The roundtable identified promising pathways for OECD countries to galvanize new innovations to predict, prevent, and address age-related health challenges, mitigate the costs of these challenges, and ensure fiscal sustainability in a world of more old than young. While the roundtable participants were clear on the importance of access and reimbursement for healthy ageing in OECD societies, it was emphasized that innovation for new and much-needed solutions, including therapies, vaccines, digital technologies, and models of care, must first be realized.