What We Do

At Noveta Health, we transform the way employers purchase healthcare. Our transparent, data-driven approach delivers measurable savings, improves benefit outcomes, and provides the insight and control needed to build a sustainable long-term healthcare strategy.
Our proven solutions can lower your company's health care and pharmacy costs by up to 35%.

No matter how your health plan is funded—fully insured, level-funded, or self-funded—Noveta Health helps employers control healthcare costs by strategically managing the three primary cost drivers:

Administrative Services

A Transparent Fee-Based Model

 

Noveta Health operates on a simple, transparent fee-based model. Rather than earning compensation based on insurance premiums, we charge a fixed Per Employee Per Month (PEPM) management fee. This approach eliminates hidden revenue streams and ensures our success is aligned with our clients’ goal of reducing healthcare costs.

 

Employers pay a predictable management fee and fund employee healthcare claims only as they are incurred. The result is greater transparency, accountability, and control over healthcare spending—allowing organizations to make informed decisions and invest their healthcare dollars more strategically.

Medical Claims

How Noveta Health Controls Medical Claims:
 
Claims Analytics
Use claims data to identify high-cost conditions, utilization trends, and emerging risks.
 
High-Cost Claims Management
Identify complex cases early and coordinate clinical support to reduce unnecessary expenses.
 
Chronic Condition Management
Support employees with chronic conditions to reduce complications and hospitalizations.
 
Care Navigation
Guide employees to the most appropriate and cost-effective care settings.
 
Preventive Care and Wellness
Promote screenings, annual exams, vaccinations, and wellness programs.
 
Behavioral Health Support
Expand access to mental health resources and employee assistance programs.
 
Claims Adjudication Ensure claims are processed accurately by auditing payments, validating eligibility, applying negotiated discounts, identifying billing errors, and preventing duplicate or inappropriate payments.
 

Pharmacy Services

Our transparent Pharmacy Benefit Manager (PBM) solution is designed to deliver significant savings by eliminating hidden fees and conflicts of interest.

 

Unlike traditional PBMs, our pass-through model ensures that clients pay the exact amount paid to the pharmacy, plus one transparent administrative fee. In addition, 100% of manufacturer rebates, discounts, and pharmacy incentives are returned directly to our clients—not retained by the PBM.

 

We also provide strategic sourcing for specialty and other high-cost medications, enabling our clients to access these therapies at significantly lower costs than traditional retail pricing. By proactively managing pharmacy spend, we help employers reduce healthcare costs while ensuring employees continue to receive the medications they need.

Employee Engagement: “The Noveta Difference”

Noveta Health collaborates with your HR Department to offer our enrollment teams for in-person or virtual enrollment assistance.

We ensure that employees thoroughly comprehend their benefit options, facilitating informed healthcare choices.

  • Noveta Health helps employers PURCHASE healthcare—Not just buy insurance.
  • We are redefining pharmacy benefits through greater transparency, accountability, and measurable savings, returning 100% of RX Rebates to our clients and helping employers make more informed decisions about their healthcare spend.
  • Noveta Health provides clients with our industry-leading benefits enrollment platform at no additional cost. Our platform integrates seamlessly with all major insurance carriers, streamlining enrollment, improving data accuracy, reducing administrative burden, and enhancing the employee enrollment experience.
  • Our transparent approach identifies cost inefficiencies, improves visibility, and helps employers take control of one of top three spend category: Healthcare.