Breaking the Mortality Curve: Investment-Driven Acceleration in Life Expectancy and Insurance Innovation
Abstract
1. Introduction
Quantifying the Actuarial Disconnect
- Systematic underpricing of longevity risk: When mortality models fail to capture investment-driven acceleration, annuities and pension products become systematically underpriced, creating long-term solvency risks.
- Capital misallocation: Without accurate models of investment impacts on mortality, capital allocation decisions within insurance companies and pension funds may be systematically biased.
- Intergenerational inequity: As improved mortality benefits future generations while the costs of underestimated longevity fall on current cohorts, a significant intergenerational transfer of wealth may occur unintentionally. Research on intergenerational equity highlights the complex dynamics of wealth transfers between cohorts as longevity patterns shift (Bravo et al. 2023).
- RQ1: How do significant capital flows into longevity science quantitatively alter mortality improvement trajectories beyond traditional actuarial assumptions?
- We acknowledge that mortality trajectories are influenced by multiple factors, including social determinants (education, income inequality), lifestyle factors (diet, exercise, mindfulness practices), environmental conditions (air quality, climate change), and external shocks (pandemics, natural disasters, wars). Our focus on investment-driven technological advancement represents a deliberate analytical choice for three reasons: First, capital flows into longevity science constitute a quantifiable, leading indicator that can be measured and modeled systematically, unlike more diffuse social or environmental factors. Second, as demonstrated in Section 2.4, technological interventions may provide protection against various mortality risks, including external shocks, making investment a particularly robust predictor. Third, while our model’s error term captures other mortality influences as stochastic variation, investment flows represent the first systematic attempt to model the feedback between capital allocation and biological research outcomes—a gap in existing actuarial methodology that creates measurable financial risks for insurance institutions.
- RQ2: What specific modeling approaches can most effectively capture these investment-driven dynamics to provide mathematically sound mortality projections?
- RQ3: How should insurers adapt product design and pricing strategies in response to investment-accelerated mortality improvements, and what is the quantifiable impact of these adaptations?
2. The Longevity Investment Landscape
2.1. Investment Trends in Longevity Science
2.2. Key Investment Domains and Technology Acceleration
- Precision Biological Reprogramming: Recent advances show that temporary expression of Yamanaka factors can reverse age-related cellular damage without erasing cell identity (Takahashi and Yamanaka 2006), offering rejuvenation pathways without oncogenic risk (Yang et al. 2023; Macip et al. 2023; Paine et al. 2024; Antón-Fernández et al. 2024). Commercial timelines have accelerated dramatically, with companies like Turn Biotechnologies announcing near-term Phase I clinical trials and securing licensing deals worth up to USD 300 million (Paine et al. 2024; Garay 2023; HanAll Biopharma 2024), reflecting investment patterns documented across leading cellular reprogramming companies (Calico n.d.).
- AI-Accelerated Drug Discovery: Machine learning systems are revolutionizing longevity-enhancing compound identification. The AlphaFold system and ML-based screening recently identified small molecules that extend lifespan in C. elegans (Bell et al. 2023). Investment has grown dramatically, with the overall market reaching USD 1.5 billion in 2023, including major funding rounds like Xaira Therapeutics’ USD 1 billion raise (Grand View Research 2024; Lazzaro 2024). This capital has fundamentally altered therapeutic development timelines from decades to months through in-silico modeling. Traditional pharmaceutical development costs average USD 2.6 billion per approved drug (DiMasi et al. 2016), making AI-accelerated approaches particularly attractive for reducing both time and capital requirements.
- Real-Time Biological Monitoring: The digital biomarkers market has seen substantial growth, valued at USD 3.42 billion in 2023 and projected to grow at 22.7% CAGR through 2030 (Grand View Research 2024). Epigenetic clocks based on DNA methylation patterns enable precise biological age measurement, providing powerful tools to assess aging trajectories and intervention efficacy (Horvath and Raj 2018).
- Investor Evolution and Market Dynamics: The longevity sector has experienced significant compression of expected development timeframes compared to traditional 10–15-year pharmaceutical cycles. Technology adoption follows S-curve patterns as described in Rogers’ diffusion theory (Rogers 2003), with healthcare innovation adoption accelerated by regulatory precedent, reimbursement pathways, and practitioner familiarity (European Insurance and Occupational Pensions Authority 2021; Financial Conduct Authority 2021). The median follow-on investment round for longevity companies increased from USD 15 million in 2017 to USD 68 million in 2024 (BioPharma Dive 2024; Nature Biotechnology 2024).
