Direct healthcare contracting

Healthcare,
rebuilt around
transparency.

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.

Request a Demo See how it works

Built by a team that's sat on both sides of a claim — meet the people behind it →

Providers Purchasers Physicians Employers
Rates publish → network builds → claims flow → paid

Trusted by providers already on the platform

Behavioral Innovations Edgepark Legent Nobis Rehabilitation Partners Ria Health Signature SonderMind TIOPA
01 — The problem

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

$26,993
Average annual family premium for employer coverage (2025). Healthcare costs continue to rise, placing more pressure on employers and families alike.
46%
Of covered workers are enrolled in PPO plans. Most employers still rely on traditional network models built around intermediaries.
18%
Of large employers directly contract with hospitals. Direct contracting remains the exception, not the norm.

Source: KFF 2025 Employer Health Benefits Survey.

02 — 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
03 — How the platform works

One connected platform, four steps, on a loop.

01 02 03 04
01

Direct Contracting

Providers publish their own rates and terms, based on their own market position.

Learn more →
02

Network Design

Purchasers assemble a custom network from those published rates.

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03

Reimbursement Management

Claims are captured, repriced, and routed automatically, on those same terms.

Learn more →
04

Performance Visibility

Purchasers and providers both see the same rates and claims, as they happen.

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Transparent by design

See exactly what you're paying, and why.

Every rate on OpenNetworks is tied to a specific contract term — not a black-box discount off a number nobody can explain. Purchasers and providers look at the same numbers.

More about repricing →
OpenNetworks transparent rate detail showing per-visit and per-service pricing
04 — 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 pricingFull visibility into underlying provider rates and claims data, with no surprises later.
OpenNetworks network dashboard showing coverage and provider selection
Why providers join OpenNetworks

Control, without new gatekeepers

  • Keep your workflowsSubmit claims through your existing systems and clearinghouses.
  • Grow employer relationshipsReach new purchasers directly, without a new intermediary in between.
OpenNetworks transparent rate detail modal
05 — Proof

Real networks, already running.

Self-funded employer
"We finally see what we're actually paying for."
—%
Provider group
"Our billing team didn't have to change a single workflow."
—days
Practice administrator
"We set our own terms. That's new."
—%

Figures shown are placeholders and will be replaced with real, sourced case-study data. See all case studies →

See it in action

Inside the platform.

Ready to build a better healthcare network? Schedule a personalized demo →

06 — Get started

Build the network you actually want.

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