Results Speak

Our savings fund our operations

Metric Community Utilizers Crossover "Medical home" Cost for Crossover in Community*
Number of Members 2,504 2,111 2,111
Total Medical Cost $10,007,942 $4,473,090 $6,948,288
Risk Adjustment (CDPS Risk Score) 0.68 0.56 0.56
Total Rx Cost $1,955,915 $929,523 $1,481,653
Risk Adjustment (Rx CDPS Risk Score) 0.69 0.62 0.62
Operating Expense $0 $2,635,806 $0
Total Cost $11,963,857 $8,038,419 $8,429,941
Cost Per Member $4,778 $3,808 $3,993

To avoid concerns about risk adjustment methodology, this analysis takes the Crossover Medical Home population and projects their costs of care as if it took place in the community.

How we save

Low Back Pain Example: Excessive Imaging and Surgical Intervention vs. Better Condition Management

Metric Community Crossover "Medical Home"
Members 513 611
Average Charlson Score 0.14 0.07
Average Age 35.7 32.9
Total Cost $1,977,318 $1,597,858
Cost per Member per Year $3,854 $2,615
Primary Care Visits per 1000 2,417 2,831
PT/Acu/Chiro Visits per 1000 3,269 4,121
Radiology per 1000 462 278
Surgical Intervention per 1000 4 0

We don't throw prescriptions at the problem

Results Prescriptions

Remarkable member satisfaction

Crossover: Setting New Standard
Metric Traditional Primary Care Crossover Health
Scope of Service Medical Only Medical, Physical, Behavioral & More
Primary Visit Length 15 Minutes 30 Minutes
Specialist Referral Rate 20%1 10%
Average Wait Time for New Patient Appointment more than 3 weeks 3 1 day
Average Wait Time on Day of Visit 20+ minutes 4 less than 5 minutes
Net Promoter Score 40% (Kaiser) 80.3%
Total Healthcare Spend per Patient per Year --- 30%+ lower per patient

1Aetna White Paper. “A First Look at National Referral Patterns from Primary Care Practices.” October 2012.2Average visit cost calculations include copays and co-insurance/deductibles and are calculated from our claims database. 3New York Times Sunday Review. “Waiting and waiting.” July 7, 2014. 4Press Ganey 2014 survey results.

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