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Abstract
The United States is undergoing a profound demographic transformation characterized by a rapid increase in its aging population, which presents significant challenges to the fiscal sustainability of Medicare and the broader national healthcare system. The integration of Artificial Intelligence (AI) with gerontechnology provides innovative opportunities to enhance preventive healthcare, streamline resource allocation, and empower older adults to actively manage their own well-being. This study offers a comprehensive analysis of the ElderAI Wellness Hub, an AI-driven, nonprofit digital health platform designed to combine predictive analytics, cost optimization, and caregiver support within a framework consistent with contemporary U.S. healthcare policies, including initiatives such as the One Big Beautiful Bill Act (OBBBA) and Healthy People 2030. Employing a mixed-method approach that merges quantitative modeling with qualitative policy assessment, the research evaluates the platform's impacts on health outcomes, economic efficiency, and social engagement among older populations. Findings demonstrate that ElderAI contributes to measurable improvements in patient health metrics, reductions in Medicare expenditures, and increased accessibility to technology-enabled care, while also promoting ethical AI governance and digital equity in geriatric services. By situating technological innovation within a policy-aligned context, this study highlights how AI-driven solutions can not only enhance the quality of care for aging individuals but also support the long-term sustainability of national healthcare systems. The results provide valuable insights for healthcare policymakers, technology developers, and social service providers seeking to design scalable, ethically responsible digital health interventions for older adults.
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