Direct healthcare is medical treatment that is acquired and provided to an organization’s members directly, without the involvement of a third party. Large, self-funded employers or other aggregating entities such as labor unions, associations, trusts, Taft-Hartley plans, or associations are often the purchasing organizations.

In a typical healthcare context, an insurance company oversees and pays for the majority of treatments. Direct healthcare provides services to organizations and their members directly, eschewing the middleman. A study by human resources consultancy Mercer found that in 2018, one-third of companies with five thousand or more workers provided direct healthcare on the job.