Press Release

Analysis Shows Developmental Therapy for Autistic Members Costs One-Third of Comparable ABA Therapy, Slashing Payer Spending by More Than 60%

MCLEAN, Va.–(BUSINESS WIRE)–#Autism–A new, three-year analysis of autism therapy claims data by Positive Development, the leading provider of developmental therapy for autistic children and their families, shows that the companyโ€™s developmental therapy model costs 68% less, on average, per member per year, than the average cost of comparable Applied Behavior Analysis (ABA) therapy over the same period. Positive Developmentโ€™s analysis was conducted in partnership with one of its largest contracted payers, a regional, non-profit health plan in the mid-Atlantic.


Over the period covered by the data analyzed, the non-profit health insurerโ€™s ABA therapy costs increased at a compounding rate of 28% year-over-year, making it one of the fastest-growing conditions from a cost perspective. Positive Developmentโ€™s average annual per member cost over that same period was more than two-thirds lower, despite contracting at significantly higher hourly rates than comparable average ABA rates.

โ€œHealth plans are often hesitant to contract at higher rates, but they are essential for hiring qualified staff and making our lower intensity service offering financially sustainable,โ€ said Mike Suiters, Co-founder and CEO of Positive Development. โ€œThis data clearly shows that our therapy model is significantly more cost-effective than ABA when comparing annual per-capita cost, even at higher hourly rates.โ€

Suiters added, โ€œHaving an autism therapy option that costs two-thirds less is a win for payers looking for cost-effective solutions that deliver strong member outcomes and lower costs for all. It’s a win for families who have been requesting more care choices and needing more access to services. Positive Development is innovating in this space to create a value-based reimbursement model for our lower-intensity, lower cost, family-centered developmental therapy that we think will become the standard of care.”

โ€œWe couldnโ€™t ask for a better partner in advancing value-based autism care,โ€ said Chad Pomeroy, President of Positive Development. โ€œWith ABA costs growing at unsustainable rates, payers need evidence-based, cost-effective alternatives. This analysis demonstrates developmental relationship-based therapy is a compelling path forward.โ€

As commercial and Medicaid payers seek value-based care approaches to autism care, the findings highlight developmental therapy as a proven solution that supports families, improves outcomes and reduces utilization costs.

To learn more about Positive Developmentโ€™s affordable and transformative developmental therapy, please visit www.positivedevelopment.com or follow company updates on:

Instagram

Facebook

LinkedIn

About Positive Development

Since 2020, Positive Development has been on a mission to deliver developmental therapy to as many autistic children and families as possible. Positive Developmentโ€™s team represents dedicated parents, devoted family members, impassioned self-advocates and pioneering clinicians. Together, they have observed the transformative power of high-quality Developmental Relationship-Based Interventions (DRBI) therapy firsthand โ€“ personally, professionally and scientifically. As the largest provider of developmental therapy in the country, Positive Development is committed to broadening access to this life-changing approach while establishing best practices in clinical support. The companyโ€™s dedication to outcomes measurement and evaluation benefits all families served.

Contacts

Suzy Smith

PR Director, Positive Development

[email protected]

Author

Related Articles

Back to top button