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

Abstract

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.

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REPORT SCOPE

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.

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
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