Direct healthcare contracting

Healthcare, without the middleman's price tag.

Employers and providers can now contract directly — on rates both sides can see — instead of routing every dollar through an insurance carrier. OpenNetworks is the platform that makes that possible.

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Purchasers OpenNetworks Providers
The problem

Every healthcare dollar passes through someone who isn't the patient or the doctor.

3 layers
of intermediary pricing sit between a typical employer's premium and the provider actually delivering care.
Months
is how long it often takes a provider to learn their real, effective reimbursement rate on a claim.
0
direct visibility most self-funded employers have into the rates their own network actually pays.

Illustrative figures — to be replaced with OpenNetworks' own sourced data before publishing.

The mechanism

Not another network. The tool to build your own.

OpenNetworks is not
A health plan or insurer
One fixed network
Paid a cut of your savings
A gatekeeper of information
OpenNetworks is
A technology platform
The tool to build your own network
Paid a flat fee, per employee, per month
A trusted, open source of data
The platform

One connected platform, four jobs.

01

Network Design

Choose from a broad pool of providers and assemble the network your organization actually needs.

Learn more →
02

Direct Contracting

Set rates and terms directly with providers — no carrier markup, no hidden intermediary.

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03

Reimbursement Management

Claims are processed and repriced automatically, on the terms everyone already agreed to.

Learn more →
04

Performance Visibility

See the same numbers your providers and partners see — as claims happen, not months later.

Learn more →
How it works

The four-step loop behind every network.

01

Providers set their own rates and terms.

02

Purchasers build a network from those rates.

03

Claims are processed and repriced automatically.

04

Everyone sees the same numbers.

For both sides of the table

Built to work in both directions.

Why purchasers choose OpenNetworks

Your network, not a fixed one

  • Custom networksBuild a network tailored to your organization, not a one-size-fits-all panel.
  • Transparent pricingSee underlying provider rates and claims data — no surprises later.
  • No hidden feesA flat per-employee monthly fee. No markups, no percent-of-savings charges.
Why providers join OpenNetworks

Control, without new gatekeepers

  • Control your ratesSet your own terms based on market demand — no one negotiates on your behalf.
  • Keep your workflowsSubmit claims through your existing systems and clearinghouses.
  • Grow employer relationshipsReach new purchasers directly, without a new intermediary in between.
Proof

Real networks, already running.

—%
Reduction in per-employee healthcare spend after moving to a direct-contract network.
"We finally see what we're actually paying for."
— Benefits Director, self-funded employer
—days
Average time from claim submission to full adjudication, down from a legacy network baseline.
"Our billing team didn't have to change a single workflow."
— Revenue Cycle Lead, provider group
—%
Of participating providers report knowing their effective rate before the claim is filed.
"We set our own terms. That's new."
— Practice Administrator

Figures shown as placeholders — to be replaced with real, sourced case-study data. See all case studies →

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Build the network you actually want.

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