By 2050, the global population of adults over age 60 will have doubled to two billion. Asian countries, including Japan, South Korea, Singapore, and China are experiencing explosive population aging, with the US not far behind. Increasingly aware of the challenges posed by this demographic shift, a number of policymakers and business leaders have highlighted the benefits of investing in healthy longevity. Strategies to support aging well can improve health outcomes and reduce long-term costs, while spurring economic growth through longer, more productive work lives. What promising innovations and practices can be shared across the Pacific to elevate healthy longevity at this critical time?