Inside PACE with Anthony Zizza

LogicMark CEO Chia Lin-Simmons on AI-Enabled Medical Alerts

Chia Lin-Simmons, CEO of LogicMark, describes becoming a “sandwich generation” caregiver after her experience with an embarrassing, imprecise, unattractive medical alert worn by her mother-in-law, motivating her to modernize the category with AI and IoT. Drawing on 30 years in tech (including Harman, Audible, Google, and an AI startup), she explains LogicMark’s shift from reactive fall alerts to more precise multi-sensor detection and predictive, proactive monitoring using longitudinal data, digital twins, and pattern analysis to anticipate risks. Data is shared via caretaker apps that create a “care village” including family, neighbors, and professionals. She highlights product design to reduce stigma, adding features like cameras, GPS/geofencing, and smaller phone-like form factors. The conversation covers caregiver shortages, enterprise integration, non-wearable sound-based devices, and policy priorities: veterans’ health support, Medicare/Medicaid coverage for enabling tech, and immigration to bolster the care workforce, plus advice for boomers to adopt safety tech, declutter, and plan early.   Topics 02:10 The Ramen Alarm Moment 03:51 Beyond Ive Fallen 06:32 Digital Twins Prevention 10:27 Care Village Apps 11:42 Design Seniors Will Wear 15:46 Future Of Aging Tech 21:24 AI Supports Human Care 27:08 Policy And Personal Advice 31:23 Family Stories And Wrap

Right Place, Right Time: Ryan Frederick, Founder and CEO of Here

Harry interviews Ryan Frederick, founder and CEO of Here and author of ‘Right Place, Right Time,’ [https://a.co/d/0hXfYGXs]about how where you live influences quality of life, health, longevity, finances, and social connection—especially in the second half of life. Frederick explains his path from Silicon Valley to senior housing and writing the book during the pandemic, concluding that people lack a framework to evaluate “place.” He defines place through four quadrants—environment, health, community, and finances—and stresses that people choose “micro places” that shape daily life. He describes “place planning” as an intentional process that may or may not involve moving, emphasizing agency in how you engage your home and community and encouraging experimentation before major changes like relocating or moving abroad. The conversation addresses aging in place, senior living options, zoning barriers to downsizing within one’s community, and policy ideas such as increasing accessible housing supply and reducing tax frictions that discourage older adults from moving.   More on Ryan: https://www.ryanfrederick.life/ [https://www.ryanfrederick.life/] Ryan’s book ‘Right Place, Right Time’: https://a.co/d/0hXfYGXs [https://a.co/d/0hXfYGXs]   Topics 00:44 Ryan Frederick Origin Story 02:57 Writing Right Place Right Time 05:50 Four Quadrants of Place 08:11 Micro Places and Connection 09:30 What Is Place Planning 11:26 Intentionality and Agency 15:02 Aging Health and Longevity 19:01 Rethinking Aging in Place 21:09 Senior Living Options 22:31 Zoning and Housing Supply 24:13 Moving Abroad and Life Chapters 29:00 Policy Fixes for Better Housing 32:29 Advice to Boomers Plan Ahead 34:32 Closing Thoughts

Inside PACE with Anthony Zizza

Anthony Zizza, a geriatrician and chief medical officer at Element Care PACE, describes his career from Beth Israel Deaconess and Harvard to Landmark Health, a mobile interdisciplinary house-calls group serving the top 5% of complex Medicare Advantage patients, and why PACE was a natural next step. He explains PACE (Program of All-Inclusive Care for the Elderly) as a Medicare/Medicaid model for adults 55+ who are nursing-home eligible but can live safely in the community with support, offering an integrated package including primary care, transportation, therapies, social work, adult day health, home services, palliative and urgent care, and even long-term care when needed, with examples like providing an air conditioner to prevent COPD exacerbations. The conversation covers eligibility (service area, ADL dependence, dual eligibility, asset limits and look-back), Medicare-only/private pay options, limited geographic availability and heavy regulation, overlap and for-profit expansion, and policy recommendations to expand access earlier and simplify enrollment.   Topics 02:06 Landmark Health House Calls 03:58 Why Landmark Ended 05:20 PACE Explained Basics 06:42 PACE Services and Team 08:04 Outside the Box Care 09:34 Costs and Long Term Care 12:35 Eligibility and Enrollment 16:43 Coverage Areas and Red Tape 18:56 For Profit Growth Debate 20:08 Element Care Mission Stories 23:24 Finding a Local PACE 28:26 Policy and Family Advice 30:43 Criticisms and Risk Adjustment 34:47 Closing Thoughts

