global Markets

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Technologies for Long-Term Care and Home Healthcare: Global Markets

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INTRODUCTION

Everybody is aware that the global population is aging. The over-65 set is perceived as a sure market, and the creation of products to service them is seen as the next great gold rush. In actuality though, seniors are a challenging, non-homogenous target market. Soon-to-be seniors are facing aging in an unprecedented way. They are living longer, they are more adamant in guarding their independence and they are more technologically savvy than previous generations.

Seniors overwhelmingly want to age in place, but family members living afar worry about their elderly relatives living alone. The reality is that eventually most seniors will get sick or suffer from injury-related disabilities. In the current economic climate, remote living family members' worry is compounded by the fact it is challenging for many seniors to sell their houses, and without selling their homes or having significant savings, many cannot afford to move to long-term-care facilities.

Advances in communications and information technology (IT) have created products that make remote monitoring feasible. Smart phones, personal digital assistants (PDAs) and wireless networks are everywhere, including within seniors' residences. These technologies carry both economic and emotional appeal to caregivers and the elderly. This report examines whether the excitement surrounding new mobile apps and smart monitoring systems that cater to the elderly can achieve the anticipated mainstream success.

Elder-care technologies do not comprise a defined market. This report examines two types of remote monitoring systems—home telehealth and safety monitoring—which encompass the most important breakthroughs in elder care. The elderly represent a large subset of potential users of these systems, but these technologies were not intended exclusively for elder use. Undeniably though, these technologies have the potential to improve the aging experience while also benefiting society at large by improving the quality and efficiency of care for the elderly and potentially saving the healthcare industry a significant sum of money.

STUDY GOALS AND OBJECTIVES

This report is an update of the 2010 BCC report titled HLC079A – Technologies for Long-Term Care and Home Healthcare: Global Markets. Its goal is to examine a unique industry segment poised for tremendous potential expansion in light of the most recent available data. The technologies in this report (i.e., remote health- and safety-monitoring systems) are pivotal for improving the quality of care for the elderly and increasing efficiencies throughout the continuum of care.

Specific objectives of this report include:
• To analyze the 2012 market and forecast demand for elder-care technologies for remote monitoring and safety-monitoring devices through 2018 by geographic region, technology type and benefit to the global healthcare industry.
• To describe the ways in which changing medical needs driven by an aging population, the necessity to cut costs in the delivery of care, and further adoption of technology and broadband connectivity by seniors will accelerate future demand for remote monitoring devices and home safety technology.
• To describe the ways in which efforts to increase interoperability of consumer medical products and the examination of the resulting standards will accelerate future utilization of elder technologies.

• To describe the regulatory framework that controls the INTRODUCTION of new remote monitoring devices in varied long-term care settings.
• To describe the ways in which efforts to create a nationally adopted health information technology (IT) platform in the U.S. and a E.U.-based platform will accelerate efforts to bridge data gaps and more seamlessly integrate home care and provider-based point-of-care medical records.
• To analyze the growth of patents granted for innovations that provide the technological basis for advances in remote patient monitoring (RPM) and personal safety devices.
• To examine the challenges that must be overcome for these technologies to achieve commercial success in the industry.
• To examine reimbursement policies and other financial considerations that will dictate the adoption pace of these elder technologies.
• To identify the product manufacturers that will drive innovation and create demand for technological components, particularly sensors.
• To examine international players in this market segment with the greatest commercial potential, as well as to identify future industry players that could influence the long-term commercialization of elder technologies.

REASONS FOR DOING THE STUDY

The healthcare industry is not sustainable in its current form. Emerging trends in the healthcare industry combined with demographic changes and technological advances provide the impetus for this report.

The motivation and timeliness for this report is shown in the convergence of many trends:
• The global growth of the senior population will strain the capabilities of healthcare providers and the financial resources of healthcare payers.
• Seniors' desire to age in place is often complicated by the dispersion of the immediate family unit and projected workforce shortages.
• Advances in communications capabilities, including increased utilization of broadband and cellular networks, have coincided with the willingness of the elderly and their caregivers to utilize technology.
• The need to alter reimbursement strategies and align them with outcomes to improve care and contain costs is being re-examined.
• A paradigm shift in medical practice from acute care to prevention and disease management is accompanied by a geographic shift from point-of–care treatment in medical settings to patient location.

Together these factors have increased patient engagement and responsibility for their own well-being.

SCOPE OF REPORT

This report is a business analysis with the primary purpose of examining the potential market for elder-care technologies, specifically home telehealth and safety monitoring. The report includes sections on:
• Descriptions of home telehealth and safety-monitoring technologies and drivers of their adoption.
• Current status of the long-term care environment, including trends and factors affecting growth.
• Current and projected market status of these technologies.
• General regulatory and standards overview.
• Patent trend analysis.
• Information on the industry players.

