FOR MEDICARE ADVANTAGE PLANS
QUALITY INFRASTRUCTURE, NOT A LINE-ITEM VENDOR.
Every prevented fall is an avoided hospitalization, a protected Star Rating, and a member who stays independent at home.
TWO WAYS WE CREATE VALUE
COST AVOIDANCE
The average fall hospitalization costs a plan roughly $30,000. Preventing even a handful of falls in a high-risk population can return many times the cost of the program.
REVENUE PROTECTION
Fall prevention is measured directly in CMS Star Ratings through the Medicare Health Outcomes Survey. Plans at 4 Stars and above earn quality bonus payments worth tens of millions of dollars a year.
THE BUSINESS CASE
WHAT 500 ASSESSMENTS COULD MEAN FOR YOUR PLAN
- 500
high-risk members assessed
- ~125
falls expected over 12 months without intervention
- 30%
reduction from home hazard interventions
- ~37
falls prevented
- ~$1.1M
in avoided hospitalization costs
Illustrative example based on published fall rates, intervention outcomes, and average hospitalization costs. Actual results will vary by population.
CMS STAR RATINGS IMPACT
DIRECTLY MOVING THE MEASURE THAT MATTERS
PRIMARY MEASURE
Reducing the Risk of Falling
Measured through the Medicare Health Outcomes Survey, this measure asks members whether their providers discussed fall risk and recommended steps to reduce it, such as mobility aids, exercise, or vision and hearing checks. Every First Line visit documents a fall risk conversation and specific recommendations, creating the experience the survey asks about.
FUTURE CAPABILITIES THROUGH PARAMEDIC FIREFIGHTERS
ON THE HORIZON
Care Transitions
Post-discharge home visits that support care transition and readmission goals.
ON THE HORIZON
Medication Review Support
Documenting medication lists and flagging concerns to care teams.
ON THE HORIZON
Blood Pressure Screening
In-home readings shared with care teams to support hypertension management.
ON THE HORIZON
Screening Reminders
Flagging members overdue for preventive screenings during the visit.
We start with falls and expand only where we can deliver measurable results.
HOW WE PARTNER
SIMPLE TO START. BUILT TO SCALE.
- 1
STEP 1. START
A flat rate per completed assessment. No actuarial review required. Scope sized to your team's capacity.
- 2
STEP 2. PROVE
Outcomes reporting per member and per visit: hazards found, recommendations made, modifications completed, member satisfaction.
- 3
STEP 3. SCALE
PMPM pricing across your eligible population once outcomes data is established.
WORKS ALONGSIDE WHAT YOU ALREADY HAVE
- Plugs into existing fall-risk identification and referral workflows
- Complements supplemental benefits like bathroom safety devices
- Reports formatted for care management teams
- No member-facing enrollment or marketing required from your team
- Available in any market where your members live
LET'S COMPARE NOTES.
We're building First Line alongside the plans we work with. If you lead quality, Stars, or care management, we'd value your perspective.
START A CONVERSATION