2.3. The Investment–Mortality Feedback Loop
- Proof-of-concept validation: Initial investment enables proof-of-concept studies that demonstrate efficacy, attracting larger follow-on investments. The median follow-on investment round for longevity companies increased from USD 15 million in 2017 to USD 68 million in 2024, based on analysis of Series B and later funding rounds for companies in the longevity sector (BioPharma Dive 2024; Nature Biotechnology 2024).
- Regulatory pathway validation: The FDA has increasingly recognized aging-related research, including approval of the landmark TAME trial in 2019 to test metformin’s effects on age-related diseases (Pharmaphorum 2024).
- Commercial market validation: Biotech IPO activity has been volatile, with over 100 biotechs going public in 2021 but only 24 in 2023, though individual deals have reached significant sizes, such as Apogee Therapeutics’ USD 345 million IPO (EY 2024; BioPharma Dive 2024).
- Technology cost reduction: Epigenetic age testing has transitioned from research-only applications to direct-to-consumer availability, with multiple companies now offering biological age tests to consumers (NPR 2024).
2.4. Mortality Setbacks and Countervailing Trends
- COVID-19 Pandemic Impact
- U.S. Opioid Crisis and Deaths of Despair
- UK Health System Challenges
- Mental Health and Young Adult Mortality
- Integration with Investment-Driven Improvements
- Fragility of mortality gains: Traditional public health approaches, while effective historically, remain vulnerable to external shocks and systemic failures. Investment in biological resilience technologies could provide more robust protection against future mortality crises.
- Technological imperative: The speed of mortality deterioration during crises suggests that passive approaches to mortality improvement may be insufficient. Active technological intervention targeting aging processes could provide protective effects against both age-related diseases and external mortality risks.
- Prevention versus treatment paradigm: Current healthcare systems primarily respond to mortality crises after they emerge. Investment in longevity science represents a shift toward preventing the biological vulnerabilities that make populations susceptible to mortality shocks.
- Model Integration
- Implications for Insurance Practice
3. Technical Modeling Framework
3.1. Limitations of Traditional Mortality Models
- Factor-based models that apply mortality improvement factors to baseline mortality rates, with improvements derived primarily from historical data (Society of Actuaries 2022).
- Stochastic projection models such as Lee–Carter (Lee and Carter 1992) and Cairns–Blake–Dowd (Cairns et al. 2006) that employ time series methods to project future mortality improvements.
- Historical data dependency: Traditional models rely heavily on historical mortality data, which may not reflect emerging technological paradigms. This creates what Bloom et al. (2010) describe as “retrospective bias” in mortality projections.
- Assumption of gradual change: Most models assume mortality improvements follow relatively smooth trajectories rather than potential step-changes from breakthrough technologies. As Vaupel et al. (2021) note, “demographic perspectives on the rise of longevity” suggest discontinuities in mortality improvement patterns may become increasingly common as targeted interventions reach clinical application. Recent advances in mortality modeling for insurance portfolios further support this approach (Atance et al. 2025).
- Limited factor consideration: Traditional models typically incorporate a limited set of factors and may not capture the complex interactions between investment, technology development, and mortality outcomes.
3.2. Investment-Adjusted Mortality Model (IAMM)—Mathematical Formulation
- IAMM Model Conceptual Overview
- Traditional mortality patterns, captured by age-specific baseline mortality () and sensitivity to general mortality trends ();
- Investment intensity (), measuring capital flows into longevity science with a time lag (δ) to account for the development period between funding and clinical impact;
- Technology effectiveness (), modeling how investments translate into mortality improvements through an S-curve pattern, reflecting initial slow gains, acceleration, and eventual plateauing of benefits.
- is the mortality rate at age x in year t;
- represents the average age-specific mortality pattern;
- represents the age-specific sensitivity to mortality changes;
- is the time-varying mortality index;
- is the error term.
- represents the age-specific sensitivity to investment-driven improvements;
- is the investment intensity factor with lag δ;
- is the technology effectiveness parameter in year t.
- represents the cumulative capital invested in longevity science up to year
- is a baseline reference level.
- represents the vector of estimated parameters;
- is the true parameter vector;
- is the Fisher information matrix.
3.3. Parameter Estimation
- θ represents the parameter vector;
- is the probability density function of given θ.
- First, the baseline Lee–Carter parameters (, , and ) are estimated using singular value decomposition.
- Second, the investment-related parameters (, δ, and technology effectiveness parameters) are estimated via maximum likelihood, conditional on the first-stage estimates.
- Stage 1: Biological mechanism analysis: We reviewed the clinical literature to identify the primary biological targets for each investment category. For example, cellular reprogramming technologies primarily target senescent cell accumulation and stem cell exhaustion, which accelerate after age 60, explaining higher values for the 60–79 age range.
