The intelligence layer for healthcare decisions
Healthcare Intelligence Platform
The intelligence layer for healthcare decisions
From clinical policy to contract terms to market data — NOF1 gives payers, providers, and investors the intelligence they need to move with confidence.
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20K+
Clinical Policies
40+
Payers Covered
476
ACOs Tracked
100+
Contract Term Types
Policy Intelligence Platform
Search and compare 20K+ payer policies in seconds
The most comprehensive database of clinical, reimbursement, and prior auth policies across 40+ payers — with AI that understands what the policies actually mean.
- Side-by-side policy comparison across payers
- AI-powered medical necessity analysis
- Daily policy updates across all payers Explore Policy Intelligence
- AI extracts FFS rates, MLR, VBC, and quality terms
- Compare terms across all your provider contracts
- Prioritized renegotiation opportunities with dollar impact Explore Contract Analytics
- 40+ healthcare tickers across payers, providers, pharma
- Medicare enrollment, Stars ratings, and CMS notices
- 476 ACOs tracked with savings and quality data
- 20K+ clinical policies with medical necessity criteria
- Prior auth status by clinical service and procedure
- Formulary lookup by NDC with tier, copay, and step therapy
- Payer enrollment and ACO performance data
app.nofone.io / policy-explorer
Actemra tocilizumab
Payers
United Healthcare
Aetna
Cigna
Blue Cross
Humana
Policies20K+
Last sync2 min ago
Actemra® (Tocilizumab) Intravenous Infusion
United Healthcare · Prior Authorization
AI Analysis
Coverage Status
Potentially medically necessary
Medical Necessity Criteria
0/5 verified
Diagnosis of polyarticular juvenile idiopathic arthritis (PJIA)
Dosed according to FDA labeled dosing for PJIA
Not receiving Actemra with a targeted immunomodulator
Prescribed by or in consultation with a rheumatologist
Initial authorization is for no more than 12 months
15,847 similar cases analyzed98.7% confidence
Contract Analytics
Know what's in every provider contract. Negotiate from strength.
As a payer, upload your provider contracts and get structured extraction of FFS rates, MLR thresholds, VBC terms, and quality gates — then compare across your provider book to see where terms are inconsistent or off-market.
cigna-2024-commercial.pdf✓ Complete
Contract Document
Base reimbursement at 118% of Medicare for Schedule A services...
MLR threshold of 85% for all commercial lines...
Quality bonus requires HEDIS ≥ 87th percentile annually...
Risk corridor triggers at ±3% variance from target MCR...
Risk adjustment follows HCC v28 as published by CMS...
Extracted Terms
FFS Rate
118% Medicare
Reimbursement
MLR Threshold
85% Commercial
Value-Based
Quality Threshold
87th pct HEDIS
Quality
Risk Corridor
±3% variance
Risk
Risk Adjustment
HCC v28 basis
Risk
✓ 3 negotiation opportunities
Est. value: +$3.33M annually
Healthcare Terminal
Bloomberg for healthcare operators and investors
Live equity data, Medicare Stars ratings, ACO performance, drug pipelines, and SEC filings — all in a single keyboard-driven terminal designed for the healthcare industry.
NOF1 · Healthcare Terminal\` for commands
Payers
UNH
UnitedHealth
+1.24%
CVS
CVS Health
\-0.83%
ELV
Elevance
+0.56%
HUM
Humana
\-2.11%
Providers
HCA
HCA Healthcare
+1.77%
LLY
Eli Lilly
+3.42%
UNHUnitedHealth Group
$492.30+1.24%
1D1M6M1Y
Mar 14 — CMS 2026 MA Rate Announcement
Latest News
09:32CMS
2026 MA final rate notice: +5.06% benchmark increase
09:18Earnings
UNH Q1: medical cost ratio expected at 85.2–85.8%
08:55Policy
CMS finalizes prior auth rule for MA plans — Jan 2026
08:41M&A
Humana explores strategic alternatives amid pressure
API Product
Every healthcare dataset your platform needs, one API
A single REST API covering clinical policies, prior auth status, formulary data by NDC, payer enrollment, and ACO performance — all queryable in milliseconds.
REST API · v1
Endpoints
GET/v1/policies/criteria
GET/v1/prior-auth/status
GET/v1/formulary/lookup
GET/v1/enrollment/payer
GET/v1/aco/performance
Request
GET /v1/formulary/lookup
ndc: "00069-0152-11"
payer\_id: "AETNA"
Response
{
"drug\_name": "Eliquis 5mg",
"tier": 3,
"prior\_auth": false,
"step\_therapy": true,
"copay": "$45"
}
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