With the recent CMS announcement that benchmark payments will decrease next year, Medicare Advantage (MA) plans are searching for ways to manage risk and maintain favorable Medical Loss Ratios (MLRs). Perhaps, the most effective and immediate way to mitigate this pressure is to address avoidable medical costs in ways that also improve outcomes and drive member satisfaction. 

Minimizing falls is one largely overlooked opportunity to help achieve these goals.

Plans will look to consolidate programs by cutting those that don't deliver meaningful cost savings and favorable ROIs while implementing new solutions that have proven to achieve those goals. They will also look for ways to meet evolving quality standards, as well as to differentiate themselves as top-notch plans that attract and retain membership. For MA plans, providing members with mobility and balance training is a robust and comprehensive solution. 

Falls are common among older adults. The truth is, most falls are preventable – and anyone can improve their balance and decrease their risk of falls.

The facts on falls: 

• Falls are the leading cause of injuries and deaths among older adults.
• Fall injuries rank among the top 20 most expensive medical conditions.
• Balance is one of the leading issues affecting fall rates for older adults - but it can be retrained to decrease fall risk.
• The average cost of a serious injurious fall is $12,000 and to $29 billion in annual Medicare costs.
• Falls prevention programs have been proven to reduce fall risk AND to help older adults remain in their homes for longer.
• Nymbl has completed the largest fall prevention study outside of a clinical setting (15,000 participants). 
  • What was the outcome? A 19% Reduction in Fall Related Claims

Nymbl works for all MA plan members. The program prevents post-fall members from experiencing future falls and it also prevents pre-fall members from entering the high-risk category for a future fall. 

Nymbl’s fall prevention solution has been deployed population-wide to MA plan members, with proven $3 PMPM savings and a 3:1 ROI in the first year alone. Nymbl has shown that it can also positively impact Stars ratings. 

With industry-leading adoption and engagement (5x similar digital programs), 48% of program members have said they are more likely to choose a plan that offers Nymbl. 

By minimizing falls, maintaining mobility, and reducing associated medical cost, Nymbl isn't just improving the health outcomes of members – it's also helping to improve Quality and Star ratings. Nymbl’s value is essential to helping plans overcome these ever-increasing financial burdens.