INTENDED AUDIENCE

This report is intended for anyone interested in the elder-care and remote-technology markets. Executives, consultants, trade associations and marketing professionals in the medical device industry, machine-to-machine (M2M) industry, health insurance industry, long-term care industry, health information technology (HIT) industry, superconductor industry, and the broadband and wireless communications industry will benefit from the information included this report. Payers, stock analysts, venture capital (VC) funders and investors interested in senior markets, opportunities in the general healthcare industry, or expanding markets for cellular and wireless communications services will also benefit. Manufacturers and distributors of the technology and component parts discussed in this report are also part of the INTENDED AUDIENCE.

INFORMATION SOURCES

BCC Research reviewed reports, white papers and studies produced by industry, trade associations, corporations, professional organizations, payers, governments, healthcare providers and academia as sources for this report. BCC also compiled data from the U.S. Census Bureau; the U.S. Patent and Trademark Office (USPTO); the Department of Health and Human Services (HHS); and sub-agencies, including the Food and Drug Administration's (FDA) medical device data registry, the Center for Medicare and Medicaid Services (CMS), the Agency for Healthcare Research and Quality (AHRQ), the Centers for Disease Control and Prevention (CDC) and the National Center for Health Statistics (NCHS). Interviews were conducted with industry sources, consultants, manufacturers, academics and researchers.

ANALYST CREDENTIALS

The authors of the original 2010 report on which this updated report is based include Allison Coplein, an attorney with a background in business and transactional activities, and Lori Solomon, a freelance writer with a focus on public health issues.

The analyst responsible for updating this report is Andrew McWilliams, a partner in the Boston–based international technology and marketing consulting firm 43rd Parallel LLC. Mr. McWilliams is the author or co-author of many other BCC studies, including studies in related fields such as HLC047D Disabled and Elderly Assistive Technologies; HLC054C Global Markets and Technologies for Home Medical Equipment; HLC066B Medical Automation Technologies Products and Markets; HLC038C Patient Monitoring, HLC014E Global Markets for Telemedicine Technologies; and IAS031B The U.S. Market for Home Automation and Security Technologies.

REPORT HIGHLIGHTS

This report provides:
• An overview of the global market for long-term care and home healthcare technologies, with a focus on remote health-monitoring and safety-monitoring systems.
• Analyses of global market trends, with data from 2012, estimates for 2013, and projections of compound annual growth rates (CAGRs) through 2018.
• Discussion of how changing medical needs driven by an aging population, the necessity to cut costs in the delivery of care, and further adoption of technology and broadband connectivity by seniors will accelerate future demand for remote monitoring devices and home safety technology.
• Examination of the regulatory framework that controls the INTRODUCTION of new remote monitoring devices in varied long-term-care settings.
• Ways to increase interoperability of consumer medical products.

TABLE OF CONTENTS

CHAPTER 1 INTRODUCTION 2

STUDY GOALS AND OBJECTIVES 2
REASONS FOR DOING THE STUDY 3
SCOPE OF REPORT 4
INTENDED AUDIENCE 4
INFORMATION SOURCES 4
ANALYST CREDENTIALS 4
RELATED REPORTS 5
BCC ONLINE SERVICES 5
DISCLAIMER 5

CHAPTER 2 SUMMARY 8

SUMMARY TABLE GLOBAL ELDER-CARE TECHNOLOGY MARKET BY TYPE, THROUGH
2018 ($ MILLIONS) 8
SUMMARY FIGURE GLOBAL ELDER-CARE TECHNOLOGY MARKET BY TYPE,
2012-2018 ($ MILLIONS) 8

CHAPTER 3 OVERVIEW 11

ELDER-CARE TECHNOLOGIES 11
ELDER-CARE TECHNOLOGY IN THE BROADER MARKETPLACE 11
SENIOR HEALTHCARE SPENDING 12
TABLE 1 HEALTHCARE SPENDING COMPARISON, 2012 AND 2018 ($ BILLIONS) 12
FIGURE 1 HEALTHCARE SPENDING COMPARISON, 2012 AND 2018 ($ BILLIONS) 13
TABLE 2 U.S. HEALTH EXPENDITURE DISTRIBUTION BY FUNDING SOURCE, 2012*
(%) 13
HEALTH INFORMATION TECHNOLOGY 14
HOME TESTING MARKET 15
MOBILE HEALTH 15
REMOTE PATIENT MONITORING MARKET 16
ASSISTIVE DEVICE MARKET 16
ASSISTIVE DEVICE DEFINITION 16
ASSISTIVE DEVICE MARKET 16
Assistive Device Types 17
Assistive Device Payment 17
HOME SAFETY MARKET 17
HOME TELEHEALTH 18
FUNDING 19
GENERAL MARKET IMPRESSIONS 19
CHALLENGES 20
Consumer Issues 20
Physician Issues 20
Policy and Regulatory Issues 20
Licensure 20
Privacy Concerns 20
Lack of Integration or Interoperability 21

