BioFocus Conference Aging2.0 | Building a global innovation ecosystem for ageing Newcastle, UK July 3, 2018 Stephen Johnston Co-founder, Aging2.0 Founder, Fordcastle. Advisor: T7 Technology, Sompo Holdings, Irvine Health Foundation, Music & Memory. www.sdbj.net stephen@fordcastle.com | Tel: +44 (0) 7377 357 999 | @sdbj

Intros

Aging2.0 | A global network of innovators... 15,000 people across 60 Chapters, 20 countries and 150 corporate partners

...taking on eight ‘grand challenges’ in ageing 18 ...taking on eight ‘grand challenges’ in ageing Eight topics reflect priorities for older adults and industry www.aging2.com/grandchallenges/report

Systems Collaborative to Accelerate the Longevity Economy Fordcastle is bridging the gap between ‘age-friendly’ and ‘smart’ cities 5. Ecosystems New metrics, business models and data approach to support them 1. Systems Local and historical context plus tech infrastructure capabilities Context Infra- structure Metrics & data SCALE: Systems Collaborative to Accelerate the Longevity Economy Biz model & Funding Culture 2. Collaboration Stakeholders, culture and collaborative processes Trans- formation Commun -ities Pilots & Platforms 4. Longevity Health, ageing and senior care industry and its transformation Challenges 3. Acceleration Local-level priorities and startup support - funding, advice, mentorship Startup Support

6 shifts from Ag(e)ing1.0 → Ag(e)ing2.0

From localized problems to a global innovation opportunity 1 From localized problems to a global innovation opportunity Increase in energy and awareness around ageing innovation - from landscape analysis and reports to conferences, 600+ WHO Age-friendly cities and communities, living labs and new funds, ageing is being reframed as an emerging global market. Innovation maturity

From ‘terminal decline’ to perennial renewal 2 From ‘terminal decline’ to perennial renewal Increased understanding and new approaches (e.g. WHO’s ‘life course’) that position ageing as a journey of continuous reinvention and opportunity for training, re-skilling and intergenerational engagement. New ways to reimagine the role of older adults as expert contributors and creators

From passive recipients to active co-creators 3 From passive recipients to active co-creators More thoughtful product and service design enables older people to stay independent, productive and contributing in a variety of formal and informal ways. Visit them today! Increasingly relevant products Design-thinking ensures the voice of older adults and caregivers is heard in product and service creation Reframing towards aspiration Recognizing the buying power of this demographic new brands (e.g. Auriens) carve out new niches Combining form with function Products emerge that blend high function with style (e.g. MySeismic robotic body suit)

From medicalization to managing ‘social determinants’ 4 From medicalization to managing ‘social determinants’ Recognizing that 80% of clinical outcomes are driven by lifestyle and genetics, innovators are matching ‘social determinants’ to health outcomes, connecting with local resources and getting creative about behavior change. Visit them today! Understanding social determinants Clarifying the role of social and community factors such as connections, food and mobility. Resource matching Ensuring people have access to most appropriate and available resources in their communities Behavior change ‘Nudging’ and coaching people towards more positive behaviors and using local resources.

From hospital-centric to home- and community-based 5 From hospital-centric to home- and community-based The health business battleground is shifting from hospitals to homes and communities, reflecting an increased proportion of people needing proactive chronic care management rather than reactive acute care. Smart homes The home as battleground for startups and tech cos, increasingly adding health and social benefits Peer support New physical hubs to gather generations or provide senior care and new P2P care support models Connected communities New physical hubs to gather generations or provide senior-focused secondary care.

From handouts to new integrated business models 6 From handouts to new integrated business models New business models are emerging that align healthcare payers and innovators, in particular capitated payments that encourage providers to provide wrap around services and pay for success models. Insights can be generated from sensor data / IoT to help align incentives and reward progress towards identified metrics. Capitated payments Programs for All-inclusive Care for the Elderly (PACE) provide wrap around health and social needs for fixed monthly fee (appx $3-5k) Pay for Success (PFS) $100m in new PFS approved by US Congress in Q1 2018. Meals on Wheels (USA) have 3 projects being rolled out. IoT-based proof-of-work Proof-of-Impact concept for crowd-sourcing impact measurement

Aging2.0 Building a global innovation ecosystem for ageing From localized problems… to a global innovation opportunity From terminal decline... to perennial renewal From passive recipients... to activate co-creators From medicalization... to managing ‘social determinants’ From hospital-centric... to home- and community-based From handouts... to new integrated business models stephen@aging2.com | @sdbj