Identifying Medical Spend for Older Adults with Injurious Fall Related Claims- Lessons Learned

There have been significant challenges in the identification of fall related claims in Medicare data. Wakely partnered with Nymbl Science to design and deploy a new approach to assess claims for injurious falls that require medical care.

In this paper, we identify the limitations in identifying fall related claims, and present an analysis of the estimated cost impact of fall-related claims using a new model to identify fall-related claims.