Misaligned Incentives 21
Reimbursement 21
BENEFITS OF TELEHEALTH 22
SAFETY MONITORING 22
ASSIST-CALL TECHNOLOGY 23
Introduction 23
Assist-Call Technology Types 23
Telephone-Based Assist-Call Systems 24
Wired Assist-Call Systems 24
Wireless Assist-Call Systems 24
Benefits of Using Assist-Call Technology 24
Use Challenges 25
Adoption 25
Users 26
FALL-MANAGEMENT TECHNOLOGY 26
Fall Incidence 26
Fall Costs 26
Fall Prevention 27
Fall Detection 27

Benefits of Fall-Management Technologies 28
Use Challenges 28
WANDER-MANAGEMENT TECHNOLOGY 29
Introduction 29
Wander-Management Technology Types 29
Use Challenges 29
Adoption 29
Users 30
Wander-Management Technology Benefits 30
SMART HOME TECHNOLOGY 30
Smart Home Definition 30
Smart Home Technology Benefits 31
Use Challenges 32
Adoption 32
Users 33
MEDICATION-MANAGEMENT TECHNOLOGY 33
Introduction 33
Medication-Management Technology Types 34
Medication Reminder Software 34
Multi-Alarm Pillboxes 34
Alarm Watches and Reminders 35
Automatic Medication Dispensers for Personal Use 35
Talking Medication Bottles 35
New Technology 35
Medication-Management Technology Benefits 36
Use Challenges 37
Adoption 37

Users 37
SMART MOBILITY TECHNOLOGY 37
Disabilities Impacting Independent Mobility 37
Smart Mobility Technologies Definition 38
Smart Mobility Device Types 38
Future Market 39
Challenges 39
REGULATION OF ELDER-CARE TECHNOLOGIES 40
FOOD AND DRUG ADMINISTRATION REGULATION 40
TABLE 3 CENTER FOR DEVICES AND RADIOLOGICAL HEALTH CLASSIFICATION
DATABASE CODING SAMPLES 41
TECHNICAL STANDARDS 43
NATIONAL ELECTRICAL CODE STANDARDS 44
AMERICAN NATIONAL STANDARDS INSTITUTE STANDARDS 45
FEDERAL COMMUNICATIONS COMMISSION REGULATION 45
HEALTH INSURANCE PORTABILITY AND ACCOUNTABILITY ACT
REGULATION 46
DRIVING FORCES OF THE ELDER-CARE TECHNOLOGY MARKET 47
DEMOGRAPHIC SHIFT 47
TABLE 4 PROJECTED GLOBAL POPULATION OF PEOPLE AGE 65 AND OLDER,
2012-2030 (MILLIONS) 47

FIGURE 2 PROJECTED GLOBAL POPULATION OF PEOPLE AGE 65 AND OLDER,
2012-2030 (MILLIONS) 47
TABLE 5 PEOPLE AGE 65 AND OLDER WITHIN THE TOTAL POPULATION, 2012-2030
(%) 48
FIGURE 3 PEOPLE AGE 65 AND OLDER WITHIN THE TOTAL POPULATION,
2012-2030 (%) 48
HEALTHCARE COSTS 48
TABLE 6 PROJECTED GROWTH IN U.S. HEALTH AND MEDICARE EXPENDITURES,
2011-2021 ($ BILLIONS) 49
CHRONIC DISEASE 49
TECHNOLOGY ADOPTION 50
CHANGING ROLE OF THE PATIENT 50
HEALTHCARE MODEL SHIFT 50
LONG-TERM CARE 51
SPECTRUM OF LONG-TERM CARE 51
Community-based Care 51
Payment 52
Home Healthcare 52
Regulation 52
Payment 52
TABLE 7 HOME HEALTHCARE EXPENDITURES BY FUNDING SOURCE DISTRIBUTION,
2012* (%) 53
FIGURE 4 HOME HEALTHCARE EXPENDITURE DISTRIBUTION BY FUNDING SOURCE,
2012 (%) 53
Largest U.S. Home Healthcare Companies 53

