Challenges related to contracts, compliance, data, underwriting, and member education often prevent employers from embracing direct contracting as part of a suite of changes that can decrease cost, improve quality of member care and assure they are meeting their fiduciary duty. Key takeaways will include: Legislative and contractual protections for direct contracting; multiple strategies for HSA plan members; challenges associated with analysis of traditional reporting of claims data by TPAs; strategies for optimizing stop loss decrements associated with cost containment solutions; and best practices for member education and engagement.