Artemis Health

Actionable benefits analytics workflows for self-funded plan sponsors and advisors
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Open Artemis Health, connect your claims feeds, and start acting on the story your benefits data tells. In a few clicks, pull medical, pharmacy, eligibility, and wellness data into curated dashboards aligned to your goals—cut trend, improve access, or tighten vendor performance. Build cohorts by condition, site of care, region, or provider, and trace full episodes across inpatient stays, outpatient visits, and Rx fills. Set alerts for anomalies like sudden specialty drug spikes or readmission clusters so you can intervene fast. When an exec asks, “Why did costs rise this quarter?” you can answer with breakdowns by unit price, utilization, mix, and site of service—plus the playbook to fix it.

Use the platform as your vendor command center. Start with a baseline: compare network leakage, steerage to high-value facilities, and avoidable ER patterns. Score current point solutions on engagement, clinical outcomes, and cost per engaged member, then model alternatives side by side. Test plan design changes—prior auth, reference-based pricing, COE bundles—and forecast savings and member impact before you move. For pharmacy, segment by therapeutic class, specialty, and biosimilar substitution; flag low-value drugs and missed rebates; and export a negotiation brief for your PBM. When it’s time for an RFP, generate pre-filled scorecards, attach member impact projections, and publish a timeline so stakeholders can review asynchronously. more

Review Summary

Features

  • Claims and eligibility ingestion with automated normalization
  • Pharmacy (Rx) integration and formulary analytics
  • Cohort builder and episode analytics (inpatient/outpatient)
  • Vendor scorecards and performance dashboards
  • Cost modeling and plan design scenario testing
  • Predictive risk and high-cost claimant identification
  • Care gap detection and quality measure tracking
  • ROI calculator for point solutions
  • Social determinants and geography overlays
  • Custom alerts and anomaly detection
  • In-Patient Management
  • Out-Patient Management
  • Accounting Management
  • Inventory Control
  • Billing and Invoicing
  • Role-based access, exports, and API

How It’s Used

  • Prepare a quarterly executive review with trend drivers and prioritized savings actions
  • Build an RFP comparison for diabetes and MSK vendors with ROI and member impact
  • Flag specialty drug spend spikes, model biosimilar adoption, and brief the PBM
  • Identify members at risk of avoidable admissions and route to care management
  • Model reference-based pricing vs PPO adjustments and forecast savings
  • Track cancer care pathways, expedite navigation, and measure time-to-treatment
  • Audit TPA adjudication, recover overpayments, and validate invoices
  • Draft open enrollment guides and FAQs using real utilization insights
  • Forecast stop-loss attachment point hits and budget variance
  • Launch a COE steerage campaign and measure shift in site-of-care

Plans & Pricing

Artemis Health

Custom

Standard Reports
Book of Business Reporting
Data Enrichments
Made for Benefits
Fast and Flexible Reporting
Tech-enabled Services
Built in the U.S.
A Holistic View

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