At Nova, we take great pride in serving as cost stewards for our clients and as care navigators for their members. Our clients are at the center of everything we do, every decision we make, and every option we consider. A great benefit plan starts with expert support. Nova strives to exceed our clients’ expectations and create a positive member experience. Our unique, customized solutions include:
Nova is not another third party administrator. We work to build partnerships with brokers and clients because we’re all on the same team. We share the same goals - to provide a strong benefit offering and apply cost management strategies to take control of medical spend.
Our comprehensive self-funded and level funded plan administration solutions include:
- Integrated Medical Management Programs
A holistic approach to trend management includes a thoughtful medical management program. Nova’s integrated medical management programs are customized to the health and wellness needs of employers and their members, designed to drive measurable improvements that help to mitigate year-after-year trend. How? By combining multiple information sources into a proactive approach to care, Nova is able to develop risk profiles unique to each participant and deploy the appropriate services to manage their health. Plus, our broad array of connected associates focused on our clients’ business helps us view their account from a variety of perspectives.
Nova’s medical management program includes the following services based on the needs of each unique plan sponsor:
- Utilization Management
- Case Management
- Chronic Condition Management
- Wellness Programs
Learn our formula for success in medical management.
- Network Partnerships
Nova’s network partnerships with best-in-class preferred provider organizations (PPOs) provide the right access at great rates. Nova’s network solutions analyst recommends the best network strategy for any organization—no matter where your members are. We work with employers to help cultivate in-network savings by making it easy to find convenient participating providers. Check out our list of network partners.
Additionally, Nova supports clients with Reference Based Pricing arrangements. From narrow network arrangements to customized partnerships with vendors, Nova works with each client and their partners to support member education and steerage to optimize plan utilization.
- PBM Partnerships
Nova has select PMB partnerships and the flexibility to work with the vendor of your choice.
- Stop-Loss Management and Administration
As a health plan steward, Nova works with some of the industry’s leading stop-loss providers to offer underwriting services. Nova manages reporting for specific and aggregate stop-loss policies, including filing claims for reimbursement or advance funding, when applicable. Nova also offers the flexibility to serve as the stop-loss broker of record or provide reporting to the stop-loss broker of record designated. Check out the list of our preferred partners.
- Comprehensive Reporting & Analytics
Nova understands the importance of providing transparent, actionable health care data. Backed by a team of analysts and clinicians, Nova’s reporting explains not only the reason behind cost drivers, but also how to control those drivers for the long-term. This transparent, comprehensive approach enables employers to make informed decisions and maximize savings. Learn about Nova’s approach to trend management.
With an experienced team of skilled clinical professionals, Nova has the flexibility to private-label your HMO, ACO, or Medical Management services. Nova recognizes the potential challenges clients face when outsourcing to multiple vendors. To alleviate these issues, Nova focuses on building a partnership with our clients to work collaboratively with partners across the spectrum of services to maximize client and member satisfaction and plan success.
- Back Office Medical Management
- Back Office Claims Administration
- Care Navigation
Nova’s Care Navigation program was created to provide members with high-touch assistance for care-related issues; access to a human who will listen, understand, and assist. This program focuses on building relationships, not just completing a call.
- Comprehensive Reporting & Analytics
Nova understands the importance of providing transparent, actionable health care data. Backed by a team of analysts and clinicians, Nova’s reporting explains not only the reason behind cost drivers, but also how to control those drivers for the long-term. This transparent, comprehensive approach enables employers to make informed decisions and maximize savings.
Nova understands one of the keys to employee recruitment and retention is to offer a strong benefit package. To meet our client’s needs Nova offers value added benefits to round out your offerings.
- Health Reimbursement Account (HRA)
- Health Savings Account (HSA)
- Flexible Spending Account (FSA)
To learn more about Nova’s reimbursement account administration.
- Dental (self-funded)
- Vision (self-funded and fully insured)