For Health Plans | Crossover Health

Crossover Health is leading innovation in health benefit design with an integrated team-based care model combined with a value-based payment model.

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Commercial Advantage

When you link the hybrid care model to the payment model to the outcomes model, you can deliver better healthcare for the commercial population, akin to what works effectively for Medicare Advantage.
When providers are incentivized to deliver the right care and outcomes are measured, everyone wins.

Advanced Primary Health

Primary care is the only component of healthcare where an increased supply is associated with better population health and more equitable outcomes. That’s why we make it easy for our members to establish trusted relationships, not only with their primary care provider, but with a dedicated interdisciplinary care team - for each and every member - inclusive of primary care, mental health, physical therapy, chiropractic medicine, health coaching, and care navigation. What’s more, that is all available through a hybrid care experience, allowing members to be seen in person, virtually, and via asynchronous text messaging for support and follow-up between visits. A connected care team focused on the member closes care gaps, improves outcomes, and reduces costs.

Innovation in benefit design

We’re at the forefront of meaningful healthcare change. In collaboration with Aetna, Crossover is enabling Seattle-area plan sponsors to be among the first in the country to experience Advanced Primary Health. The collaboration grew from a shared vision to be at the forefront of meaningful healthcare change centered on better primary care access to achieve lower healthcare costs. This innovative benefit integrated into a health plan goes beyond basic primary care and sick care. Read how we’re working with Aetna to create the first-of-its-kind agreement between a payer and a national medical group.

Value for plan sponsors and employers

At a time when healthcare costs continue to climb, employers should be able to confidently count on high-quality, integrated care delivery that helps improve health outcomes—delivered affordably. By linking the care model with a fixed-fee, value-based payment model, and a direct link to the outcomes model, lower healthcare spending can be achieved.

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Proven outcomes

Our Primary Health model is designed to drive engagement where it matters most—with the member. Here are some of the ways Crossover Health has shifted the cost equation and changed the way members of some of the world’s most influential companies use healthcare:

SATISFACTION

93% of our members “love” the care they receive at Crossover

MEDICAL HOME

81% of Crossover members consider us their medical home

TOTAL CARE

Crossover’s care model delivers an average of 15% reduction on total healthcare costs

AVAILABILITY

Crossover care teams are licensed in 50 states to provide care online

Our partners

A better member experience

Advanced Primary Health puts 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%.

Connect with us to learn how Crossover can reduce your organization's healthcare costs.

male crossover health doctor visiting with member

Our culture of care reinforces our values

Crossover is focused on wellbeing and prevention that extends beyond traditional sick care. Our providers build trusted relationships with our members and are empowered to practice at the top of their licenses and achieve optimal outcomes. We closely collaborate with our clients, and together, we are building a community that embraces health as a proactive part of their lifestyle.

Our advanced primary health model is built on a foundation of trusted relationships, an interdisciplinary care team approach, and the knowledge that 80% of what impacts employee health is made up of environmental and behavioral factors. We integrate these social determinants of health and leverage data analytics to deliver customized, whole-person care that helps your members live their best life.

Surround sound care

We are committed to ensuring your members get high-quality care—whenever and wherever they need it. Our innovative approach provides consistent access to a dedicated care team—including primary care, physical medicine, mental health, and health coaching—in person, virtually, and via asynchronous messaging. And when care outside of Crossover is needed, our Care Navigators will help members find a low-cost, high-quality, in-network provider, and will coordinate every step to ensure members get the care they need. This relationship-based approach to care delivers concrete results and measurable value for health plans and your members.

Whole person health

We make it easy for our members to establish trusted relationships, not only with their primary care provider, but with a dedicated interdisciplinary care team—inclusive of primary care, mental health, physical therapy, chiropractic medicine, health coaching, and care navigation. Our hybrid care experience allows members to be seen in person, virtually, and via asynchronous text messaging for support and follow-up between visits. A connected care team focused on the member closes care gaps, improves outcomes, and reduces costs.

Crossover health centers

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What our partners are saying

…we couldn’t be happier with the results. I can say without hesitation our employees love it, and their health and wellbeing is moving in a positive direction.

— Nina McQueen Vice President, Global Benefits & Employee Experience at LinkedIn

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Interested in proof of concept?

Outcomes