TABLE 8 LARGEST U.S. HOME HEALTH COMPANIES BY SALES, 2012 54
Home Healthcare Expenditures 54
FIGURE 5 PROJECTED GROWTH OF U.S. HOME HEALTHCARE EXPENDITURES,
2011-2021 ($ BILLIONS) 54
Assisted Living Facilities 55
Regulation 55
Payment 55
Nursing Homes 56
Regulation 56
Payment 56
FIGURE 6 U.S. NURSING HOME CARE EXPENDITURE DISTRIBUTION BY FUNDING
SOURCE, 2012* (%) 57
Statistics 57
TABLE 9 CERTIFIED U.S. NURSING FACILITIES, BEDS AND RESIDENTS, 2000-2012 58
TABLE 10 OCCUPANCY RATES FOR U.S. NURSING FACILITIES, 2000-2012 (%) 58
TABLE 11 LARGEST U.S. NURSING HOME CORPORATIONS BY NURSING FACILITIES,
2012 59
TABLE 12 PROJECTED GROWTH OF U.S. NURSING HOME EXPENDITURES, 2011–
2021 ($ BILLIONS) 59
FIGURE 7 PROJECTED GROWTH OF U.S. NURSING HOME EXPENDITURES,
2011-2021 ($ BILLIONS) 59
Continuing Care Retirement Community 60
Regulation 60
Payment 60
Largest U.S. Continuing Care Retirement Communities
Companies 60
TABLE 13 10 LARGEST U.S. CONTINUING CARE RETIREMENT COMMUNITY
COMPANIES BY SALES, 2012 ($ MILLIONS) 61
DRIVING FORCES 61

Demographics 61
FIGURE 8 U.S. PROJECTED POPULATION OF PEOPLE AGE 65 AND OLDER,
2000-2050 (MILLIONS) 61
FIGURE 9 U.S. PROJECTED POPULATION OF PEOPLE AGE 85 AND OLDER,
2000-2050 (MILLIONS) 62
Available Options for Long-Term Care 63
Reimbursement 63
TABLE 14 PROJECTED DISTRIBUTION OF MEDICARE SPENDING, 2012 AND 2018*
(%) 64
TABLE 15 PROJECTED MEDICAID SPENDING DISTRIBUTION, 2012 AND 2018* (%) 64
Pricing of Long-Term Care 65
Labor 65
Competition 65
Alzheimer's Disease 65
CONNECTED SYSTEM 66
OPERATIONS 66
VETERANS HEALTH ADMINISTRATION EXAMPLE 66

CHAPTER 4 GLOBAL ELDER-CARE TECHNOLOGY MARKET 69

TOTAL MARKET SIZE 69
TABLE 16 GLOBAL ELDER-CARE TECHNOLOGIES BY SEGMENT, THROUGH 2018 ($
MILLIONS) 69
CURRENT AND PROJECTED MARKETS BY TECHNOLOGY TYPE 69
HOME TELEHEALTH 69
TABLE 17 GLOBAL HOME TELEHEALTH SYSTEM: MARKET BY REGION, THROUGH
2018 ($ MILLIONS) 69

Home Telehealth Market by Region 70
TABLE 18 U.S. HOME TELEHEALTH SYSTEM MARKET, THROUGH 2018 ($ MILLIONS) 70
TABLE 19 EUROPEAN HOME TELEHEALTH SYSTEM MARKET, THROUGH 2018 ($
MILLIONS) 70
TABLE 20 OTHER GEOGRAPHICAL MARKETS FOR HOME TELEHEALTH SYSTEMS,
THROUGH 2018 ($ MILLIONS) 71
Home Telehealth Market Potential 71
ELDER-CARE SAFETY-MONITORING MARKET 71
TABLE 21 GLOBAL ELDER-CARE SAFETY-MONITORING MARKET, THROUGH 2018 ($
MILLIONS) 71
Elder-Care Safety-Monitoring Technology by Region 72
TABLE 22 U.S. ELDER SAFETY-MONITORING TECHNOLOGY MARKET, THROUGH
2018 ($ MILLIONS) 72
TABLE 23 EUROPEAN ELDER SAFETY-MONITORING TECHNOLOGY MARKET,
THROUGH 2018 ($ MILLIONS) 72
TABLE 24 OTHER GEOGRAPHICAL MARKETS FOR ELDER SAFETY-MONITORING
TECHNOLOGY, THROUGH 2018 ($ MILLIONS) 73
Elder-Care Safety-Monitoring Technology by Type 73

