Alzheimer's & Dementia
Pop. 60+
1.4B people by 2030
“NIH-funded insights into Alzheimer’s biology could help with early diagnosis, future clinical trials.”
NIH news release, February 27, 2026The Care Gap
- 70% of adults will need long-term care services at some point in later life.
- $6,200/month is the 2025 national median cost for assisted living, with private nursing home rooms reaching $10,798/month.
- Nearly 12 million Americans provide unpaid dementia care valued at more than $413B annually.
Caregiver Burnout Crisis
Family caregivers juggle medications, appointments, and daily care with no tools to coordinate. Adult children scattered across cities rely on endless phone calls. Medication errors compound. Burnout rates exceed 60%.
The Invisible Decline
Between quarterly physician visits, gradual decline goes unnoticed. Falls happen. UTIs progress to sepsis. Weight loss signals malnutrition. By the time anyone notices, hospitalization is required.
Institutional Documentation Overload
Nursing homes face 450,000+ unfilled positions. CNAs spend 40% of time on paperwork instead of patient care. Family communication is fragmented. Regulatory compliance consumes resources that should go toward care.
CareHub Coordination Layer
CareHub's Alzheimer's strategy turns fragmented caregiving into one shared operating layer. Unlike self-tracked chronic disease workflows, Alzheimer's and dementia care typically involves multiple contributors around the same person: adult children, spouses, paid aides, visiting nurses, and facility staff. CareHub gives that network one place to log changes, coordinate tasks, spot decline earlier, and reduce the communication gaps that drive burnout, medication errors, and avoidable escalation.
Operational Impact
Earlier intervention when mobility, nutrition, behavior, or daily-function changes start to drift. Lower caregiver strain through shared task ownership and clearer handoffs. Better documentation continuity for facilities and professional staff. Higher engagement because the platform reflects how Alzheimer's care actually works: as a coordinated network, not a solo patient workflow.
Sources
WHO "Ageing and Health" Fact Sheet (October 2025)
US Census Bureau "Older Adults Outnumber Children" (June 2025)
CareScout Cost of Care Survey (2025)
Alzheimer's Association 2025 Facts and Figures
Caregiver Stability & Therapeutic Response
Coordination is the First Layer
Care coordination solves the administrative chaos around medications, appointments, and handoffs. The next layer is helping caregivers respond earlier when agitation, sleep disruption, burnout, or behavioral escalation begin destabilizing the home environment.
Why Non-Pharmacological Support Matters
Emerging dementia care research points toward lower-risk, non-pharmacological support tools before escalation to higher-burden interventions. Music, reminiscence, calming sensory routines, and immersive VR-style experiences can help reduce environmental stress and create safer moments of connection for patients and caregivers alike.
VR Relevance
VR is compelling because it extends Alzheimer's coordination into response pathways. Instead of stopping at task logging, CareHub can evolve toward guided calming interventions, personalized landmark-based reminiscence, and future caregiver support workflows that help de-escalate agitation while preserving dignity and reducing caregiver strain.
CareHub Opportunities
- Track sleep disruption, behavioral changes, and solo-caregiver overload before crisis points are reached.
- Support future calm-response workflows built around music, reminiscence, and immersive therapeutic content.
- Create one shared log for triggers, interventions, and observed response across family and professional caregivers.
Sources:
Alzheimer's Association 2025 Facts and Figures
Author research synthesis: emerging dementia intervention literature indicates that reminiscence, music, and immersive VR-style calming therapies may support lower-risk non-pharmacological response pathways.
Global Market Analysis
Population Aging: A Global Phenomenon
Population aging is accelerating faster than any previous demographic shift in human history. The WHO reports that between 2015 and 2050, the proportion of the world's population over 60 will nearly double from 12% to 22%.
| Region | Population 60+ (2024) |
Population 60+ (2030) |
% of Total Population |
|---|---|---|---|
| Global | 1.1 billion | 1.4 billion | 17% → 22% |
| United States | 61.2 million (65+) | 73 million (65+) |
18% → 21% |
| Canada | 7.3 million (65+) |
9.4 million (65+) | 19% → 23% |
| United Kingdom | 12.5 million (65+) | 14.2 million (65+) | 19% → 21% |
| Australia | 4.5 million (65+) |
5.8 million (65+) | 17% → 21% |
| Japan | 36 million (65+) |
37 million (65+) |
30% → 31% |
| Germany | 18.5 million (65+) | 21 million (65+) |
22% → 26% |
| China | 280 million (60+) | 370 million (60+) | 20% → 25% |
Market Size by Segment
| Segment | US Market (2024) | Global Market (2024) | CAGR 2024-2030 |
|---|---|---|---|
| Nursing Home Care | $195B | $520B | 5.2% |
| Home Health Care | $142B | $390B | 7.8% |
| Assisted Living | $92B | $215B | 5.5% |
| Adult Day Services | $12B | $28B | 6.1% |
| Hospice Care | $24B | $58B | 8.2% |
| Total | $465B | $1.2T | 6.5% |
Sources:
WHO Ageing and Health Fact Sheet
US Census Bureau Age and Sex Tables
Statistics Canada Population Projections
UK Office for National Statistics Population Projections
Australian Bureau of Statistics Population Projections
IBISWorld Health Care and Social Assistance Reports
Unique Value Proposition: Caregiver-Centric Model
Why Alzheimer's Coordination is Different
Our existing 7 disease modules are primarily patient-centric: the patient tracks their own vitals, symptoms, and medications. The Alzheimer's strategy layer flips this model to caregiver-centric: family members, paid aides, and nursing staff track on behalf of patients who often cannot self-report due to cognitive decline, physical limitations, or communication barriers.
