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 operate at the intersection of self-funded health plans and the organizations built to serve them. Every company in our portfolio exists to align the three parties that define success: purchasers, providers, and — most importantly — patients.
We didn’t follow the direct contracting movement.
We built it.
And we’ve been building ever since.
Purpose-Built. Performance-Driven.
Designed for Alignment.
Built for Performance.
From provider contracting and growth infrastructure to network development and strategic guidance, each 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
Every provider is different. Every strategy should be too. We work independently — not for a platform, not pushing a single solution — building customized direct contracting strategies around your specialty, location, and growth goals.
That independence matters. In a market crowded with platforms claiming to be the answer, we remain aligned to one thing: your success.
We know what it takes to structure direct relationships and performance models that thrive.
growth infrastructure
High Performance Health Plans
Behind every successful initiative is a system that supports it.
We provide the back-end infrastructure that connects outreach to outcomes — a controlled, structured 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, manage, and expand referral-based growth.
Selectively accessed. Quietly powerful.
network development
High Performance Networks
We’ve helped develop some of the largest national and specialty direct contracting networks in the country—spanning orthopedics, general surgery, bariatrics, gastroenterology, infusion, ophthalmology, and other high-cost specialty areas.
But scale is only part of the story.
We also work with employers, unions, and emerging community owned health plans to build locally owned and governed networks designed around the market they serve. From hyper-local contracting frameworks to opioid-free, prevention-first care models, we stay ahead of where the market is going, not where it has been.
strategy & guidance
High Performance Navigation
It’s noisy out there. The direct contracting landscape is crowded, complex, and constantly shifting. Success doesn’t happen by accident — it requires precise navigation.
We’ve spent over a decade building, advising, and navigating every corner of this market. We know what works, what doesn’t, and where organizations tend to get stuck.
From helping self-funded health plans and providers move beyond traditional insurance models to designing full contracting strategies, we provide the navigation needed to move forward confidently.
Wherever you’re starting from, we’ll meet you there — and help chart the path ahead.
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 whitepaper. It comes from fifteen years of being in the room when the decisions were made.
Independence
We’re agnostic — not committed to any single network, platform, or point solution — 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 platforms 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
We Wrote the Book on Direct Contracting. Now We’re Rewriting It – The Market Insisted.
Turns out, direct contracting is complicated. Point solutions are everywhere, alignment is rare, and the path forward isn’t always obvious. We’ve navigated all of it — and distilled what matters most into this resource as a starting point. In a market moving this fast, the rest is an ongoing conversation.
contact us
Ready to perform?
If you’re building, refining, or rethinking a direct contracting strategy — we should talk.
Connect with the High Performance Team →
