REDEFINED
Direct Contracting Hasn’t Slowed Down.
Neither Has This Guide
Direct contracting has moved from a niche strategy for Fortune 500 companies to an accessible, essential tool for self-funded health plans of any size. Power of Navigation – Redefined redefines what navigation actually means. It’s not just the clinical function of guiding a member toward a direct contract option. It’s the full ecosystem that makes direct contracting work: plan design, provider contracting, care navigation, vendor alignment, and performance measurement, all coordinated and actively managed together.
This second edition reflects a market that has evolved faster in the past year than in the decade before it. New platforms, price transparency mandates, AI-driven tools, and the rise of association and community owned health plans have all reshaped what’s possible and what’s required to do this well. This guide walks through the complete Navigation Framework, from the mechanics of direct contracting to the specific KPIs that separate a plan with access from one with a real strategy, drawing on fifteen years of independent, platform-agnostic experience building this market from the inside.
When executed with precision, direct contracting can reduce medical spend by 40-70% on schedulable care while giving patients access to zero-cost care, providers better and faster reimbursement, and payers more predictable, transparent costs.
An Intentional Release
This eBook is issued as a limited release because we want to give every reader real support, not just a download.
Getting on the list means receiving the most current version of a resource that has already helped over 30,000 readers rethink how they approach healthcare purchasing, along with the standing to have a real conversation about building a strategy suited to your organization when you’re ready for it.