Assist-Call Technology 73
TABLE 25 U.S. ASSIST-CALL TECHNOLOGY MARKET, THROUGH 2018 ($ MILLIONS) 74
TABLE 26 EUROPEAN ASSIST-CALL TECHNOLOGY MARKET, THROUGH 2018 ($
MILLIONS) 75
TABLE 27 GLOBAL ASSIST-CALL TECHNOLOGY MARKET BY REGION, THROUGH
2018 ($ MILLIONS) 75
Smart Home Technology 75
TABLE 28 GLOBAL SMART HOME TECHNOLOGY MARKET BY REGION, THROUGH
2018 ($ MILLIONS) 76
Smart Mobility Technologies 76
TABLE 29 GLOBAL SMART MOBILITY DEVICE MARKET, THROUGH 2018 ($ MILLIONS) 76
PROJECTED SAVINGS 77
SAVINGS BY REDUCED ACUITY OF CARE 77
TABLE 30 POTENTIAL COST SAVINGS ATTRIBUTABLE TO POSTPONING RESIDENTIAL
CARE ($ BILLIONS) 77
PROJECTED SAVINGS BY APPLICATION 77
Medication-Management Technologies 77
TABLE 31 U.S. POTENTIAL SAVINGS FROM USE OF MEDICATION-MANAGEMENT
TECHNOLOGY* (%/$ MILLIONS) 77
Safety-Monitoring Technologies for Fall Prevention 78
TABLE 32 U.S. POTENTIAL HOSPITAL AND EMERGENCY ROOM SAVINGS FROM
SAFETY-MONITORING TECHNOLOGY RELATING TO FALLS* (%/$ MILLIONS) 78
Telehealth Technology 78
FIGURE 10 U.S. POTENTIAL SAVINGS IN HOSPITAL EXPENDITURES FOR THE
CHRONICALLY ILL FROM USE OF HOME TELEHEALTH TECHNOLOGY ($ BILLIONS) 79

CHAPTER 5 TECHNOLOGY 81

INTEROPERABILITY 81
STANDARDS 82
STANDARD ORGANIZATIONS 82
Association for the Advancement of Medical Instrumentation 82
Association for Automatic Identification and Mobility 83
American Telemedicine Association 83
ANT Wireless 83
ASTM Intl. 83
Bluetooth 84
Clinical and Laboratory Standards Institute 84
Code Division Multiple Access 84
CEN 85
Connectivity Industry Consortium 85
Continua Health Alliance 85
eHealth-INTEROP 85
European Patient Smart Open Services 86
Global System for Mobile Communications 86
HIT Policy Committee, Health and Human Services 86
HIT Standards Panel 87
HL7 87
Health Information and Management Society 87

Institute of Health Education 87
International Telecommunications Union 88
National e-Health Collaborative 89
USB 89
Wi-Fi 89
WiMAX 89
West Wireless Health Institute 90
ZigBee 90
NATIONAL PLATFORMS 90
SENSORS 91
PATENT ANALYSIS 91
PATENTS BY TECHNOLOGY TYPE 92
TABLE 33 U.S. ELDER TECHNOLOGY PATENTS ISSUED BY TECHNOLOGY,
2005–2012 (NO./%) 92

CHAPTER 6 INDUSTRY STRUCTURE 94

GENERAL BUSINESS IMPRESSION 94
COMPANY PROFILES BY TECHNOLOGY 95
HOME TELEHEALTH 95
1Tempus Health Management Solutions 95
3M 95
A&D Medical 96
Abbott 96
Aerotel Medical Systems 97
Aethra 97
Alere 98
Alive Technologies 98
All Medicus Co. Ltd. 99
Amax Intl. Trade Co. Ltd. 99
American TeleCare 99
Bayer Healthcare 100
BL Healthcare 100
Biotronik SE & Co. KG 100
BodyTel Europe GmbH 101

Bosch+ Sohn GmbH U. Co. KG 102
Bosch USA 102
Boston Scientific 102
Broomwell Healthwatch Ltd. 103
Cambridge Consultants 103
Cardiocom 104
CardioNet 104
Cardiophonics 105
Care2Wear A/S 105
Carematix Inc. 105
Confidant Inc. 106
Continuity Health 106
Corscience GmbH & Co. KG 106
Corventis 107
Critical Signal Technologies 107
Cybernet Systems Corp. 108
Diabetech 108
Docobo Ltd. 109
eDevice 109

Mega Electronics Ltd. 110
ExpressMD Solutions 110
Eurotech 110
FORA Care Inc. 111
TaiDoc 111
H3 System 111
IgeaCare Solutions Inc. 112
HealthFrontier Inc. 112
HealthPia 112
HMD BioMedical Inc. 113
Home Diagnostics Inc. 113
Honeywell HomMed LLC 113
IBM 114
IVT Corp. 114
Ideal Life Inc. 115
Numera 115
Infopia Co. Ltd. 116
Infopia USA 116
Intel 116
InterComponentWare AG 116
IntraMed 117
I-Sens 117
International Technidyne Corp. 117
KORE Telematics Inc. 118
Lifeclinic Intl. Inc. 118
LifeScan Inc. 119
LifeWatch AG 119

