Transparent healthcare contracts for self-funded employers
Cost Plus Wellness gives employers a ready-to-use direct contracting framework. Employers contract directly with providers using our templates and your TPA processes the claims.
Get StartedEmployers Using CPW Contracts
These employers are currently participating with Cost Plus Wellness contracts.
Get started with our direct contracts
We've made direct contracting simple and transparent.
You adopt the CPW network
Employers use the Cost Plus Wellness provider contracts as a new or add-on provider network. This ensures providers see meaningful volume and keeps rates low.
You contract directly with providers
Using Cost Plus Wellness contract templates, your plan contracts directly with each provider by signing one master agreement. Every underlying contract is published openly on our website, no exceptions.
Your TPA processes the claims
We help implement with your TPA. Providers submit claims, your TPA pays them at the published CPW rate. We work with Sage TPA today and are adding more TPAs on request.
Result: Happy employees and happy providers
Providers get paid faster with less headaches, so they can focus on taking care of your team.
Note: Community contracts (for providers outside DFW using Medicare-based rates) are not currently included in our employer network requirement but may be adopted separately. Contact us to learn more.
Is Cost Plus Wellness right for your organization?
Self-funded health plan
100+ employees in Dallas–Fort Worth
Independent TPA
Flexible network strategy
Not sure if you qualify? Reach out — we're happy to discuss your situation.
No more claims & billing surprises
What you WON'T find in our contracts:
- No Balance Billing
- No Shared “Savings” Fees
- No Provider Incentive Payments
- No Hidden Administrative Fees
What you WILL get:
- Published, transparent pricing
- Direct provider relationships
- Predictable costs for your plan and employees
- Quality care without the markup
What we ask of participating employers
Must use Cost Plus Wellness contract templates without modifications
Must pay clean claims within 30 days
Must waive prior authorization for CPW providers, including suppressing pre-payment audits
Plan must pay 100% of the CPW rate — no member cost-share collected by the provider
What Cost Plus Wellness is — and isn't
| CPW Is | CPW Is Not |
|---|---|
| A contracting framework and transparency layer | An insurance carrier |
| A set of published, standardized contract templates | A TPA or claims processor |
| A curated provider network with negotiated rates | A traditional provider network with hidden rates |
| Free for employers today | A fee-based intermediary |
Ready to take control of your plan's contracts?
Contact us to discuss how Cost Plus Wellness can work for your organization.