A more open kind of healthcare
Built for the
Demands of Healthcare
Direct contracts. Transparent rates.
One platform connecting employers, providers, TPAs, and brokers — with no carrier markup in the middle.
How we run a healthcare
network in the open.
We give self-funded employers and providers the same contracted rate, the same terms, and a claims engine built from a clean sheet.
Direct contracting
Build a provider network with no carrier intermediary. Agree to rates and terms on the same platform.
Read more ↗02 /Rate transparency
You see what you pay. Providers see what they earn. Every rate is explicit.
Read more ↗03 /Claims + repricing
Reprice against contracted terms. Return the priced claim to the employer or TPA for finalization and payment.
Read more ↗Complex, opaque business practices are driving up costs for American healthcare while putting pressure on providers. OpenNetworks brings purchasers and providers onto a transparent platform with predictable costs and far less administrative overhead.
Two sides.
One shared platform.
Better alignment starts when everyone can see the same terms.
01 / Providers
Care on
your terms.
Deliver quality care and set your rates and terms. Reach new markets with a direct connection to purchasers.
For providers ↗02 / Purchasers
A network
you design.
Build custom networks that fit your needs and buy care directly, with full transparency and control.
For purchasers ↗Direct contract ↔ Transparent rateConnected by design
Everything connects.
Everyone sees clearly.
Contract directly
Build a provider network with no carrier intermediary. Purchasers and providers agree to rates and terms.
Make every rate transparent
See what you pay and what providers earn. Contracted rates are explicit on both sides.
Process and reprice claims
Connect claims to contracted terms, with repricing returned to the employer or TPA for finalization and payment.
Build on transparent infrastructure
Portals, APIs, and a claims engine connect the work from network design through repricing.
Trust current provider data
Work with provider data validated across multiple sources, with a shared view of network relationships.
Serve the whole network
Bring self-funded employers, TPAs, brokers, and providers into one connected workflow.
Try the AI Optimal Network Engine
Guided
Network Creator.
Answer a few questions about your organization. The assistant generates a tailored starting point for your network.
Your needs. Your network. One starting point.
A clearer way forward
One platform.
Direct contracts.
Total cost control.
Healthcare without the middlemen. OpenNetworks is an alternative to traditional carrier networks — not a narrow network and not a point solution.
Read the white paper ↗Unlocking Healthcare Value: A Collaborative Approach between Providers and Purchasers
The future is open