Sagility Smart Step

What is Sagility Smart Step?

Frailty often flies under the radar, but it is one of healthcare’s most costly and overlooked challenges. Frailty is the gradual decline in physical strength and resilience, often linked to aging. As the body becomes more vulnerable, even routine daily activities can lead to falls, hospitalizations, and a complete loss of independence. When not identified early, frailty can lead to preventable, costly health crises, and diminished quality of life.

Sagility Smart StepTM is a proactive frailty resilience program that uses data to catch early signs of decline, before it turns into a serious health event. The program delivers personalized care plans tailored to each member’s health status, living environment, and daily needs, helping them stay stronger, healthier, and independent at home.

For health plans, Sagility’s frailty resilience program supports frailty management efforts by improving outcomes, reducing hospital utilization, and driving stronger performance in star ratings, HEDIS® measures, and CAHPS® surveys. For members, it offers meaningful care coordination and a reliable safety net that makes aging in place possible.

Benefits of the Smart Step Frailty Resilience Program

Identifying frailty early benefits all — members, caregivers, and health plans all . Here’s how Smart Step makes a measurable difference:

• Makes use of the Sagility Impactability Index™, which employs machine learning and multi-source data streams to identify at-risk individuals and build personalized profiles.

• Spots early warning signs so that members and care teams can take action before a crisis happens.

• Transforms frailty care from a reactive, crisis-driven response to a singular health incident, to a proactive, comprehensive care and prevention model.

• Deploys personalized care plans and interventions that effectively address frailty-related issues based on each member’s health, home life, and day-to-day needs.

• Aims to reduce hospital visits and emergency room use by supporting proactive, in-home care.

• Supports efforts to improve performance in star ratings, HEDIS measures, and CAHPS surveys.

• Empowers members with the tools and support needed to age in place at home.

• Employs a true whole-person care approach that actively prevents adverse events and lower overall healthcare costs

Key Features of Smart Step

Smart Step combines predictive analytics, clinical expertise, and compassionate caregiver support to deliver comprehensive, proactive care for the whole person. Here’s how it works:

• Predictive Analytics
  Smart Step uses advanced data models to identify members whose health patterns suggest early signs of frailty — often before a fall or serious health event occurs.

• Comprehensive Evidence-Based Assessments
  Evidence-based tools like the Tilburg Frailty Indicator help create a full picture of each member’s physical health, mental wellness, social connections, and living conditions.

• Personalized Care Plans
  Each member receives a personalized care plan focused on building up their strength, improving overall mobility, while supporting both medication adherence and mental well-being.

• Dedicated Care Advocate
  Members are paired with a care advocate who checks in regularly, answers any questions, and helps coordinate care and ongoing support.

Smart Step Applications in Healthcare

The Sagility Smart Step frailty resilience program isn’t just another initiative to manage. It is designed to align with the existing priorities of health plans and care teams. From aging in place to value-based care, Smart Step enhances health outcomes. 

• Aging in Place Programs
  Supports older adults in remaining safely at home by delivering proactive, personalized care. 

• Chronic Condition Management
  Complements current care management efforts by helping reduce frailty-related complications in high-risk populations, including those with heart failure, diabetes, and COPD.

• Value-Based Care Strategies
  Enhances existing quality initiatives by helping improve outcomes, member experience, and cost performance under risk-based contracts.

• Caregiver Support
  Extends the impact of care teams by equipping caregivers with the tools and guidance they need.

• Healthcare System Efficiency
  Streamlines coordination across teams and fills care gaps, helping organizations accomplish more with existing resources. 

• Lowers Total Cost of Care
  Improves the utilization management process, achieves a 15-20% reduction in claim volume, and substantially lowers health plan costs by averting high-cost facility admissions.

The Opportunity Ahead with Smart Step

Health plans are balancing a lot of demands — improving outcomes, managing risk, and helping older adults stay independent, often with limited resources. Smart Step fits into existing care strategies and helps to extend their reach, without adding operational complexity.

Sagility’s frailty resilience program is designed to detect risk early and provide personalized, ongoing support that helps members stay healthier and more independent at home. It’s an extension of each member’s current care management efforts.

Smart Step aligns with value-based care goals, fills gaps in high-risk member engagement, and  delivers whole-person care. Early intervention is essential. But the greater opportunity is to build a sustainable, person-centered approach to aging that helps members maintain dignity and independence, eases the burden on caregivers, reduces strain on the system, and lowers health plan costs.

Featured Resources for Smart Step and Frailty Resilience

Explore these real-world insights and expert perspectives to understand how a proactive approach to frailty resilience delivers practical, measurable results.