Nomi Health

What Nomi Health does

Nomi Health is a direct healthcare company founded in 2019 and headquartered in Orem, Utah. The company operates an integrated three-product platform — Analytics (Artemis by Nomi Health), Financial Services, and Direct Network (Access) — that connects self-funded employers, healthcare providers, brokers, health plans, and government clients through direct provider contracts, transparent pricing, and modern payment infrastructure. The platform eliminates traditional insurance intermediaries by routing members to pre-negotiated providers at zero out-of-pocket cost, while processing $100B+ in annual healthcare spend across 2,500+ employer groups and 20M+ lives. The company gained initial prominence through COVID-19 testing and vaccination services before pivoting to its current direct-care model.

The underlying technology combines a real-time payment infrastructure that pays providers within 48 hours of approved invoices, the Artemis benefits analytics platform (with sub-tools including Console, Perspectives, and Ad Hoc Analytics), and a direct provider network covering lab work, imaging, surgery, physical therapy, and other services. Revenue is generated through a mix of transaction fees on direct healthcare contracting, subscription/recurring revenue from the Artemis analytics platform, and managed services for payment infrastructure serving TPAs, self-funded employers, and providers. Distribution occurs through enterprise field sales to self-funded employers, channel partnerships with brokers and consultants, and co-branded health system alliances (Henry Ford Health, Northside Health, Hillcrest HealthCare). Nomi Health is a privately held company backed by a $110M Series A led by Rose Park Advisors and Arbor Ventures (December 2021) and a 2025 strategic investment from Inspirit Equity (Gores Investment Legacy). The company divested its CerpassRx pharmacy benefits management division to LucyRx in 2025 to refocus on its core direct-care platform, and continues to pursue geographic expansion (notably Michigan), vertical expansion (behavioral health via TPN.health), and AI-enabled product development.

Name

Nomi Health

Legal name

Nomi Health, Inc.

Website

https://nomihealth.com

Company type

Private

Founded year

2019

Operating status

Operating

Headcount range

501–1,000 employees

Short description

Nomi Health is a direct healthcare company operating a three-product platform — Artemis Analytics, Financial Services, and Direct Network — that connects self-funded employers with providers through direct contracting, transparent pricing, and 48-hour payment infrastructure, serving 2,500+ employer groups nationwide.

Ownership category

akta.pro rank

Product category

Direct Healthcare Platform

NAICS

Direct Health and Medical Insurance Carriers (524114), Computing Infrastructure Providers, Data Processing, Web Hosting, and Related Services (518)

SIC

Hospital & Medical Service Plans (6324), Services-Health Services (8000)

akta.pro primary industry

Self-Funded (ASO) Group Health Plans & Stop-Loss (FSAIAFAB)

akta.pro secondary industry

Payer-Provider Data Exchange (X12, prior auth, claims/clinical attachment) (HLACABAK)

Keywords

• Direct healthcare contracting
• Self-funded employer benefits
• Healthcare payments infrastructure
• Benefits analytics platform
• Pharmacy benefits management

Headquarters

HQ city

Orem

HQ country

United States

HQ region

North America

Offices2 records

Markets served

GTM type

B2B

Offering type

Software

Cost components

Personnel, Marketing or Sales, Technology or R&D, Operations, Infrastructure

Revenue model

1. Direct Healthcare Contracting: Revenue generated through direct contracting with self-funded employers, health plans, and government clients. Company processes healthcare spend and manages provider relationships, with savings passed to employers and patients through zero out-of-pocket care options.
2. Analytics Platform (Artemis): Benefits analytics platform serving employers, advisors, and health plans with data insights on healthcare costs and utilization patterns.
3. Healthcare Financial Services: Payment infrastructure services for TPAs, self-funded employers, and providers with electronic payment processing and claims management.

Pricing tiers

Go-to-market motion2 records

Distribution channels5 records

Marketing channels7 records

Core offering

Nomi Health operates a direct healthcare operating system that connects payments, analytics, and direct provider access for self-funded employers. The platform combines three products — Artemis Analytics, Healthcare Financial Services, and the Direct Network — to deliver up to 30% healthcare cost reduction through pre-negotiated provider contracts, $0 out-of-pocket member care, and 48-hour provider payments. It also offers Pharmacy Solutions for additional prescription cost savings.

Product overview

Nomi Health operates as a direct healthcare platform with a three-product architecture: Analytics (Artemis), Financial Services, and Direct Network (Access). The platform connects self-funded employers, providers, and members through direct contracts and transparent pricing to eliminate intermediary costs. Artemis provides benefits analytics, Financial Services handles payments with 48-hour provider reimbursement, and Direct Network enables $0 out-of-pocket care access. Additional offerings include Pharmacy Solutions, the Trends in Spend research series, and the Healthcare Rebuilt Podcast.

Differentiator

Problem solved

Functional benefit

Brands

• Artemis by Nomi Health: Analytics platform that delivers real-time insights to uncover cost drivers, optimize performance, and design smarter, data-backed benefit strategies.
• Nomi Health Foundation

Products and services

• Analytics (Artemis by Nomi Health) An industry-leading benefits analytics platform that delivers real-time insights to uncover cost drivers, optimize performance, and design smarter, data-backed benefit strategies. Used by 3,000+ employers, advisors, and health plans.
• Healthcare Financial Services A modern payment infrastructure built for healthcare, offering real-time transactions, electronic payments, and billing/claims decisioning. Pays providers within 48 hours and eliminates paper check payments.
• Direct Network (Access) Direct provider contracts at market-leading rates where members pay $0 out-of-pocket while employers gain real savings. Covers lab work, imaging, surgery, physical therapy, gastroenterology, virtual care, and more nationwide.
• Pharmacy Solutions Pharmacy benefits management solution that saves up to 85% on prescriptions through alternative pharmacy programs including mail-order, discount cards, and PBM services.

