One platform for lower costs and healthier people
Nemus Insights connects claims data, advanced analytics, and an Agentic AI Health Advocate into a single, integrated platform—giving employers the visibility to control costs and giving employees the guidance to stay healthy.
Analytics & ROI
Understand what happened, discover why, predict what's next, and act on evidence-backed recommendations—so you can take control of a self-funded plan instead of guessing.
Claims analytics dashboards
See total plan spend, medical and pharmacy trends, high-cost claimants, and chronic-condition patterns across your population—all in one place, updated as new claims arrive.
Root-cause analytics
Go beyond what the TPA reports. Machine-learning models pinpoint the true drivers behind rising costs, isolate wasteful or duplicative spend, and surface risk factors before they escalate.
Predictive cost forecasting
Forward-looking models project future claims, anticipate rising risk, and let you run scenarios—so you can budget with confidence and plan smarter interventions instead of reacting.
Cost center analytics
Break spend down by cost center to see exactly where dollars go and why. Assign and review claims, tune the categories, and target the areas with the biggest savings opportunity.
AI-generated recommendations
Every insight comes with an evidence-backed next step—whether that's a benefit-design change, care-navigation opportunity, or targeted outreach—so analysis turns into action.
Secure claims ingestion
Connect self-funded plan and claims feeds through secure, automated ingestion. Nemus normalizes the data so your dashboards and models stay current without manual spreadsheet wrangling.
A concierge-level experience, at scale
Agentic AI that doesn't just analyze data—it works for your employees, helping them make better health decisions with less friction and without driving up plan costs.
Agentic AI Health Advocate
A personal AI advocate employees can ask about their claims, coverage, and options—explaining benefits in plain language and guiding them to better, lower-cost care with less friction.
Personalized health recommendations
Screenings employees qualify for, next-best actions, and care pathways tailored to each person's needs—delivered proactively rather than buried in a benefits packet.
Lower-cost prescription alternatives
Smarter medication options that reduce pharmacy spending without sacrificing outcomes—so employees keep more in their pocket and the plan spends less.
Alternatives & second opinions
Curated access to alternative therapies and second opinions, empowering employees to explore the best options—like considering physical therapy before a high-cost surgery.
Cost transparency
Employees can see their own costs and how much of the company's self-funded plan is used—helping them make informed decisions that keep costs down and premiums low for everyone.
Timely nudges & guidance
Proactive communication that supports better decisions at every health moment—reminders for due screenings, program milestones, and next steps, right when they matter.
Prevention as easy as taking a selfie
In under 60 seconds, a single face scan gives employees instant insight into blood pressure, heart rate, stress, oxygen, and early markers of chronic conditions—no clinic, no needles, no waiting. It's the kind of preventive benefit employees actually use.
Explore VitalScanTurn benefits into healthier behavior
Build, offer, and measure high-value programs that reward healthy choices and connect employees to the right care—keeping people healthier and costs lower.
Fitness & activity rewards
Offer gym-membership reimbursement and activity-tracker incentives. Employees who share their wearable data on the platform earn rewards while feeding healthier engagement signals back into the plan.
Protocol-based programs
Design connected protocols—for example, GLP-1 coverage that's paired with gym participation and a nutritionist visit—so high-cost therapies come with the support that makes them work.
Chronic condition management
Stand up programs like diabetes and hypertension management, and connect at-risk employees to them early—before conditions escalate into avoidable claims.
Enrollment & impact analytics
Track enrollment, participation, and compliance for every program, then measure how engagement affects claims—so you can double down on what actually moves cost and health.
Built for HIPAA-era privacy
Health data is handled with security and privacy at the core. The employee-facing advocate operates under HIPAA-aligned safeguards, so people can ask real questions about their own claims and coverage with confidence.
Isolated research agent mode
A separate research agent answers general medical and benefits questions without access to protected health information—giving employees and teams a safe way to explore options while keeping sensitive data walled off.
See the platform in action
We'll walk you through the analytics, the employee experience, and the programs— tailored to your plan.
Schedule your personalized demo