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Why administrative cost is the hidden line item in every health plan
A look at where the money actually goes between premium and care.
Guides, research, and plain answers on how direct healthcare contracting actually works — written to be read by a person, not just a search engine.
Our core research on how direct contracting changes the incentives between purchasers and providers — and what it takes to make it work in practice.
The plain-language definition, plus how it plays out day to day between an employer and a provider.
A walkthrough of selecting providers, sizing coverage, and launching a custom network.
What ongoing network management actually involves, and how it differs on a direct-contract platform.
How claims get matched to contract terms — and why that process is usually invisible to everyone but the payer.
The mechanics of adjusting a billed charge to a contracted rate, and where it fits in the claims lifecycle.
What rate-setting looks like when a provider — not a carrier — controls the terms.
A look at where the money actually goes between premium and care.
Broad isn't the same as useful — how to think about network design for your actual population.
What to look for before agreeing to new terms with a purchaser.
Coverage depends on participating providers in a given market — confirm current geographic availability with the OpenNetworks team.
Timelines depend on network size and provider availability in your market — your OpenNetworks contact can give a specific estimate for your organization.