Milken Future of Health Summit

Future of Health Summit: Reimagining Senior Housing and Integrated Care

As the baby boom generation ages, expanding affordable housing and integrated long-term care options for our nation’s diverse older adult population has become increasingly urgent.

According to a National Investment Center for Seniors Housing and Care-funded study conducted by NORC at the University of Chicago, more than half of middle-income Americans aged 75 or older will not have the financial resources to access housing and care by 2029. Meeting the needs of this “Forgotten Middle”—an income group too wealthy to qualify for means-tested programs yet unable to afford private-pay senior living options—will require coordination from public and private sector stakeholders.

Recognizing the challenges of promoting and incentivizing innovation across sectors, this session hosted by the Milken Institute features industry leaders, providers, and policy experts discussing scalable housing and care solutions for this growing segment of the population.

Moderator:

  • Caitlin MacLean, Senior Director, Innovative Finance, Milken Institute

Speakers:

  • Lynne Katzmann, President and CEO, Juniper Communities
  • Bob Kramer, Co-Founder and Strategic Advisor, National Investment Center; Founder and Fellow, Nexus Insights
  • Nirav Shah, Senior Scholar, Stanford University
  • Elizabeth White, Founder, NUUage Coliving

Watch the recording: https://milkeninstitute.org/panel/14999/reimagining-senior-housing-and-integrated-care

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NIC Awards $3M to Milken Institute to Establish Groundbreaking Aging Innovation Collaborative

NIC Awards $3M to Milken Institute to Establish Groundbreaking Aging Innovation Collaborative

New Collaborative will reimagine aging, leveraging nationally renowned experts from different economic sectors to collaborate to improve the lives of older adults.

The National Investment Center for Seniors Housing & Care (NIC) awarded the Santa Monica, Calif.-based Milken Institute $3 million to establish the Aging Innovation Collaborative (AIC) within the Institute’s Center for the Future of Aging, which advances healthy longevity and financial security through policy, research, convenings, and multisector partnerships.

As part of the creation of the AIC, Nexus Insights will share intellectual and human capital with AIC, and merge with the new collaborative. Its fellows — including its founder, NIC strategic advisor Bob Kramer — will contribute to its day-to-day work, becoming AIC fellows.

The AIC will engage experts to develop bold new models of housing, healthcare, and community that meet the needs of a growing U.S. population of older adults. By removing silos between industries and incorporating innovations in housing, healthcare, technology, and more, the AIC will identify and scale comprehensive solutions that improve the lives of older adults.

“Housing and long-term care stand at a crossroads as millions of Baby Boomers think about how they want to live their best life after retirement,” said Raymond Braun, president and CEO of NIC. “This commitment to the Milken Institute brings talented individuals from diverse backgrounds together to transform how we think about aging in the United States. The Aging Innovation Collaborative will become a font of ideas for consumer advocates, real estate developers, senior housing operators, healthcare providers and payers, policymakers, and others.”

The AIC will initially focus on three core offerings:

  • A Landmark Tracking Study. This research study will track attitudes and preferences of older adults aged 50-80 over time. It will be conducted in collaboration with a nationally recognized research partner and leading experts in the field. Initial results are expected in 2024.
  • Aging Innovation Council. This advisory council will include leaders from consumer goods and retailers, housing, government, healthcare providers and payers, technology, and capital markets. By removing silos across industries to share ideas and technologies, the Council will create new housing, healthcare, and community solutions for the aging population.
  • Advisory Services. The AIC will provide advisory services to organizations wanting to enhance the health and housing of older adults but that lack the capacity or expertise for innovative solutions. Advisors will help companies navigate the complexities of the aging sector, identify opportunities for innovation, and accelerate time to market.

“It’s an exciting time to join forces with the Milken Institute to help people meet their expectations for aging,” said Kramer. “Older adults have diverse backgrounds, interests, healthcare, and social needs, and they want and expect housing and care that is as unique as they are. Aging is a good thing, and we need disruptive innovation to create housing and care that supports older adults’ ability to not just age but thrive.”

“I am honored to work with NIC in the establishment of the AIC at the Milken Institute,” said Diane Ty, senior director of the Institute’s Center for the Future of Aging. “I look forward to bringing in outside entrepreneurial experience to lead the AIC and examine the intersection of sectors to create new solutions and platforms that benefit older adults. The Milken Institute’s core maxim is ‘turning ideas into action,’ and that is exactly what the AIC plans to do.”

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Longevity expert Ryan Frederick

Longevity Expert Ryan Frederick

Ryan Frederick, Founder & CEO of Here and a Nexus Fellow, is an internationally recognized thought leader, speaker, author, innovator, developer, and strategy consultant specializing in the intersection of place and healthy longevity. He has educated tens of thousands of consumers through keynote talks, workshops, videos, blogs, online assessments and his book, Right Place, Right Time.