Card Guard Scientific Survival Ltd. 119
LifeWatch Corp. 119
Maestros Mediline Systems Ltd. 120
MedApps 120
Medic4All 121
Medtronic 122
Medtronic Diabetes 122
MIR Medical International Research Inc. 123
Mondial Lifeguard Technologies 123
Motorola 123
Nonin Medical Inc. 124
NMT Inc. 124
nSpire Health Inc. 124
OBS Medical 125
Omron Healthcare Inc. 125
Omron USA 125
Orange 126
Philips Home Healthcare Solutions 126
Polymap Wireless LLC 127
QRS Diagnostic 127
RDSM N.V. 128
RS TechMedic B.V. 128
Roche Boehringer-Mannheim 128
ScottCare Corp. 129
Sedona Strategies LLC 129
SHL Telemedicine 129

Sorin SpA 130
Sotera Wireless Inc. 131
Spacelabs Medical Inc. 131
St. Jude Medical Inc. 131
Medvivio Group Ltd. 132
Telus 132
Tynetec Ltd. 132
Vitalograph Ltd. 133
Vitaphone GmbH 133
Visual Telecommunications Network Inc. 133
Vodafone Group Plc 134
Zargis Medical 134
ZydacroN Austria GmbH 135
ASSIST-CALL TECHNOLOGY 135
Aid-Call, Plc 135
Aiphone Corp. 135
Alarm Electronics Manufacturing Co. 136
AlarmForce Industries 136
Alert One Services Inc. 136
Amcest Nationwide Monitoring 137
American Medical Alert Corp. 137
August Development Corp. 137
Austco Ltd. 138
Best Teleprodukter AB. 138
Bosch Security Systems 138
Care Electronics Inc. 139
Convergent Integrated Systems Corp. 139
Cornell Communications Inc. 139
Crest Healthcare Supply 140
Curbell Medical Inc. 140
Digital Designs Inc. 140
First Alert Professional Security Systems 141
GE Healthcare 141

Healthsense 141
Heritage MedCall Inc. 142
Hill-Rom Services Inc. 142
IgeaCare Systems Inc. 142
Critical Alert 143
Intercall Systems Inc. 143
InterPage 143
Jeron Electronic Systems Inc. 144
Linear LLC 144
LogicMark LLC 144
Matrix Interactive LLC 145
MobileHelp 145
Mircom 145
Moked Enosh Intl. Ltd. 146
Mytrex Inc. d/b/a Rescue Alert 146
Philips Lifeline 146
Rauland-Borg Corp. 147
RF Technologies 147
SEDCO Communications 147
SimplexGrinnell LP 147
Smart Link Intl. Pty. Ltd. 148
Stanley Security Operations Ltd. 148
Stanley-Senior Technologies 149
Status Solutions 149
Systems Technologies Inc. 149
Tech-Works 149
Tektone Sound & Signal Mfg. Inc. 150
Tel-Tron Technologies Corp. 150
Tunstall 150
Vigil Health Solutions Inc. 151
Visiplex 151
Wellcore Corp. 151
West-Com Nurse Call Systems Inc. 152
WANDER-MANAGEMENT TECHNOLOGIES 152
Aerotel Medical Systems Ltd. 152
August Development Corp. 152
Buddi, Ltd. 153
Care Electronics Inc. 153
Care Trak Intl. 153
Clarity Communication Systems Inc. 154
Cornell Communications Inc. 154

Ekahau 154
Everon Oy/Ab 155
Guardianlion Wireless LLC 155
Innovative Control Systems Inc. 155
Jeron Electronic Systems Inc. 155
LiveViewGPS Inc. 156
LSC Locator Systems Intl. Corp. 156
Medical Mobile Monitoring 156
Omnilink Systems 157
Alzheimer's Association 157
Royal Philips Electronics—Philips Senior Living Solutions 157
Secure Care Products Inc. 158
Wander Control Systems Inc. 158
SMART HOME TECHNOLOGIES 158
Bath Institute of Medical Engineering 159
CASAS Project 159
CloseBy Network LLC 160
Control4 160
Duke University 160
Georgia Institute of Technology 161
GrandCare Systems LLC 161
Home for Life Solutions 161
Medical Automation Research Center 162
Massachusetts Institute of Technology 162
Oregon Center for Aging & Technology 163
Stichting Smart Homes 163
University of Colorado 164

University of Florida Gator-Tech Smart House Project 164
University of Missouri Center for Eldercare and Rehabilitation
Technology 165
WellAWARE Systems 165
Xanboo Inc. 166
FALL-MANAGEMENT TECHNOLOGIES 166
210 Innovations 166
Aid Call Ltd. 167
AlarmNet 167
AliMed Inc. 167
Bosch USA 168
BrickHouse Security 168
Chubb 168
Ciscor Acquisitions LLC 169
Curbell Medical Inc. 169
D.C.T. Associates Pty. Ltd. 169
Easylink 170
Eclipse Nursecall Systems Ltd. 170
Embedded and Reconfigurable Systems Lab 171
iLife Solutions Inc. 171

