We talk with Jared Pierce about why many provider networks run on outdated contracts and why that breaks trust for providers, members, and plan sponsors. We dig into how Unity builds a primary, provider-aligned network for self-funded plans that protects access while still driving real savings.
• Jared’s early start building PPO networks at 17 and how it shaped his view of the system
• Why legacy PPO networks “live off old paper” and what that means for pricing and trust
• How reference-based pricing can create confusion, appeals, and members turned away
• What “RBP-level reimbursement with real contracts” looks like in practice
• Using historical claims data and member nominations to build a customized network
• Why clear, simpler contracts improve provider participation and reduce noise
• Bootstrapping growth without private equity and staying independent longer
• Where Unity is seeing adoption and what advisors should watch next
• The future network model tied to member incentives and smarter plan design