Healthy longevity is challenging in modern times. We are less likely to have a support team in close proximity.

“We have more people living longer without this infrastructure or support of extended families. People are having fewer kids, and those kids are less likely to be geographically approximate to where they are.”

Living longer better is more than just genetics. Where you live matters significantly.

“We need to find a way to successfully age. Your genetics only account for 30% of your longevity. It’s more about those social determinants of health we hear about. It’s lifestyle, it’s environment, it’s social connection, it’s physical wellbeing, it’s financial wellbeing, it’s being engaged in your community.”

Ryan has worked with Johns Hopkins University, Stanford University, AARP, LeadingAge, and more, and has been featured on CBS News, Forbes, The Washington Post and more. If you’d like to learn more about Ryan, visit Here.

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Ryan Fredericks launches Here to Embrace the Role of ‘Place’ in Healthy Longevity

Here is Finally Here: Ryan Frederick’s Organization, Here, Embraces the Role of ‘Place’ in Healthy Longevity

Did you know that life expectancy in 1900 was only 50 years old? In 2050, it’s expected to rise to 94. What contributes to this increased longevity? It’s not just better genes. In fact, only 20% of longevity is attributed to genetics. The remaining 80% is linked to lifestyle and environment.

Ryan Frederick, a Nexus Fellow, is a nationally recognized thought leader in the intersection of place and healthy longevity. He’s putting the spotlight on the fundamental role of where people live to optimize the odds of a long, healthy and financially secure life. In 2021, he authored the acclaimed book, Right Place, Right Time (Johns Hopkins University Press).

“Where you live and how you choose to engage where you live is one of the most important decisions in life,” says Frederick. “If you are concerned about living a long, healthy and financially secure life, start with finding your right place and good things will follow.”

With the acceptance of remote work, climate change risk and political polarization, finding the right place to live and thrive has never been more important and more urgent. This has been an impetus for Frederick to rebrand and rename his organization (SmartLiving 360) as ‘Here’, in order to better fit the company’s goals and mission. Here is a platform that provides consumer tools for individuals of all ages to make better informed decisions about the role of place. In addition, Here consults with leading real estate, finance and health entities focused on creating better places for people to thrive.

Frederick envisions that Here will help spark a movement that makes place equally foundational to an individual’s longevity as healthy eating, exercise and financial planning.

Are you in the right place for a healthy, long, fulfilling life? Get your results by taking “The Right Place, Right Time” assessment at here.life/assessment.

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Longevity in Aging

Longevity in Aging: The Need to Address Healthspan and Wealthspan

People are living longer, and that’s a good thing. It’s not unusual or uncommon for people to live into their 90s. But how is their quality of life? Are they in good health? Can they afford living expenses? As lifespan increases, it is critical we pay attention to healthspan and wealthspan. According to Nexus Fellow Ryan Frederick, CEO of SmartLiving 360, healthspan is “the number of years we live in good health,” and wealthspan is “the number of years we have the financial means to support our desired lifestyle.”

“Advances in longevity create the prospect of longer, healthy lives but will we be purposeful, socially connected, and financially secure over these additional years?” – Ryan Frederick

In part three of the Six Key Drivers Shaping the Future of Senior Living, Nexus Founder and NIC Co-Founder and Strategic Advisor, Bob Kramer, also remarks on the effect longevity will have in terms of where Boomers will choose to live.

“Purposeful longevity means our new customers are determined to thrive,” said Kramer. “They are looking for community and a sense of connection. I call it the ‘engagement’ concept of retirement and aging which focuses on purpose, experience, and enjoyment. Paraphrasing a report by the McKinsey Health Institute, our customers aren’t just looking to add years to their lives but add life to their years.”

So how do we improve the quality of life for older adults?

“Researchers point out that longevity is largely driven by our lifestyle rather than our DNA,” wrote Frederick in a SmartLiving 360 blog post. “By some estimates, lifestyle and our environment account for about 93% of our longevity outcomes. Therefore, we have agency over our longevity. Lifestyle decisions also impact our quality of life.”

Frederick goes on to say, the “key is making sure you are at the right place at your stage in life – and one of the reasons the average person moves a dozen times in their life. An openness to change and the ability to act – however overwhelming it can be – is critical to make sure where you live matches your needs and desires at a given time.”

Read more from Ryan Frederick on the SmartLiving 360 blog.

 

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Human Growth and Nursing Homes

Human Growth and Nursing Homes – a 2002 Interview with Dr. Bill Thomas

What can the United States do to make senior housing and the lives of older adults better? This is a particularly hot topic throughout the nation, especially in the aftermath of COVID-19.

