“We have 150,000 members that fall every year, and most of them are not even getting to us. Their smartphone is the easiest way to catch a decline and refer them to care — or offer a digital alternative — before anything happens.”

_{Dr. Tamar Bieber, SVP of Physical Therapy, Maccabi Healthcare Services}

One in three adults over 65 falls each year. For Maccabi, Israel's leading HMO, that is roughly 150,000 falls annually at an estimated $15,000 each — and the members most at risk are the ones no clinic ever sees.

THE CHALLENGE

Traditional screening reaches the engaged few. The decline happens quietly in everyone else, and shows up as an emergency department admission. Maccabi's population health team needed a signal that works at population scale, asks nothing of the member beyond carrying a phone, and turns into a referral when it matters.

HOW ONESTEP HELPED

Maccabi is deploying OneStep as the movement-health layer of a national fall prevention program. Members install the app once; OneStep measures gait passively whenever the phone is carried, flags significant decline, and sends alerts to Maccabi's care managers as a daily digest or straight into the EHR. Stable members receive a digital wellness program. Maccabi owns triage and referral into physiotherapy.

WHAT CHANGED

Two layers, each doing what only it can: OneStep measures and detects, Maccabi reaches members and navigates care. The program scales without adding clinical headcount. Maccabi projects $3.8M in year-one savings at 10,000 engaged members, and plans to extend the same movement history to osteoarthritis, joint replacement, heart failure, diabetes and cognitive decline in 2027.

Falls are the wedge. The movement history becomes the asset.

Key Outcomes