Replace fields in Partner Inputs with partner-specific high-risk claims data to determine budget impact.

Partner Inputs

Cost Calculations

Budget Impact

Program investment

Total cost avoidance

Net budget impact

Net ROI

Decision lens

Use the partner's actual claims and utilization experience for the target high-risk cohort whenever available. The default hip-fracture incidence of 23 per 1,000 person-years is a published benchmark for U.S. long-stay nursing-home residents — not a universal high-risk rate. Replace default assumptions with partner-specific data whenever possible. Gross Savings / Investment = total estimated cost avoidance ÷ program investment. Net ROI = net budget impact ÷ program investment.

Sources & benchmarks

CDC — Older Adult Falls and Hip Fractures (current national context). cdc.gov
Berry et al. — Incidence of Hip Fracture in U.S. Nursing Homes (2.3 per 100 person-years / 23 per 1,000). doi.org
CDC, Medical Costs of Fatal Falls and Fall Injuries among Older Adults. stacks.cdc.gov

Commercial pathway

Current pathways may include direct purchase, partner-funded pilots, employer or health-plan sponsorship, member subsidy, and negotiated volume pricing. Smart Hip Guardian does not currently rely on reimbursement, and this model assumes no reimbursement revenue. Any future reimbursement or coverage should be evaluated separately and only when supported by an applicable payer policy or contract.

Disclaimer

Estimates are for planning purposes only and depend on partner-provided inputs, target-risk, product use, effectiveness, event costs and other factors. Projections are not guaranteed clinical or financial outcomes and should be validated through an appropriately designed pilot.