The Multiplier Effect
| Factor | Chronic Disease (7 Modules) | Alzheimer's Strategy Layer |
|---|---|---|
| Primary User | Patient (self-tracking) | Caregiver (tracking for patient) |
| Users per Patient | 1.6-3+ depending on condition | 3-5 average |
| Data Points/Day | 5-10 (vitals, symptoms) | 15-30 (ADLs, behaviors, incidents) |
| Revenue per Patient | $3-20/month | $15-50/month |
| Payer Mix | Hospitals, Pharma | Nursing homes, Home care agencies, Families, PACE programs |
Sources:
Alzheimer's Association 2025 Facts and Figures - 7.2M Americans living with Alzheimer's in 2025 and nearly 12M unpaid caregivers, implying an approximately 1.6-1.7 caregiver-per-patient baseline for dementia-heavy cohorts.
Author research synthesis: cancer and dementia caregiving patterns indicate that support networks can expand materially beyond a single caregiver depending on condition severity, family structure, and care setting.
ADL Tracking: The Core Feature Set
Activities of Daily Living (ADLs) are the standard measure of functional status in geriatric care. CareHub's Alzheimer's coordination layer tracks:
- Feeding: Intake percentage, texture modifications, fluid consumption, refusals, assistance level
- Bathing: Frequency, assistance required, skin integrity observations, behavioral responses
- Toileting: Bowel/bladder logs, incontinence episodes, skin breakdown risk, catheter care
- Mobility: Transfer assistance, fall incidents, ambulation distance, wheelchair use, bed positioning
- Dressing: Assistance level, appropriate clothing, grooming status
- Medication: Administration times, refusals, side effects, PRN usage
Behavioral Tracking: Critical for Dementia
For patients with Alzheimer's or other dementias, behavioral tracking is essential:
- Agitation/Aggression: Triggers, duration, interventions that worked
- Wandering: Exit-seeking behavior, elopement risk
- Sundowning: Evening confusion patterns, sleep disruption
- Verbal Behaviors: Repetitive questions, calling out, inappropriate speech
- Mood: Withdrawal, tearfulness, anxiety, apathy
Multi-Caregiver Coordination
The platform enables seamless handoffs between multiple caregivers:
- Family Dashboard: Adult children in different cities see real-time updates
- Shift Notes: Paid aides document care before clocking out
- Care Team Chat: Coordination without endless phone tag
- Incident Alerts: Falls, behavioral episodes, medication errors-immediate notification
- Physician Reports: PDF summaries for quarterly appointments
Competitive Landscape
Current Market
The dementia-care coordination market is fragmented, with no dominant platform offering comprehensive ADL tracking, family coordination, and EHR integration in one product.
| Competitor | Focus | Limitations | CareHub Advantage |
|---|---|---|---|
| PointClickCare | Nursing home EHR | No family portal; US-only; expensive | Family-first + global scale |
| MatrixCare | Senior living operations | Facility-centric; weak mobile | Mobile-first; caregiver-centric |
| CareSmartz360 | Home care agency software | Agency workflow only; no patient outcomes | Outcomes tracking + family visibility |
| CaringBridge | Family updates (journal) | No clinical tracking; no professional integration | Full ADL tracking + EHR integration |
| Honor/Home Instead | Home care matching | Service delivery only; no platform play | Platform agnostic; any provider can use |
CareHub's Unique Position
No competitor combines:
- Comprehensive ADL tracking (6 domains + behaviors)
- Multi-caregiver coordination (family + paid + professional)
- EHR integration (ProviderConnect™ already built)
- Cross-disease comorbidity tracking (8 modules in one platform)
- Global infrastructure (multilingual, GDPR-compliant)
- Token-based engagement incentives (unique in dementia care coordination)
Implementation Requirements
CareHub App Updates
- ADL Tracking Module: New calendar-based interface for feeding, bathing, toileting, mobility, dressing
- Behavioral Log: Quick-entry for agitation, wandering, sundowning, mood changes
- Multi-User Permissions: Family admin, paid caregiver, professional nurse roles with different access levels
- Shift Handoff: End-of-shift summary for paid caregivers with voice-to-text notes
- Incident Reporting: Falls, skin breakdown, behavioral episodes with photo upload
- Family Dashboard: Read-only view for remote family members with push notifications
ProviderConnect Updates
- Nursing Home Portal: Facility-wide dashboard showing all residents, flagging at-risk patients
- CMS Compliance Reports: MDS-compatible data export for US nursing homes
- Family Communication Tools: Secure messaging, scheduled update emails
- Physician Integration: Geriatrician dashboard with ADL trends, medication reconciliation
Development Timeline
- Q4 2026: ADL tracking module design + prototype complete
- Q1 2027: Build-out + pilot onboarding readiness
- Q2 2027: Beta start with 2-3 US memory-care or skilled-nursing partners (aligns to beta timeline)
- Q3 2027: Full launch in the first Alzheimer's markets
Federal Momentum
Federal Signal
Federal Alzheimer's research does not change CareHub's near-term launch plan, but it does strengthen the long-term market signal: earlier detection, better biomarker visibility, and stronger caregiver coordination are moving up the national agenda.
