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DirectContract tracks 23 documented employer-provider arrangements using Other, spanning 22 providers and 21 employers/funds. Each record preserves source provenance and reported economics where public data supports them.

23

Tracked contracts

30,485

Covered lives represented

23

Active or expanded

20%

Highest reported savings

Tracked arrangements

Digbi Health ↔ 300+ employers and health plans (existing Digbi clients)

United States · 2026-10-02

Digbi Health expanded its Precision Biology platform to include menopause and hormone replacement therapy care. More than 300 employers and health plans that already contract with Digbi can offer the service under existing agreements, and the company says multiple clients are incorporating it into 2027 plan designs. Named adopters and HRT-specific savings were not disclosed.

Model: Other

Status: expanded

Lives: Not disclosed

Savings: HRT-specific savings not disclosed

Primary source ↗

Gateway Community Health Center ↔ United Independent School District

Laredo, TX · 2026-10-01

United Independent School District entered an MOU with Gateway Community Health Center giving approximately 4,000 employees access to nine Laredo-area clinics, with two mobile clinics planned for district campuses. Public information does not disclose negotiated claims pricing, guaranteed savings, or confirmed enrollment.

Model: Other

Status: active

Lives: 4,000

Savings: Not disclosed

Primary source ↗

Chrysalis Health ↔ Self-funded employers (via Curaechoice)

FL, OH, TX, SD, ND, IA, MN, NE, WY · 2026-09-25

Curaechoice and Chrysalis Health announced a behavioral-health network partnership giving eligible Curaechoice members no-cost access to Chrysalis Health services through more than 80 outpatient locations across nine states plus virtual care. Employer pricing, covered lives, and savings outcomes were not disclosed.

Model: Other

Status: active

Lives: Not disclosed

Savings: Not disclosed

Primary source ↗

Hendry Regional ↔ Hendry County School District

Hendry County, FL · 2026-09-17

Hendry County School District partnered with Hendry Regional to provide employees on the district's self-funded health plan access to dedicated care in LaBelle and Clewiston beginning October 1, 2026. Publicly described services include primary and wellness care, labs, imaging, orthopedic and cardiology access, pharmacy services, and workplace prescription delivery. Employer savings and contract economics were not disclosed.

Model: Other

Status: active

Lives: Not disclosed

Savings: Not disclosed

Primary source ↗

QuadMed ↔ Collier County

Naples, Florida · 2026-09-02

QuadMed opened a dedicated employer-sponsored health center in Naples for Collier County employees, eligible spouses, and covered dependents. The center provides primary and preventive care, same-day treatment, chronic-condition management, onsite lab, diagnostic and pharmacy services, virtual care, navigation, wellness programs, and population-health support. It is QuadMed’s first health center in Florida.

Model: Other

Status: active

Lives: Not disclosed

Savings: Not disclosed

Primary source ↗

Deaconess Health System ↔ Jasper Holdings, Inc.

Jasper, Indiana · 2026-08-26

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.

Model: Other

Status: active

Lives: Not disclosed

Savings: Not disclosed

Primary source ↗

PeopleOne Health ↔ City of Altamonte Springs

Altamonte Springs, Florida · 2026-08-18

City of Altamonte Springs approved PeopleOne Health direct primary care services for its self-funded employee health program, effective October 1, 2026, at approximately $165 per enrolled member per month.

Model: Other

Status: active

Lives: Not disclosed

Savings: Not disclosed

Primary source ↗

Penn Medicine ↔ Aramark

Philadelphia, Pennsylvania · 2026-08-15

New direct employer health plan between Aramark and Penn Medicine. Penn Medicine is the preferred direct provider system; employees retain out-of-network access through Aetna at higher cost.

Model: Other

Status: active

Lives: 1,400

Savings: Not disclosed

Primary source ↗

GRAIL (Galleri) ↔ Priority Health self-insured employer groups

Michigan; Priority Health also serves Indiana and Ohio · 2026-07-16

Priority Health partnered with GRAIL to make the Galleri multi-cancer early detection test available as an add-on benefit to its self-insured employer groups, creating a direct employer-benefit access channel through the health plan.

Model: Other

Status: active

Lives: Not disclosed

Savings: Not disclosed

Primary source ↗

Northwell Direct / Northwell Health ↔ Self-insured employers via ClearPoint Health group captive

New York; New Jersey; Connecticut · 2026-07-01

ClearPoint Health was selected as a preferred captive and stop-loss partner for Northwell Direct, pairing a group captive financing structure with direct access to Northwell Direct’s provider network and care management for self-insured employers. Program is positioned for Jan. 1, 2027 effective dates.

Model: Other

Status: active

Lives: Not disclosed

Savings: 20%

Primary source ↗

Mount Sinai Health System ↔ 32BJ SEIU

New York, NY · 2026-03

32BJ SEIU, the property services workers union, struck a direct contract with Mount Sinai Health System in March 2026, covering union members in New York City. The arrangement bypasses traditional insurer intermediaries and gives the fund direct access to Mount Sinai's network of hospitals and physicians.

Model: Other

Status: active

Lives: Not disclosed

Savings: Not disclosed

Primary source ↗

UnitedHealthcare Choice Plus Network ↔ Douglas County, Kansas

Douglas County, KS · 2026-02

Douglas County commissioners approved a UnitedHealthcare direct administrative contract for the county self-funded employee health plan, effective June 1, 2026. The county cited stronger network discounts and approximately $434,000 in estimated savings versus the incumbent Luminare/Cigna arrangement.

Model: Other

Status: active

Lives: Not disclosed

Savings: $434,000 estimated savings versus prior administrative/network arrangement

Primary source ↗

Northside Health ↔ Self-insured employers via Nomi Health

Georgia; Northside network spans 25 counties · 2026-01-05

Nomi Health announced that Northside Health joined its direct provider network, giving participating Georgia self-insured employers access to five hospitals, 300+ outpatient facilities, and 4,000+ providers across 25 counties.

Model: Other

Status: active

Lives: Not disclosed

Savings: $0-cost care options described; employer-level savings not quantified

Primary source ↗

Hospital for Special Surgery (HSS) ↔ EmblemHealth

New York, NY · 2025-12

Hospital for Special Surgery and EmblemHealth announced a new network agreement in December 2025. HSS, ranked #1 nationally for orthopedics, joined the EmblemHealth network giving plan members access to HSS's specialized orthopedic and rheumatology services in New York City.

Model: Other

Status: active

Lives: Not disclosed

Savings: Not disclosed

Primary source ↗

Claritev (BenInsights / HCM2) ↔ Undisclosed employer (second DTE pilot client)

Undisclosed · 2025-09

Claritev Corp disclosed in a Q3 2025 investor presentation (SEC 8-K) that it 'closed second direct-to-employer strategic pilot client for BenInsights/HCM2 integration.' BenInsights is Claritev's employer-facing analytics platform. The employer is not named. This is a confirmed direct-to-employer contract win disclosed in a public SEC filing.

Model: Other

Status: active

Lives: Not disclosed

Savings: Not disclosed

Primary source ↗

Maestro Health ↔ Aramark Services

Pennsylvania (national) · 2024-01

Aramark Services (25,026 members) uses Maestro Health as its health plan administrator. Maestro Health is an independent TPA specializing in self-funded plan administration, offering direct contracting capabilities outside carrier networks. Fee paid: $358K in 2024.

Model: Other

Status: active

Lives: 25,026

Savings: Not disclosed

Primary source ↗