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Self-Funded Industry Insights

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Learn about Nova's holistic approach to managing client health plan trend.

How Nova Helps You Find the Best Solutions for Your Benefits Challenges

We are more than a self-funded benefits provider. We are your partner in finding customized and cost-effective solutions for your health plan. Watch this video to learn how we collaborate with you to make it work.

 

Must Reads

Teamwork, tablet and planning with businesspeople in the office for research on employee benefit solutions. Collaboration, technology and brainstorming with a corporate team talking about strategy at work.

Find the Right Partner to Optimize Your Employee Health Benefits

Health care is about spending wisely and ensuring the most appropriate care. However, not all health benefits partners are created equal. There are some important considerations when looking for a TPA partner who will help you optimize your health plan. Learn more about the way we work with our clients.

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6 Questions to Ask in an RFP For Self-Funded Benefits

Your situation is unique - your health plan solution should be too. In a self-funded arrangement, employers can customize their plans to meet the specific health care needs of their employees. Of course, costs are important, but you want to go beyond getting a prospective partner’s rates; you want to identify a TPA that aligns with your organization’s goals and ensures the success of your self-funded health plan. Make the process work for you and be sure you're asking third-party administrators the right questions...we can help.

A man in casual clothes thinking.

Breaking Down Self-Funded Plans: Concerns, Realities, and Solutions

Employers face an ongoing challenge to provide comprehensive health care benefits for employees while managing costs. Traditional fully insured health plans have long been the standard, but an increasing number of employers are turning to self-funded health plans as a strategic solution to take greater control of their health care spend. With fully insured employee benefit plans, employers pay a predetermined premium for each enrollee on a monthly basis. Premiums remain flat whether or not enrollees actually receive services. With self-funded plans, an employer applies a pay-as-you-go approach, paying claims expenses as they are incurred by members on an established schedule. Self-funding your health plan can have many advantages, but there are factors to consider when making a change to a self-insured arrangement. Let us help break it down for you. Read on to learn about the concerns and realities of self-funded plans.

2024

The Language of Medical Insurance: A Guide to Empowering Your Health Care Choices

Sep 17, 2024

The Language of Medical Insurance: A Guide to Empowering Your Health Care Choices

Understand Your Health Care Spend in a Self-Funded Arrangement

Aug 5, 2024

Understand Your Health Care Spend in a Self-Funded Arrangement

Reference-Based Pricing for Employee Health Plans: 6 Advantages

Jul 25, 2024

Reference-Based Pricing for Employee Health Plans: 6 Advantages

Find a TPA Partner with Validated Results

Jun 10, 2024

Find a TPA Partner with Validated Results

Redefining Customer Service with Empathy and Excellence

May 14, 2024

Redefining Customer Service with Empathy and Excellence

May 9, 2024

Meet the Nova Team: Payton M.

Several of our nurses from our medical management area worked in labor and delivery (L&D) or post-partum care before they came to Nova. In celebration of National Nurses Week and Mother's Day, we're sharing their unique perspectives and insights.

May 8, 2024

Meet the Nova Team: Kim S.

In honor of National Nurses Week and Mother's Day, we are featuring the experiences and insights of several of our own nurses who have also worked in labor and delivery or post-partum care. Clinical reviewer Kim S. has worked as a nurse for 40 years.

May 7, 2024

Meet the Nova Team: Molly H.

Several of our nurses from our medical management area worked in mental health care before they came to Nova. In celebration of National Nurses Week and Mental Health Month, we're sharing their unique perspectives and insights.

May 7, 2024

Meet the Nova Team: Laura S.

In honor of National Nurses Week and Mother's Day, we are featuring the experiences and insights of several of our own nurses who have also worked in labor and delivery or post-partum care. Case manager Laura S. has worked as a nurse for 35 years.

Strategies to Manage Health Plan Risk

Apr 24, 2024

Strategies to Manage Health Plan Risk

Stop Loss Insurance: A Smart Solution for Self-Funding Success

Apr 3, 2024

Stop Loss Insurance: A Smart Solution for Self-Funding Success

Unlock Business Potential: Business Process Outsourcing through a Third-Party Administrator

Mar 14, 2024

Unlock Business Potential: Business Process Outsourcing through a Third-Party Administrator

Nova Among Best Companies to Work For in NY for Seventh Year

Feb 23, 2024

Nova Among Best Companies to Work For in NY for Seventh Year

Feb 16, 2024

Nova's Steward of the Year: Meet Nick Y.

Each February, one Nova associate is honored with our prestigious Steward of the Year award. This annual award recognizes an associate who has gone above and beyond to embody our core values, while contributing to the success of Nova.

What is the Difference Between a TPA and ASO?

Feb 12, 2024

What is the Difference Between a TPA and ASO?

Jan 26, 2024

Use Reimbursement Accounts to Maximize Employee Health Benefits

More employers recognize reimbursement accounts as a strategic component of their employee benefit programs.

The Advantages of Direct Primary Care for Self-Funded Health Plans

Jan 25, 2024

The Advantages of Direct Primary Care for Self-Funded Health Plans

Jan 24, 2024

Navigating the Self-Funded Health Plan Spectrum of Solutions for Employee Benefit Programs: A Guide for Employers

With numerous components to consider, it’s vital to clearly define your goals for your employee benefit plan.

Jan 22, 2024

Navigating Medical Network Options for Self-Insured Health Plans

Whether you prefer a traditional regional or national provider network or are looking for a more cutting-edge option like a complete network replacement, members deserve the right care, at the right time, in the right setting.

Jan 18, 2024

Boost Your Employee Health Benefits with a Self-Insured Plan

Traditional fully insured health plans have long been the standard, but an increasing number of employers are turning to self-funded health plans as a strategic solution to take greater control of their health care spend.

The Value of Level-Funded Health Insurance for Small Businesses

Jan 15, 2024

The Value of Level-Funded Health Insurance for Small Businesses

Learn What's Possible With Self-Funded Employee Benefits

Jan 12, 2024

Learn What's Possible With Self-Funded Employee Benefits

Jan 10, 2024

Find the Right Partner to Support Your Employee Health Benefits

Not all benefits administrators are created equal. There are some important considerations when looking for a TPA partner who will help you optimize your health plan.

Unlocking Employee Happiness and Productivity: The Value of a Lifestyle Spending Account (LSA) in Employee Benefit Plans

Jan 8, 2024

Unlocking Employee Happiness and Productivity: The Value of a Lifestyle Spending Account (LSA) in Employee Benefit Plans

Jan 2, 2024

RFP Questions to Identify the Ideal TPA Partner for Your Self-Funded Employee Health Plan

Selecting the right third-party administrator (TPA) partner can significantly impact the success of your self-funded plan.