High Performance Companies
the high performance legacy
Before direct contracting became an industry model, we were designing the structures, assembling the networks, and aligning the relationships that now define high-performance healthcare purchasing. This includes thousands of provider contracts across all 50 states, collectively serving millions of covered lives.
We didn’t follow the direct contracting movement.
We built it.
And we’ve been building ever since.
Independent by design
Designed for Alignment.
Built for Performance.
We operate at the intersection of self-funded health plans and the organizations built to serve them. Every company in our portfolio is built to operate independently or in coordination – connecting the core components of direct contracting into unified performance.
THE PORTFOLIO
provider contracting
High Performance Providers
Direct contracting has evolved. Has your practice?
Providers exploring direct pay already know what they want — a practice built on real relationships, predictable revenue, and the freedom to practice medicine on their own terms.
The vision is clear. What’s harder to find is a strategy that actually performs in practice.
What separates practices that thrive from those that stall isn’t ambition — it’s having the right guide.
network development
High Performance Networks
Build the network you were going to rent.
The groups leading today’s market aren’t licensing access to someone else’s provider network. They’re building their own – creating direct relationships, contracts they control, and capturing value that compounds over time.
We’ve helped develop some of the largest national and specialty direct contracting networks in the country. Working with self-funded employers, cooperatives, and emerging community owned health plans to build locally owned and governed networks designed around the market they serve
strategy & guidance
High Performance Navigation
Direct contracting works when every part of the strategy works together. Not a single platform. Not one vendor. A complete framework: plan design, provider contracting, care navigation, and performance measurement, all coordinated and actively managed.
Power of Navigation – Redefined is a guide that walks through that complete framework, drawing on fifteen years of independent, platform-agnostic experience building this market from the inside. It’s issued as a limited release, because we’d rather support you directly than hand you a download and walk away.
growth infrastructure
High Performance Health Plans
Behind every successful initiative is a system built to support it.
We provide the back-end infrastructure that connects outreach to outcomes. A controlled environment where campaigns are customizable, every referral is attributed in real time, and compensation models stay aligned as initiatives grow and scale.
Built for organizations that generate and manage referral-based initiatives and growth.
Selectively accessed. Quietly powerful.
Where experience is your advantage
The Name That Keeps Coming Up
There’s usually a reason for that.
PERSPECTIVE
We’ve built from the inside and advised from the outside. Sat with providers, health plans, employers, TPAs, and benefit advisors — not to sell a solution, but to understand the problem. That perspective doesn’t come from a white paper. It comes from fifteen years of being in the room when the decisions were made.
INDEPENDENCE
We are solution agnostic — not committed to any single network, platform, or ecosystem vendor — and in this market, that’s rare. When everyone else is selling their answer, we’re asking the right questions. The result is guidance that’s honest, agnostic, and built around what actually works for you.
REPUTATION
Head-hunted to build. Brought in to course-correct. Asked back when the market shifted. Our fingerprints are on some of the most sophisticated direct contracting solutions in the country — not because we were loudest in the room, but because the work spoke for itself.
built to be shared
In a space where most conversations start with selling, we start with giving.
In a complex system, knowledge is the advantage.
We created these resources to do what we’ve always done — simplify the complex, share what we know, and help move this industry forward. The more people who understand direct contracting, the better this market becomes for everyone in it.
Consider these our contribution to the cause.
You’re welcome.
geek speak
Translating the language of healthcare and direct contracting
Now read by over 100,000 professionals and updated quarterly, Geek Speak continues to evolve alongside the industry—capturing the terms, trends, and structural shifts shaping direct contracting and value-based care.
power of navigation – REDEFINED
An independent guide to building a direct contracting strategy capable of reducing schedulable care costs by 40-70%. It examines the critical components of a high performance model, including plan design, primary care navigation, network strategy, vendor alignment, and performance measurement.
To maintain the quality of the strategic guidance, collaboration, and implementation support associated with this work, this guide is intentionally being released to select organizations.
Organizations are invited to join the waitlist as this guide will be offered as capacity allows and as we identify organizations that are aligned with the goals, values, and level of commitment required to achieve meaningful outcomes.
PROVIDER DIRECT-PAY PLAYBOOK
A Provider’s Strategic Guide to Direct Contracting
Designed as a companion to The Power of Navigation guide, this playbook is a practical guide for providers looking to build, negotiate, and scale successful direct contracting relationships
contact us
Ready to perform?
If you’re building, refining, or rethinking a direct contracting strategy — let’s talk.
Connect with the High Performance Team →
