ArtiMed Inc.
Pioneering AI-enabled end-to-end benefits navigation SaaS solutions for healthcare and social needs
Overview
ArtiMed Inc. is a Baltimore-based health insurance analytics company that provides AI-powered benefits navigation and risk stratification SaaS solutions for health plans, providers, and pharmaceutical companies. The company's Insights Platform uses artificial intelligence trained on large-scale proprietary datasets to identify high-cost members with critical social support needs, connect them with appropriate benefits and care resources, and reduce overall healthcare costs.
ArtiMed's solutions address the intersection of health coverage gaps and social determinants of health, with a particular focus on members with complex post-COVID conditions, disabilities, and Medicaid eligibility. The platform delivers actionable insights to payers, enabling targeted interventions that simultaneously improve member outcomes and generate cost savings -- a model the company describes as a "win-for-all" for patients, providers, payers, and pharma.
The leadership team brings alumni credentials from Johns Hopkins, Harvard, and the University of Michigan, with prior experience launching risk stratification software tools covering over 200 million lives across 30+ countries and providing healthcare services to tens of millions of patients nationally. ArtiMed has participated in the Mayo Clinic Platform_Accelerate program and has been recognized on Renaissance Venture Capital's 2025 Startup Hotlist.
Products & Services
Disability Insights
Identifies members with disabilities who are eligible for Social Security Disability Insurance (SSDI), Supplemental Security Income (SSI), or other government benefits. Facilitates enrollment in those benefits, resulting in significant cost offsets for payers and improved support for eligible members.
Key Features
- AI-driven disability eligibility identification
- SSDI/SSI enrollment facilitation
- Cost savings through benefit coordination
Target Users: Health plans, Medicaid managed care organizations, self-funded employers
Medicare Insights
Ensures proper coordination of benefits with Medicare. Accurately determines Medicare primacy to recover past erroneous payments and prevent future overpayments.
Key Features
- Medicare primacy determination
- Coordination of benefits optimization
- Recovery of past erroneous payments
Target Users: Commercial health plans with dual-eligible populations
Post-COVID Insights
Identifies members at risk for post-COVID conditions and directs them to specialized care resources or existing care management programs. Addresses root causes of rising utilization associated with long COVID.
Key Features
- Post-COVID risk scoring
- Long COVID population identification
- Care pathway optimization and referrals
Target Users: Health plans, health systems
Social Support Insights
Identifies members with critical unmet social support needs (housing instability, transportation barriers, food insecurity) and connects them with community resources. Improves health outcomes and quality measures.
Key Features
- Social determinants of health (SDOH) screening
- Resource navigation and referral
- Quality and HEDIS measure improvement
Target Users: Health plans, health systems
Medicaid Insights
Identifies Medicaid and dual-eligible members in a payer's population and supports appropriate coverage enrollment. Provides actionable, tailored interventions for Medicaid member needs.
Key Features
- Medicaid eligibility identification
- Dual-eligible member support
- Medicaid capitation revenue optimization (SSI-based)
Target Users: Medicaid managed care plans, commercial insurers with Medicaid lines
Cost Ballooner Insights
Identifies members whose healthcare utilization is projected to dramatically increase in the next year, enabling targeted preemptive intervention.
Key Features
- Predictive cost trajectory modeling
- Rising-risk member identification
- Intervention prioritization
Target Users: Health plans, self-funded employers, TPAs
At a Glance
- Founded
- 2021
- Headquarters
- Baltimore, MD, USA
- Employees
- 11-50
- Funding
- Seed
Category & Focus
- Category
- Data & Analytics
- Subcategories
- Risk stratification Benefits navigation Population health management Social determinants of health
- Insurance Verticals
- Health Group Benefits
- Target Customers
- Carriers, Employers, TPAs
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Last updated: 2026-04-09