In the last ten years, secret agreements between providers and payers have become the norm with most PPO networks. These agreements specifically exclude employers and self-funded health plans from seeing what is agreed to, even though those same plans bear the costs of those agreements. This article highlights what this means, and what can be done to counteract the damage from this new era of secrecy. If you don’t have something like this under consideration, you should add it to your planning discussions ASAP.