- Earlier diagnosis pressure: NIH-backed biomarker work points toward earlier identification of Alzheimer's disease, which increases the need for tools that can track daily function and caregiver observations between visits.
- Trial and care-navigation readiness: As detection improves, families and providers need a structured coordination layer for symptoms, ADLs, medications, and handoffs across settings.
- Policy tailwind: Federal momentum around dementia care and biomarkers supports CareHub's role as operational infrastructure for caregiver coordination.
US State and Federal Integration Strategy
Public Sector Integration
Alzheimer's care involves family, facility, and public-sector coordination. CareHub's long-term position improves if it can integrate with the state and federal systems that guide care navigation, reimbursement, compliance, and community support.
Integration Priorities
- CMS-Compatible Reporting: Extend MDS-compatible exports and quality-report workflows for nursing home and provider environments.
- Medicaid HCBS Pathways: Support referral and status exchange for home- and community-based service programs focused on aging in place.
- Public Care Navigation APIs: Prepare API-ready data exchange for state aging departments, Area Agencies on Aging, and dementia-care navigation programs.
- Federal Alignment: Position CareHub as infrastructure that can complement dementia-care initiatives emphasizing early detection, caregiver support, and continuity across care settings.
Strategic Advantage
If CareHub becomes part of how public-sector systems route updates, document caregiver burden, and coordinate transitions, it moves from a workflow tool to durable care infrastructure. That creates stronger retention, more defensible partnerships, and a clearer path into large-scale Alzheimer's and dementia deployment.
Sources:
CMS Five-Star Quality Rating System
Alzheimer's Association 2025 Facts and Figures
Sources & Citations
Primary Sources
- World Health Organization. "Ageing and Health" Fact Sheet. October 2025. who.int/news-room/fact-sheets/detail/ageing-and-health
- US Census Bureau. "Older Adults Outnumber Children in 11 States, Nearly Half of Counties." June 26, 2025. census.gov
- US Census Bureau. "The Older Population: 2020." May 25, 2023. Decennial Census Report C2020BR-07. census.gov/library/publications/2023/dec/2020-census-older-population.html
- CareScout. "Cost of Care Survey." 2025. carescout.com/cost-of-care
- Alzheimer's Association. "2025 Alzheimer's Disease Facts and Figures." alz.org/alzheimers-dementia/facts-figures
- National Institutes of Health. "Study measuring changes in protein structure establishes new class of Alzheimer's biomarkers." February 27, 2026. nih.gov/news-events/news-releases/...alzheimers-biomarkers
- CMS (Centers for Medicare & Medicaid Services). "Nursing Home Compare" 5-Star Quality Rating System. 2024. cms.gov/.../five-star-quality-rating-system
- Grand View Research. "Elderly Care Market Size, Share & Trends Analysis Report." 2024. grandviewresearch.com/industry-analysis/elderly-care-market
- IBISWorld. "Nursing Care Facilities Industry Report." 2024. ibisworld.com/.../nursing-care-facilities-industry/
- Statistics Canada. "Population Projections for Canada." 2024. statcan.gc.ca/n1/pub/91-620-x/...
- UK Office for National Statistics. "Ageing in the UK." 2024. ons.gov.uk/.../ageing
- Australian Bureau of Statistics. "Population by Age and Sex." 2024. abs.gov.au/.../national-state-and-territory-population
- UN Department of Economic and Social Affairs. "World Population Ageing 2023." un.org/.../World-Population-Ageing-2023
Industry & Market Research
- McKinsey & Company. "The Future of Aging: How Technology Can Transform Care." 2024. mckinsey.com/industries/healthcare/our-insights
- Deloitte. "2024 Global Health Care Outlook: Laying a Foundation for the Future." deloitte.com/.../global-health-care-sector-outlook.html
- KPMG. "Aged Care Sector Study: Technology Adoption Trends." 2024. kpmg.com/.../industries/healthcare.html
- Accenture. "Reimagining Elderly Care Through Digital Innovation." 2024. accenture.com/.../industries/health