Built by Operators, Not Consultants.
Direct Pay Designs is a platform company. Underneath the DPD umbrella sits Nexus Health Connect, Actuate Care, our pharmacy practice, and our stop loss capability, each one led by category specialists with deep operating experience in their corner of the industry. Together they form a single coordinated team rather than a stack of vendors with conflicting incentives. One roof. One blueprint. One point of accountability.
We are not a startup pretending to know healthcare. We are healthcare operators who got tired of building plans nobody used, and decided to build them differently.
What that looks like for you.
Strategy from people who have run plans, not just sold them
Implementation from operators who have done it hundreds of times.
Direct care, pharmacy, navigation, stop loss, and technology under one roof.
Broker support that picks up the phone, joins your first client call, and stays in the room.
Our Culture
We hire for craft and conviction. We move fast. We tell the truth even when it costs us a deal. We measure everything we promise so brokers and employers can hold us to it.
The pink shoes you see at every conference are not a gimmick. They are a signal that we show up as a team, that we are easy to find in a crowd, and that we are not afraid to look a little different. That is what we mean when we say Rebels with a Blueprint.
The Footprint
Headquartered in Denver, with broker partners and member care delivered nationwide. Licensed in all 50 states. Trusted by self-funded and level-funded employers across Colorado, Indiana, Florida, and the DC/MD/VA corridor, with new markets opening every quarter.
Hassle Free Healthcare. Built to Be Used. Rebels with a Blueprint, designing the health plan your renewal has been waiting for.
© 2026 MIST Solutions, LLC dba Direct Pay Designs. All rights reserved.