- Stage 2: Clinical efficacy data synthesis: Where available, we analyzed Phase I and Phase II clinical trial data to estimate age-specific treatment effects. AI drug discovery approaches show increasing effectiveness with age due to higher baseline disease burden, while biological monitoring technologies show declining effectiveness in older populations due to implementation barriers.
- Stage 3: Expert elicitation calibration: To supplement limited clinical data, we conducted structured interviews with 12 longevity researchers and 8 geriatricians to estimate relative effectiveness across age groups. Expert opinions were aggregated using a modified Delphi method, with consistency checks across respondent categories.
- Likelihood ratio tests comparing the IAMM to nested traditional models yield test statistics well above critical values (p < 0.001), indicating significant improvement in fit.
- The IAMM achieves an AIC (Akaike Information Criterion) reduction of 28.5 points compared to the best-performing traditional model, indicating a substantially better fit even when accounting for the additional parameters.
3.4. Model Validation
- Investment in cardiovascular treatments during the 1980s and subsequent mortality improvements in the 1990s;
- Cancer treatment investment growth in the 1990s and mortality impacts in the 2000s;
- General healthcare technology investment in emerging economies and mortality convergence patterns.
- Traditional models accurately capture baseline mortality improvements but systematically underestimate the impact of targeted technology investments.
- The IAMM provides superior predictive power during periods of significant technological change, with a 35% reduction in mean absolute percentage error (MAPE) compared to Lee–Carter projections (p < 0.005), consistent with methodological improvements documented in the mortality forecasting literature (Booth and Zemmel 2004).
- The investment lag parameter (δ) shows consistent patterns across different medical technologies, supporting the model’s structural validity.
4. Results and Analysis
4.1. Mortality Projections Under Different Investment Scenarios
4.2. Financial Impact on Insurance Products
4.3. Stress Testing and Extreme Scenarios
5. Insurance Innovation Opportunities
5.1. Dynamic Mortality-Linked Products
- Baseline guaranteed benefits, calculated using traditional mortality assumptions;
- Mortality improvement dividends, paid when actual mortality improvements exceed baseline projections;
- Investment participation options, allowing policyholders to capture some of the financial upside from longevity investments.
5.2. Biological Age Underwriting
- A 35% improvement in mortality prediction compared to chronological age alone (Horvath and Raj 2018; Belsky et al. 2015);
- A 28% reduction in unexplained variance in health outcomes (Horvath and Raj 2018; Belsky et al. 2015);
- A 42% enhancement in identifying high-risk individuals who appear healthy by conventional measures (Horvath and Raj 2018; Belsky et al. 2015).
5.3. Investment-Linked Mortality Products
5.4. Regulatory Considerations and Implementation Challenges
- Actuarial soundness: Products must maintain adequate reserves under stress testing that explicitly considers accelerated mortality improvement scenarios (European Insurance and Occupational Pensions Authority 2021).
- Transparency: Complex longevity-linked products must include clear disclosures about how benefits relate to mortality experience and investment outcomes (Financial Services Authority 2006).
- Fairness in risk classification: Biological age underwriting must adhere to anti-discrimination standards while allowing for science-based risk differentiation (Office of the Superintendent of Financial Institutions 2022).
- Financial stability safeguards: Investment participation structures must include safeguards against excessive concentration in speculative longevity ventures (European Commission 2009).
6. Conclusions
- RQ1: How do significant capital flows into longevity science quantitatively alter mortality improvement trajectories beyond traditional actuarial assumptions?
- Technology development acceleration: Each additional USD 1 billion in investment correlates with a 0.3–0.7% increase in the rate of mortality improvement, depending on the specific technology category and age cohort.
- Feedback amplification: The investment–mortality feedback loop creates a multiplier effect where each 1% improvement in mortality attracts 1.4–2.1% additional investment (adjusted for inflation), creating compounding effects not captured in traditional linear projections.
- Age pattern modification: Investment-driven improvements show statistically significant different age patterns than historical trends (p < 0.01 in our validation tests), with particularly strong effects in the 60–79 age range (coefficient values 0.17–0.23 versus 0.08–0.14 for other age groups).
- RQ2: What specific modeling approaches can most effectively capture these investment-driven dynamics to provide mathematically sound mortality projections?
- Predictive accuracy: The IAMM reduces mean absolute percentage error (MAPE) by 35% compared to Lee–Carter projections in our validation tests (p < 0.005).
- Parameter stability: The model’s key parameters (, δ, and technology effectiveness parameters) show robust stability across different calibration periods, with variance less than 12% across subsamples.
- Superior goodness-of-fit: The IAMM achieves an AIC (Akaike Information Criterion) reduction of 28.5 points compared to the best-performing traditional model, indicating substantially better fit even when accounting for the additional parameters.
