The Indiana Department of Health Consumer Services and Healthcare Regulation Commission released its inaugural Direct-to-Employer Healthcare Arrangement Plan Review for calendar year 2025 at the direction of Governor Braun. The report found that all five participating health systems—Ascension St. Vincent, Community Health Network, Franciscan Health, Indiana University Health, and Parkview Health Network—met the statutory benchmark requiring employer-direct plans to remain at or below 260% of Medicare rates. The review provides employers new visibility into hospital pricing and highlights direct-to-employer contracting as a tool for managing healthcare costs.