A recent report with seven bold, actionable and important recommendations was recently released by the National Academies of Sciences, Engineering, and Medicine. These recommendations, when implemented, will transform nursing home care, to make it person-centered, transparent, affordable, and create living situations that are good for residents, families, and staff.

Where did these revolutionary ideas come from? Let’s turn our calendar back a few decades and spotlight Dr. Bill Thomas, a physician specializing in geriatrics and a visionary ahead of his time. Thomas founded The Eden Alternative, The Green House Project, Minka and is currently the Chief Independence Officer for Lifespark as well as a Nexus Fellow. He has long been a driving force behind the vision that is transforming care for seniors. And he has been putting his vision into practice, piloting his ideas to demonstrate that nursing homes can be places for elders to thrive. We are delighted to have him on-board as a Fellow for Nexus Insights.

In a PBS interview that aired 20 years ago, Thomas said, “There has to be a commitment to ongoing growth…Even the frailest, most demented, most feeble elder can grow…And those words, human growth, nursing home, they’ve never gone together before.”

Thomas explained the inspiration for his ideas. “In the early 1990’s I took a job as a physician at a nursing home…and I fell in love with the work. And I fell in love with the people. And I came to detest the environment in which that care was being provided. The nursing home takes good loving, caring people and plugs them into an institutional factory-like arrangement. And it’s no good. I believe that, when we make a place that’s worthy of our elders, we make a place that enriches all of our lives, caregiver, family member and elder alike.”

“He was right and ahead of his time 20 years ago. He’s still right today. Unfortunately, the tragedy of COVID has revealed how much we devalue the lives of our older adults,” said Bob Kramer, Founder and Fellow at Nexus Insights.

“We need to be concrete about it. If we want to improve life for everybody in our society, one of the very best places to begin is changing how we think about, care for and honor our elders,” said Thomas.

Read the full interview.
See a clip from the PBS 2002 broadcast.

 

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Eco friendly housing for seniors

Two Challenges. One Solution. Age-Friendly and Climate-Friendly Housing.

Our growing population of older adults is facing housing challenges. Creative solutions are beginning to find a foothold. Ryan Frederick, an expert on housing and the role of place in healthy aging, looks at how those solutions could be used to simultaneously address issues of climate change in a Generations Journal article, published by the American Society on Aging.

“As a real estate developer and advisor to real estate developers, I see a valuable opportunity to rise to this challenge by developing communities that appeal to the needs and desires of older adults and incorporate design that is eco-friendly and climate change resilient,” said Frederick, CEO of SmartLiving 360 and a Nexus Insights Fellow. “As a concerned citizen, I know this challenge is urgent.”

Where people live has a big impact on their well-being, according to Frederick. “The best place elevates purpose, social connection, physical well-being, and financial well-being. Place can be designed to support our needs as we age and help insulate us from the perils of climate change.”

But he pointed to a variety of issues that make it difficult for people to age in place, including:

  • Housing that is designed for younger people without mobility issues. The statistics are striking. According to Frederick, “Only about 4% of all housing stock in the United States is suitable for people with moderate mobility difficulties.”
  • Single-use neighborhoods without convenient access to needed services and amenities. “Too much housing requires transportation to get to services and a lack of density makes it inefficient for services to come to the home.”
  • Social disconnectedness. “About half of older adults don’t know any of their neighbors,” he said.

In the article, Frederick offered actionable ideas to help communities address these issues, including:

  • Incentives for incorporating universal design principles in all new housing, which both emphasize the use of eco-friendly materials, and reduce the need for retrofitting as residents in the home age.
  • Housing developments that work for people of all ages, to help foster intergenerational connections, and reduce loneliness across all ages. Frederick pointed out the cost incentive for landlords: vacancies are reduced when older adults can remain in their housing even as their physical needs change.
  • Housing design that reflects the role of the home as a place where people increasingly receive their health care.
  • Choosing locations for housing that are less prone to disasters such as flooding and wildfires and therefore are more resilient to climate change.
  • Designing neighborhoods for walkability. Reducing the need for car travel is both age-friendly and eco-friendly.

“Ultimately, as a society and as individuals, we will be defined by our legacy,” Frederick observed. “How did we positively impact the generations following us?”

Read the full article in Generations by the American Society on Aging.

 

Ryan Frederick, MBA, is the CEO of SmartLiving 360, an Austin, Texas–based strategy consulting and real estate development firm focused on the intersection of successful aging and the built environment. He is the author of Right Place, Right Time: The Ultimate Guide to Choosing a Home for the Second Half of Life. He is an Encore Public Voices Fellow, a Nexus Insights Fellow and National Advisory Board Member for Johns Hopkins University School of Nursing.

 

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