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.
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Every Friday, the deals that got signed, the contracts that got published, and what it means for employers cutting out the middleman.
Latest intelligence
A strategic approach to presenting plan changes, shifting costs fairly, and reducing open enrollment complaints at self-insured companies.
Read the analysisHealth system financial pressure is rising. Self-insured employers can use public financial data to negotiate better rates and terms.
Read the analysisOutcomes data shows value-based primary care reduces medical costs 8-15% for self-insured employers, but results vary dramatically by employee demographics and baseline health spend.
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
Core Fiber · United States / multi-state
Core Fiber uses Apta Health’s Apta Cash employer health model, combining direct primary care, guided navigation, and negotiated cash pricing for procedures. Apta Health reported a 42.35% reduction in medical spending and said employees following the guided care pathway received covered care with no out-of-pocket cost.
Jasper Holdings, Inc. · Jasper, Indiana
Employers' Forum of Indiana identifies an active direct-to-employer arrangement involving Jasper Holdings and Patoka Valley Health Cooperative in partnership with Deaconess Health System. The arrangement was selected as a live case study for the August 26, 2026 EFI stakeholder meeting on employer-hospital direct contracting.
Included Health Alternative Health Plan employer clients · United States
Included Health embeds Carrum Health’s Centers of Excellence network directly into its Alternative Health Plan and broader employer solutions, creating a documented provider-to-employer-network arrangement for specialty care.
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