Healthcare technologies hold much promise for meeting the needs of America’s rapidly increasing older population—especially given this cohort’s growing propensity toward chronic illness and disability—and offer many potential benefits for older adults, healthcare providers, and family caregivers. But, although older adults and formal and informal care providers largely are receptive to using health IT applications, the full potential of technology for these populations is not being realized. There remain a number of barriers to be addressed—cost (among other cost considerations, many older adults are unwilling to pay out-of-pocket for such technologies and look to insurance coverage, which is not reliable), accessibility, usability, training and tech- nical support, and issues around privacy and data management. Also, to overcome these not insignificant challenges, there needs be to great- er interaction between designers and users of these systems, and design should be based on a user-centered approach.