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The investigation began in 2023 when Mass Eye and Ear neuro-ophthalmologists noticed that three patients in their practice had been diagnosed with the relatively uncommon disease in just one week.

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The line chart shows us that from 2020 onward, the unit cost trend for behavioral health spiked to 2023 from about $100 to $125m and that behavioral health claims as a percent of all medical claims more than doubled between 2018 to the third quarter of 2023