Direct contract intelligence
Direct contracting is how employers are taking back control of healthcare costs. We track every deal, explain every concept, and publish the data that makes it possible.
Free newsletter
Every Friday, the deals that got signed, the contracts that got published, and what it means for employers cutting out the middleman.
Latest intelligence
Nara Health raised $14 million to scale an AI-native TPA designed around alternative employer health plans, including direct provider contracts, cash-pay arrangements, reference-based pricing and direct primary care.
Read the analysisA new health-plan replacement cycle could create an overlooked consequence: challenger plans need differentiated provider economics, making direct relationships more strategically valuable.
Read the analysisTargeted health literacy programs reduce emergency room utilization measurably—here's which communication investments deliver ROI for self-insured plans.
Read the analysisWhat is direct contracting?
In plain English, direct contracting means a self-insured employer negotiates rates and care pathways directly with a health system, physician group, surgery center, or platform instead of outsourcing every pricing decision to an insurance carrier. The employer gets cleaner economics, the provider gets a clearer reimbursement arrangement, and employees get a narrower but more intentional network. The upside is lower unit cost, faster payment, and stronger steerage. The tradeoff is that someone has to actually manage the contract, the navigation, and the quality controls.
Learn more →The Direct Contract Tracker
The public market still treats most direct contracts like anecdotes. We’re building a living database instead, with deal terms, employer context, and what the arrangement actually changes.
Tracked deals in the live database
Largest member base in tracker
Best public PMPM reduction cited
M&M Cartage · United States
Archer Health publicly identifies this organization among employers served by its onsite primary-care model for self-funded employers. Exact start date, population, pricing, and employer-specific outcomes were not disclosed on the source page.
Mimeo.com · United States
Archer Health publicly identifies this organization among employers served by its onsite primary-care model for self-funded employers. Exact start date, population, pricing, and employer-specific outcomes were not disclosed on the source page.
TCT Financial · United States
Archer Health publicly identifies this organization among employers served by its onsite primary-care model for self-funded employers. Exact start date, population, pricing, and employer-specific outcomes were not disclosed on the source page.
Stay ahead of the market
No corporate filler. Just the contracts, economics, and operating signals worth your time.