A better member experience
Advanced Primary Health plans put relationships, outcomes, and value-based care at the center of the member experience. Crossover can help health plans engage with members in ways they never have before and keep them healthier.
With a proven approach to identifying and closing care gaps—that leverages data and relationship-based care—we increase member engagement in care and disease management programs. Rather than directing members to external resources, the Crossover care team can guide them directly to your health plan’s care management or disease management team. This one-of-a-kind partnership will help reduce care gaps and drive better outcomes by leveraging the programs you have built to serve your members.
When a referral to specialist care is necessary, our care navigators coordinate the member’s journey throughout the process. We work with health plans to create the right, in-network referral patterns to high-value/preferred providers without making the member feel like the health plan is limiting their choice within the network. By staying in constant communication with the member, our results show that 85% of the time, the member referral goes through completion. This process is inclusive of information-sharing between the referring provider and the specialist provider, a member satisfaction survey, and a referring provider survey. Crossover’s referral management has led to on average specialist cost savings of 17 – 35%.