Institute for Infocomm Research I2R 172
J.T. Posey Co. 172
Mondial Lifeguard Technologies 172
Nurse Assist Inc. 173
Personal Safety Corp. 173
RF Technologies 173
Rondish Co. Ltd. 174
Smart Caregiver Corp. 174
Skil-Care 175
SOSSignal 175
Tunstall Healthcare Ltd. 175
Tynetec Ltd. 175
Ultimate Safety Corp. 176
Visonic Ltd. 176
MEDICATION-MANAGEMENT TECHNOLOGIES 176
AmeliaPlex Inc. 177
American Medical Alert Corp. 177
Compumed Inc. 177
Database Systems Corp. 178
E-Pill LLC 178
Global Assistive Devices Inc. 178
Innovative Product Source LLC 179
INRange Systems Inc. 179
MedCenter Systems LLC 179
MedMinder Systems Inc. 180
MedReady Inc. 180
Philips Lifeline 180
Roland Inc. 181
SIMpill 181
Vaica Medical Ltd. 181
Vitality Inc. 181
VRI 182
WatchMinder 182
Wellscape LLC 182
SMART MOBILITY DEVICES 183
Applied AI Systems Inc. 183
ARGO Medical Technologies Ltd. 183
CASE Lab 184
Cyberdyne Inc. 184
Cyber North 185
Fraunhofer Institute for Manufacturing Engineering and Automation

IPA 185
Gecko Systems 186
GRASP Laboratory 186
Haptica Ltd. 187
Honda Motor Co. Ltd. 187
KISS Institute for Practical Robotics 188
Medical Automation Research Center 188
National Rehabilitation Center for Persons with Disabilities 189
Panasonic 189
Robosoft 190
Robotic, Perception and Real Time Group 190
Robust Robotics Group 191
SHARE-it 191
TopChair SAS 192
Toyota Motor Corp. 193
Veda International Robot Research and Development Center 193
SENSORS 194
Bosch Sensortec GmbH 194
Corscience GmbH & Co. KG 194
Freescale Semiconductor Inc. 194
GE Measurement and Control Solutions 195
Linx Technologies Inc. 195
MicroStrain Inc. 196
Omron Electronic Components LLC 196
ON Semiconductor 196
Schaevitz 197
STMicroelectronics 197
Vermed Inc. 198
Murata Electronics Oy 198
Xsens Technologies B.V. 198

LIST OF TABLES

SUMMARY TABLE GLOBAL ELDER-CARE TECHNOLOGY MARKET BY TYPE, THROUGH
2018 ($ MILLIONS) 8
TABLE 1 HEALTHCARE SPENDING COMPARISON, 2012 AND 2018 ($ BILLIONS) 12
TABLE 2 U.S. HEALTH EXPENDITURE DISTRIBUTION BY FUNDING SOURCE, 2012* (%) 13
TABLE 3 CENTER FOR DEVICES AND RADIOLOGICAL HEALTH CLASSIFICATION
DATABASE CODING SAMPLES 41
TABLE 4 PROJECTED GLOBAL POPULATION OF PEOPLE AGE 65 AND OLDER,
2012-2030 (MILLIONS) 47
TABLE 5 PEOPLE AGE 65 AND OLDER WITHIN THE TOTAL POPULATION, 2012-2030
(%) 48
TABLE 6 PROJECTED GROWTH IN U.S. HEALTH AND MEDICARE EXPENDITURES,
2011-2021 ($ BILLIONS) 49
TABLE 7 HOME HEALTHCARE EXPENDITURES BY FUNDING SOURCE DISTRIBUTION,
2012* (%) 53
TABLE 8 LARGEST U.S. HOME HEALTH COMPANIES BY SALES, 2012 54
TABLE 9 CERTIFIED U.S. NURSING FACILITIES, BEDS AND RESIDENTS, 2000-2012 58
TABLE 10 OCCUPANCY RATES FOR U.S. NURSING FACILITIES, 2000-2012 (%) 58
TABLE 11 LARGEST U.S. NURSING HOME CORPORATIONS BY NURSING FACILITIES,
2012 59
TABLE 12 PROJECTED GROWTH OF U.S. NURSING HOME EXPENDITURES, 2011–
2021 ($ BILLIONS) 59
TABLE 13 10 LARGEST U.S. CONTINUING CARE RETIREMENT COMMUNITY
COMPANIES BY SALES, 2012 ($ MILLIONS) 61
TABLE 14 PROJECTED DISTRIBUTION OF MEDICARE SPENDING, 2012 AND 2018* (%) 64
TABLE 15 PROJECTED MEDICAID SPENDING DISTRIBUTION, 2012 AND 2018* (%) 64
TABLE 16 GLOBAL ELDER-CARE TECHNOLOGIES BY SEGMENT, THROUGH 2018 ($
MILLIONS) 69
TABLE 17 GLOBAL HOME TELEHEALTH SYSTEM: MARKET BY REGION, THROUGH
2018 ($ MILLIONS) 69
TABLE 18 U.S. HOME TELEHEALTH SYSTEM MARKET, THROUGH 2018 ($ MILLIONS) 70
TABLE 19 EUROPEAN HOME TELEHEALTH SYSTEM MARKET, THROUGH 2018 ($
MILLIONS) 70
TABLE 20 OTHER GEOGRAPHICAL MARKETS FOR HOME TELEHEALTH SYSTEMS,
THROUGH 2018 ($ MILLIONS) 71
TABLE 21 GLOBAL ELDER-CARE SAFETY-MONITORING MARKET, THROUGH 2018 ($
MILLIONS) 71
TABLE 22 U.S. ELDER SAFETY-MONITORING TECHNOLOGY MARKET, THROUGH 2018
($ MILLIONS) 72

