Fall-risk monitoring

Falls don't happen suddenly. Your gait warns you first.

Gait declines for months before a fall — but it's measured once a year, in clinic. A shoe is worn every day. Put the measurement where the walking already happens, and you catch the decline weeks ahead, while there's still time to act.

1 in 3adults 65+ fall each year (CDC)
$50–80Bannual US cost of older-adult falls
$100Bprojected by 2030
The prototype

Daily monitor vs. the annual snapshot

90 days of one person's gait speed. The shoe reads it every day; the clinic sees it once. Press play and watch which one catches the fall coming.

Daily (shoe) Annual check (clinic) Fall-risk line (1.0 m/s)
Annual snapshot

Last clinic check: 1.14 m/s — "normal." Next visit in ~8 months. The decline happens in the gap. The fall arrives before the calendar does.

Daily monitor

Crosses the 1.0 m/s fall-risk line on day —. Alert fires — days before the fall — time to intervene: PT, balance work, the offloading shoe, a caregiver check.

Illustrative trajectory for demonstration. Thresholds reflect published gait-speed fall-risk bands (<1.0 m/s elevated; <0.6 m/s high). Decline-before-fall pattern per CDC / gait-speed literature.
Why the shoe

The shoe is the daily sensor

Adherence is the whole game in monitoring — and a senior already carries a phone and puts their shoes on every morning. The measurement rides along, no new habit required. Four ways to capture it:

The business

A reimbursable monitoring service, not a gadget

The shoe partner provides daily wear. MotionSole provides the measurement, the risk-trajectory engine, and the billing. The intervention and the patient relationship route into the network we already run.

1
Measure daily

Camera or sensor insole captures gait every day — the trajectory, not a snapshot.

2
Flag the decline

The engine watches the slope; an alert fires when risk rises — weeks before a fall.

3
Intervene

Route to PT, balance training, the offloading shoe, or a co-op.care caregiver. Patient front door: fallrisks.com.

4
Bill it

Continuous monitoring qualifies under CMS RPM/RTM (98975–98981), under the clinician's own NPI via SurgeonValue. Falls also move Medicare Advantage Star ratings.

Recurring revenue, per monitored patient
~$100–160/patient / month
CMS RPM/RTM, billed monthly while monitored.
1,000 monitored seniors× ~$120/mo
Annual recurring≈ $1.4M
One serious fall avoidedsaves ~$30–50K
Illustrative. Rates vary by locality/year; RPM and RTM are mutually exclusive per patient/period.
Educational prototype, not a medical device. The trajectory shown is illustrative; fall-risk thresholds reflect published gait-speed bands and the CDC STEADI framework. Clinical decisions belong to a qualified professional. MotionSole is an intelligence and billing layer; daily-wear hardware is provided by partners.
See your gait, live → Fall-risk engine of MotionSole — the 6th vital sign.