Case Study: a global life sciences and diagnostics leader reduces autism-related mental health costs with Artemis Health

a global life sciences and diagnostics leader uncovers $4M in autism care costs with Artemis Health

The customer, a global life sciences and diagnostics leader, was facing rising mental health costs without a corresponding increase in diagnosis rates. They engaged Artemis Health, which uses data analytics to monitor population health trends, to uncover the silent driver behind this financial challenge.

Artemis Health analyzed the data and discovered that a small group of members with autism spectrum disorder, particularly those utilizing out-of-network Applied Behavior Analysis (ABA) therapy, were responsible for the majority of the cost increase. The solution involved negotiating to bring the high-volume ABA provider in-network, auditing out-of-network exposure, and enhancing support for affected families. This data-driven approach led to early progress, including downward trends in out-of-network utilization and improved access for members, putting the client on a path to better cost management and member support.