Our network operates as a virtual-first healthcare operating system designed to replace fragmented care with a single, integrated platform for self-funded employers, health plans, and TPAs. The service is anchored by Grace, an AI-powered healthcare companion that acts as the front door for members, using intelligent technology to identify health signals, engage members at the right moment, and guide them to the appropriate point of care for better outcomes and lower costs.
Why Employers Choose Direct Contracting
The shift to direct contracting is driven by the urgent need to control rising healthcare costs, which remain the second-largest expense for most businesses. Traditional insurance models often obscure true costs and retain significant margins for carriers. Direct contracting restores financial control and data visibility, allowing employers to pay only for the care their workforce actually uses.
Recent data confirms the momentum: adoption among employer coalitions rose from 18.7% in 2023 to 27.6% in 2025, with another 26.7% actively evaluating the model. Companies like Intel and General Motors have demonstrated that direct engagement yields lower per-member costs and higher satisfaction.
Key Benefits for Your Organization
1. Immediate & Significant Cost Savings
Direct contracting removes the "middleman" markup, ensuring 100% of premium dollars fund care or savings rather than carrier profits.
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Overall Reduction: Employers typically save 6% to 20% on total healthcare spend compared to PPO plans.
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Procedure-Specific Savings: Bundled payments for shoppable services (e.g., joint replacements, spine surgery) often yield 40% to 60% savings.
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Reinvestment: Leading employers redirect 90% of savings to employees via zero deductibles, waived copays, or wage increases, enhancing retention without increasing total spend.
2. Predictable Budgeting & Financial Stability
Replace volatile fee-for-service claims with fixed bundled rates or per-member-per-month (PMPM) fees.
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Forecast Accuracy: Know exactly what a knee replacement or MRI costs beforehand, eliminating surprise renewal hikes.
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Risk Mitigation: Shift financial risk for complications and readmissions to providers through performance guarantees.
3. Superior Employee Benefits & Experience
Design plans that attract and retain top talent by removing financial barriers to care.
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Zero-Cost Access: Offer $0 copays and deductibles for primary and specialty care within the network.
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Tailored Care: Customize networks to address specific workforce demographics, such as enhanced musculoskeletal or behavioral health support.
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Simplified Navigation: Eliminate prior authorizations and complex billing, reducing administrative friction for employees.
4. Unmatched Data Transparency & Control
Gain real-time access to utilization and quality data, breaking the silos of traditional carrier reporting.
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Proactive Intervention: Identify trends (e.g., rising ER visits) instantly and deploy targeted wellness programs.
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Negotiating Leverage: Use actual cost data to negotiate fair rates based on value, not carrier-averaged pricing.
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Outcome Tracking: Measure provider performance against specific quality metrics to ensure continuous improvement.
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