Quantifiable outcome

• Up to 30% healthcare cost reduction through direct model
• +4 more outcomes

Named customers5 records

Segments6 records

Ideal customer profiles5 records

Technology focussed Yes

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Integration3 records

AI capability1 record

Feature4 records

Partnerships

13 partnerships are on record, tiered strategic, minor and core.

• TPN.healthstrategicStrategic or Co-development Partner · 16 June 2026Partnership to bring behavioral health care to employers nationwide through Nomi Health's direct network.
• Reflect HealthminorStrategic or Co-development Partner · 20 March 2026Reflect Health selected Nomi Health as new payments platform to improve provider experience.
• Northside HealthstrategicStrategic or Co-development Partner · 5 January 2026Partnership to make employer health coverage more accessible, affordable, and local through direct contracting.
• Henry Ford HealthcoreStrategic or Co-development Partner · 17 November 2025Partnership to provide $0 out-of-pocket healthcare for employees and families in Michigan through direct contracting model. Collaboration aims to streamline access and payments, starting with about 40 employers and 10,000 workers, with plans to expand across other regions.
• Hillcrest HealthCare SystemstrategicStrategic or Co-development Partner · 26 August 2025Hillcrest joins Nomi Health's Direct Network giving Tulsa employers direct access with $0 out-of-pocket plan design.
• LucyRxminorStrategic or Co-development Partner · 31 July 2025LucyRx acquiring CerpassRx, a division of Nomi Health, expected to close Q3 2025. Combination to form national PBM platform focused on transparency and efficiency.
• Unite UsstrategicTechnology or Integration · 23 July 2025Strategic partnership combining Unite Us' billing and reimbursement functionality with Nomi Health's payment infrastructure to streamline financial flows for community-based organizations serving Medicaid healthcare payers.
• I Am WellnessminorStrategic or Co-development Partner · 17 May 2023Acquisition of Phoenix-based clinic I Am Wellness to expand access to opioid use disorder (OUD) and substance use disorder (SUD) treatments, focusing on underserved populations in Arizona.
• Artemis HealthminorStrategic or Co-development PartnerPortfolio company/partnership referenced in investor quote; Melissa Guzy stated 'Arbor invested in Nomi Health because it solves one of the largest problems facing the U.S. healthcare system.'
• Tava HealthminorStrategic or Co-development PartnerMental health partnership providing sponsored mental healthcare for thousands of frontline care workers in six states.
• RIP Medical DebtminorStrategic or Co-development PartnerPartnership to pay off medical debt; paid off medical debt for 176,000 Americans through Nomi Health Charitable Foundation.
• Special OlympicsminorStrategic or Co-development PartnerProud sponsor of Special Olympics in Nebraska and Florida as part of corporate social responsibility initiatives.
• CivicaminorStrategic or Co-development PartnerPledged partnership to address the crisis of skyrocketing insulin costs for Americans through the Nomi Health Charitable Foundation.

Scale indicators10 records

Recent moves6 records

Expansion highlights2 records

Direct peers

• Centivo: Direct primary care and health plan platform purpose-built for self-funded employers. Competes head-to-head with Nomi Health on the same buyer (self-funded employer) and the same direct-contracting value proposition.
• Collective Health: Technology-driven health benefits platform serving self-funded employers with integrated plan administration, navigation, and analytics. Directly overlaps Nomi's employer benefits stack and competes for the same customer segment.
• Carrum Health: Bundled-payment marketplace for self-funded employers covering surgery, imaging, and cancer care. Competes with Nomi's Direct Network on the same direct-contracting and bundled-procedure model.
• Transcarent: Health and care experience platform for self-funded employers offering transparent pricing, virtual care, and provider navigation. Overlaps with Nomi's direct-care and analytics offerings for employer clients.
• Accolade: Personalized advocacy, navigation, and virtual care platform sold to self-funded employers and health plans. Competes with Nomi in employer benefits decision-making and member experience.
• Rightway Health: Healthcare navigation and benefits platform sold to employers and payers. Competes with Nomi's analytics and member-experience components for self-funded employer budgets.

Emerging players

• Sedera Health: Medical cost-sharing community positioned for self-funded employers and individuals seeking alternatives to traditional insurance. Adjacent to Nomi's direct-contracting and self-funded employer model.
• Hinge Health: Digital musculoskeletal care platform sold to employers and health plans. Overlaps with Nomi's direct network and employer channel through its employer benefits distribution.
• Sword Health: Digital MSK and pelvic-health therapy platform sold to self-funded employers and health plans. Competes for the same employer benefits wallet through digital care and outcome-based pricing.

Broad incumbents

• Alight Solutions: Large benefits administration and cloud-based HR platform serving employers, including self-funded plan administration. Acts as both a potential partner and broad incumbent competitor to Nomi's employer benefits stack.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat5 records

Key risks6 records

Key highlights7 records

Customer concentration

• Xx.com/nomihealth
• Facebookfacebook.com/Nomi-Health-106470774923973
• LinkedInlinkedin.com/company/nomi-health
• Instagraminstagram.com/nomihealthofficial

Compliance3 records

Revenue estimate

Valuation estimate

Number of profiles

Profiles7 records

Subsidiaries1 record

Funding overview

Funding rounds4 records

Investors6 records

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A4 records

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about Nomi Health