Cost Plus Wellness Adds Direct-Care Contracts for DPC, Dental and Surgery

Cost Plus Wellness has published four additional direct-to-employer contract listings dated October 6–16, 2026, extending its public contract library into bundled ambulatory surgery, dental services and two direct primary care practices.

The latest additions show how the marketplace is broadening beyond one specialty or one pricing format. The contracts can be reviewed by self-funded employers and their advisors, but their publication is not evidence that an employer has signed, enrolled employees, used the services or realized savings.

The four published contracts

Contract	Provider	Market	Listed model	Publication
C078	Solstice Health	Wisconsin	Ambulatory surgery; bundled rates	October 6
C079	Toothsome	Geography not stated	Dental service provider; custom terms	October 8
C080	Health and Healing Direct Primary Care	California	Family medicine / DPC; subscription listing	October 15
C081	Roots Health DPC	Illinois	Direct primary care; custom subscription listing	October 16

The contract library shows October 5 as the listed go-live date for Solstice, October 7 for Toothsome, and October 15 for both DPC practices. Those are the library's stated dates, not independently verified first dates of employer utilization.

C078: Solstice Health, Wisconsin

Solstice Health is listed as an ambulatory surgical center with bundled-rate pricing and a custom contract. Bundles can simplify the purchasing unit for employers seeking predictable surgical episode costs, but the public listing does not establish how many employers have contracted or the amount saved.

C079: Toothsome, dental services

Toothsome is listed as a dental service provider with a custom agreement. The public summary does not identify licensed states, a standardized payment model or any employer customer.

The presence of a dental services agreement is notable because employer direct contracting is often framed almost exclusively around medical claims.

C080: Health and Healing Direct Primary Care, California

Health and Healing is listed as a family-medicine solo practice in California. The contract appears in the library's subscription category, while its detail page labels the rate basis custom.

That distinction matters: a subscription category is not enough to infer the actual per-member fee, covered services or contract duration. Employers should inspect the posted contract before evaluating its economics.

C081: Roots Health DPC, Illinois

Roots Health DPC is listed as an Illinois single-specialty direct primary care group with a custom subscription agreement and an additional supporting document.

Again, neither the employer uptake nor a realized savings figure is disclosed.

Why a public contract is not the same as a signed employer deal

Cost Plus Wellness says its contract library is intended to help self-funded employers find providers willing to contract directly and to make pricing terms accessible.

A published contract demonstrates the provider's proposed or available terms. It does not, on its own, demonstrate that an employer has accepted those terms, shifted utilization, changed a benefit design or reduced spending.

DirectContract tracks each new contract as a published direct-to-employer contract opportunity, with employer adoption and realized economics explicitly marked undisclosed.

What to watch

The next useful evidence is whether named employers sign these agreements, whether claims administrators can operationalize the contracts, how employees are steered to providers, and whether published prices translate into lower total spending.

These four listings also highlight an important market-design question: can a public library of individual provider contracts become a usable employer network across multiple geographies and service lines?

The Direct Contract Deal Tracker maintains source-linked records for these listings.

Primary contract listings

• C078 — Solstice Health
• C079 — Toothsome
• C080 — Health and Healing Direct Primary Care
• C081 — Roots Health DPC
• Cost Plus Wellness contract library