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.

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

Providers Rates publish → network builds → claims flow → paid Purchasers
01 — The problem

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

3 layers
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.
0
Is the direct visibility most self-funded employers have into their own network's rates.

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

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 — 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.

Learn more →
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 →
04 — How it works

The four-step loop behind every network.

01 02 03 04
01

Providers set rates

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

02

Purchasers build a network

Employers and TPAs assemble a custom network from those rates.

03

Claims process automatically

Members use the network; claims are captured, repriced, and routed.

04

Everyone sees the same numbers

Purchasers and providers both have visibility into rates and claims.

05 — 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.
06 — Proof

Real networks, already running.

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

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

AirrostiConcentraEdgeparkLegentNobisOccuHealthPlatinum DermRia HealthSonderMindTIOPATexas OncologyUS Derm
07 — Get started

Build the network you actually want.

Request a Demo Talk to Our Team