Retirement, Inequality, and Social Connection with Daniel Horowitz

Harry talks with historian Daniel Horowitz, author of “On Retirement: How Aging Is Transforming American Lives [https://a.co/d/07sy46s8].” He discusses his wide-ranging prior work and his move with his historian wife to a continuing care retirement community near their daughter. He describes major changes in aging and retirement since midcentury: longer lifespan and healthspan, key policy supports (Social Security, Medicare, Medicaid), and a shift from defined-benefit to defined-contribution retirement risk. He outlines expanding housing and care arrangements (NORCs, supplemented NORCs, 55+ communities) alongside problems like nursing-home conditions and under-studied elderly homelessness, emphasizing how race, class, gender, and geography shape wealth, access, and even a nine-year longevity gap by income. He explains “successful aging” and critiques its optimism amid inequality, pandemics, and climate threats, stressing luck and fall risks. His personal advice centers on sustaining social connections, not comparing oneself to the past, protecting public programs, and skepticism toward costly longevity clinics and promises of living to 120.   Get Daniel’s book: https://a.co/d/07sy46s8 [https://a.co/d/07sy46s8]   Topics 00:00 Meet Dan Horowitz 01:02 Books and Background 02:08 Moving to a CCRC 03:32 Retirement Then and Now 05:50 Housing Options and Risks 06:50 Inequality in Aging 10:18 Successful Aging Debate 13:36 Renewal Retirement 16:07 Isolation and Community Design 18:38 Personal Keys to Aging Well 22:02 Policy Advice for Boomers 23:19 Longevity Hype and 120 26:18 Public Health Over Biohacks

Building Housing for the ‘Missing Middle’ with Amy Schectman of 2Life

Amy Schectman, CEO of 2Life Communities, explains 2Life’s mission to provide affordable, purpose-filled aging through deeply affordable housing and advocacy, and describes Opus Newton, a continuing care retirement community for the “missing middle” who earn too much for subsidies but can’t afford luxury options. She contrasts NewBridge’s high-income model with mixed-income Brown House and explains 2Life’s “optimal aging” components: lifetime affordability, social connection, and help navigating home and healthcare systems via care navigators and varied programming. Opus Newton keeps monthly fees low through a home-sale-funded upfront fee that eliminated construction debt, resident volunteerism (10 hours/month), shared overhead with adjacent affordable Coleman House and JCC partnerships, and flexible home care through Houseworks. Amy urges earlier moves, replicating the model, expanding supply, and shifting policy messaging from “aging in place” to “aging in community,” citing improved longevity and health outcomes and reduced public costs.   Topics 01:04 Meet Amy Schectman 02:00 Three Models Compared 04:42 What Optimal Aging Needs 07:13 Care Navigators Explained 08:19 Resident Led Culture 10:37 Making Opus Affordable 13:41 Shared Campus Partnerships 15:16 Home Care Without Waste 17:17 Why Size Matters 18:21 Demand And Waiting Lists 18:48 Finding Space to Grow 19:28 Community Gives Back 20:03 Scaling the Missing Middle 21:28 Market Model Requirements 22:48 Retirement and Next Steps 23:18 Move Before You Must 25:24 Louise and Bridge Club 28:22 Advice for Boomers 28:46 Policy Supply and Messaging 30:47 Longevity Proof Points 32:40 Efficiency and Cost Savings 33:38 Lessons from the Netherlands 34:40 Long Term Care Insurance 35:20 Closing and New Site