- RQ3: How should insurers adapt product design and pricing strategies in response to investment-accelerated mortality improvements, and what is the quantifiable impact of these adaptations?
- Dynamic mortality-linked products: Simulations indicate that dynamic mortality-linked annuities reduce insurer longevity risk by 58–67% (95% confidence interval) compared to traditional fixed annuities, while maintaining competitive value for policyholders.
- Biological age underwriting: Statistical analysis shows that incorporating epigenetic age markers into underwriting improves mortality prediction by 23–31% compared to chronological age alone, creating substantial risk selection advantages (p < 0.01).
- Investment-linked mortality products: These structures create natural hedges that reduce tail risk exposure by 42–51% (95% confidence interval) while offering policyholders participation in longevity investment returns.
Future Research Directions
- Model refinement through biomarker integration: Future work should explore integrating specific biomarker trajectories (e.g., DNA methylation patterns, inflammatory markers) directly into mortality modeling.
- Cross-national validation: The current model has been primarily validated with data from developed economies. Extending validation to emerging markets would test the model’s robustness and generalizability.
- Regulatory optimization modeling: Future research should develop optimization frameworks that balance innovation incentives with consumer protection in regulating novel mortality-linked products.
- Multi-risk integration: Exploring the interaction between longevity risk and other insurance risks in the context of investment-accelerated mortality improvements represents an important extension.
- AI Assistance Disclosure
- Initial drafts of literature review organization (Section Quantifying the Actuarial Disconnect);
- Grammar and style editing throughout the manuscript;
- Generation of alternative phrasings for technical concepts in the Abstract and Conclusion;
Funding
Data Availability Statement
Conflicts of Interest
1 | Longevity interventions span three complementary approaches: (1) slowing aging through pharmacological interventions such as rapamycin (mTOR inhibition), metformin (metabolic regulation), and caloric restriction mimetics; (2) preventing age-related damage via telomere maintenance therapies, targeted antioxidant treatments, and lifestyle interventions; and (3) potentially reversing existing aging damage through cellular reprogramming techniques, senolytic drugs that clear senescent cells, and regenerative medicine approaches. Current investment targets all three categories, with prevention and slowing strategies closer to clinical application while reversal approaches remain largely experimental. |
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Age Group | Cellular Reprogramming | AI Drug Discovery | Biological Monitoring | Regenerative Medicine |
---|---|---|---|---|
50–59 | 0.12 | 0.09 | 0.15 | 0.11 |
60–69 | 0.17 | 0.14 | 0.13 | 0.18 |
70–79 | 0.21 | 0.19 | 0.10 | 0.23 |
80–89 | 0.19 | 0.22 | 0.08 | 0.20 |
90+ | 0.14 | 0.17 | 0.06 | 0.15 |
Age Group | Traditional Projection | IAMM Baseline | IAMM Moderate | IAMM High |
---|---|---|---|---|
50–59 | 1.2% annually | 1.5% annually | 2.1% annually | 3.2% annually |
60–69 | 1.3% annually | 1.7% annually | 2.4% annually | 3.6% annually |
70–79 | 1.1% annually | 1.6% annually | 2.3% annually | 3.5% annually |
80–89 | 0.8% annually | 1.2% annually | 1.8% annually | 2.9% annually |
90+ | 0.5% annually | 0.8% annually | 1.3% annually | 2.2% annually |
Product Type | Metric | Traditional | IAMM Baseline | IAMM Moderate | IAMM High |
---|---|---|---|---|---|
Life annuities | Present value (age 65) | 100 (baseline) | 109 | 118 | 131 |
Life insurance | Present value (age 65) | 100 (baseline) | 92 | 87 | 78 |
Long-term care | Expected claims | 100 (baseline) | 114 | 123 | 138 |
Pension liabilities | Present value | 100 (baseline) | 112 | 124 | 142 |
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Dror, D.M. Breaking the Mortality Curve: Investment-Driven Acceleration in Life Expectancy and Insurance Innovation. Risks 2025, 13, 122. https://doi.org/10.3390/risks13070122
Dror DM. Breaking the Mortality Curve: Investment-Driven Acceleration in Life Expectancy and Insurance Innovation. Risks. 2025; 13(7):122. https://doi.org/10.3390/risks13070122
Chicago/Turabian StyleDror, David M. 2025. "Breaking the Mortality Curve: Investment-Driven Acceleration in Life Expectancy and Insurance Innovation" Risks 13, no. 7: 122. https://doi.org/10.3390/risks13070122
APA StyleDror, D. M. (2025). Breaking the Mortality Curve: Investment-Driven Acceleration in Life Expectancy and Insurance Innovation. Risks, 13(7), 122. https://doi.org/10.3390/risks13070122