TABLE 23 EUROPEAN ELDER SAFETY-MONITORING TECHNOLOGY MARKET,
THROUGH 2018 ($ MILLIONS) 72
TABLE 24 OTHER GEOGRAPHICAL MARKETS FOR ELDER SAFETY-MONITORING
TECHNOLOGY, THROUGH 2018 ($ MILLIONS) 73
TABLE 25 U.S. ASSIST-CALL TECHNOLOGY MARKET, THROUGH 2018 ($ MILLIONS) 74
TABLE 26 EUROPEAN ASSIST-CALL TECHNOLOGY MARKET, THROUGH 2018 ($
MILLIONS) 75
TABLE 27 GLOBAL ASSIST-CALL TECHNOLOGY MARKET BY REGION, THROUGH 2018
($ MILLIONS) 75
TABLE 28 GLOBAL SMART HOME TECHNOLOGY MARKET BY REGION, THROUGH 2018
($ MILLIONS) 76
TABLE 29 GLOBAL SMART MOBILITY DEVICE MARKET, THROUGH 2018 ($ MILLIONS) 76
TABLE 30 POTENTIAL COST SAVINGS ATTRIBUTABLE TO POSTPONING RESIDENTIAL
CARE ($ BILLIONS) 77
TABLE 31 U.S. POTENTIAL SAVINGS FROM USE OF MEDICATION-MANAGEMENT
TECHNOLOGY* (%/$ MILLIONS) 77
TABLE 32 U.S. POTENTIAL HOSPITAL AND EMERGENCY ROOM SAVINGS FROM
SAFETY-MONITORING TECHNOLOGY RELATING TO FALLS* (%/$ MILLIONS) 78
TABLE 33 U.S. ELDER TECHNOLOGY PATENTS ISSUED BY TECHNOLOGY, 2005–2012
(NO./%) 92

LIST OF FIGURES

SUMMARY FIGURE GLOBAL ELDER-CARE TECHNOLOGY MARKET BY TYPE, 2012-2018
($ MILLIONS) 8
FIGURE 1 HEALTHCARE SPENDING COMPARISON, 2012 AND 2018 ($ BILLIONS) 13
FIGURE 2 PROJECTED GLOBAL POPULATION OF PEOPLE AGE 65 AND OLDER,
2012-2030 (MILLIONS) 47
FIGURE 3 PEOPLE AGE 65 AND OLDER WITHIN THE TOTAL POPULATION, 2012-2030
(%) 48
FIGURE 4 HOME HEALTHCARE EXPENDITURE DISTRIBUTION BY FUNDING SOURCE,
2012 (%) 53
FIGURE 5 PROJECTED GROWTH OF U.S. HOME HEALTHCARE EXPENDITURES,
2011-2021 ($ BILLIONS) 54
FIGURE 6 U.S. NURSING HOME CARE EXPENDITURE DISTRIBUTION BY FUNDING
SOURCE, 2012* (%) 57
FIGURE 7 PROJECTED GROWTH OF U.S. NURSING HOME EXPENDITURES, 2011-2021
($ BILLIONS) 59
FIGURE 8 U.S. PROJECTED POPULATION OF PEOPLE AGE 65 AND OLDER, 2000-2050
(MILLIONS) 61
FIGURE 9 U.S. PROJECTED POPULATION OF PEOPLE AGE 85 AND OLDER, 2000-2050
(MILLIONS) 62
FIGURE 10 U.S. POTENTIAL SAVINGS IN HOSPITAL EXPENDITURES FOR THE
CHRONICALLY ILL FROM USE OF HOME TELEHEALTH TECHNOLOGY ($ BILLIONS) 79