While more than 54 million people were age 65 and over in 2021, fewer than 20 million people may have some substantial long-term care (LTC) coverage. A wide cast of emerging businesses and solutions stand to reinvigorate the LTCI market and revolutionize care for the elderly. Innovation is driving LTC insurance through sales and marketing, underwriting, policy and claims administration, fraud prevention, pricing and reserving, and the customer experience.