Nemus Insights empowers employers with self-funded health plans to take control of healthcare spending through comprehensive, AI-driven analytics, paired with a seamless, personalized and truly differentiating employee experience.

Understand Your Claims: Complete Transparency, Zero Guesswork

Too many employers are flying blind when it comes to their healthcare costs. Nemus delivers instant clarity.

We transform complex claims data into intuitive dashboards and visualizations that reveal:

• Where your money is going – Break down costs by service type, provider, geography, and member risk level

• Utilization trends – Track ER visits, inpatient stays, specialist use, and more across your population

• Plan performance over time – See how costs are evolving year-over-year or quarter-by-quarter

• Benchmarking against peers – Understand how your plan compares to similar employer populations

Result: You get the power to understand your plan's actual performance—not just what the TPA tells you.

Discover Why It Happened: Root-Cause Analytics That Expose Hidden Drivers

Seeing the numbers is only the beginning. Nemus uses advanced AI to uncover the why behind high-cost claims and emerging risks.

Our tools help you:

• Identify cost drivers – Drill into chronic conditions, high-cost procedures, or over-utilization

• Segment your population – Understand demographics, comorbidities, care patterns, and social determinants of health

• Spot trends early – Catch rising-risk individuals or groups before they become catastrophic claims

• Isolate wasteful spend – Find unnecessary procedures, duplicative services, or inefficient provider networks

Result: You no longer have to rely on generic cost-control measures. You’ll know exactly where to focus.

Predict What’s Next: Anticipate Risk Before It Becomes Reality

Nemus predictive modeling goes beyond historical analysis to show you where your healthcare spend is headed.

Using machine learning trained on massive healthcare datasets, we:

• Forecast future high-cost claimants – Identify individuals likely to drive large claims based on real-time patterns

• Predict population health shifts – Spot increases in chronic conditions, mental health needs, or gaps in preventive care

• Estimate ROI of interventions – Simulate how changes in benefit design or care navigation will affect outcomes

• Alert you in real time – Automated signals when risk thresholds are crossed or cost trends accelerate

Result: You move from reactive management to proactive cost containment.

Act on Smart Insights: AI That Turns Strategy Into Savings

The real power of Nemus lies in what comes next. We don’t just give you reports—we guide your next move with precision.

Our platform delivers:

• AI-generated recommendations – Targeted actions to reduce claims, improve health, and optimize utilization

• Benefit design insights – Suggest plan tweaks that incentivize better choices and reduce waste

• Population health strategies – Identify subgroups that benefit from proactive outreach or care coordination

• Workflow integration – Export recommendations directly into your care management, HR, or benefit teams’ workflows

Result: You make smarter decisions—faster—and with full confidence they’re grounded in data and ROI.