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Press Release

New Research from Crossover Health Highlights the Value of Team-Based Care to Address Referral Management Challenges

SAN CLEMENTE, Calif., January 25, 2022 — Crossover Health, a leader in delivering value-based hybrid care, today published a new case study, “Cracking the Code on Referral Management,” highlighting the value of a team-based care model in helping to reduce the rate and cost of specialty referrals, while improving overall patient satisfaction. The case study identifies an opportunity for self-insured employers to reduce the total cost of care for their employees by more effectively and efficiently managing the specialist referral process through Crossover’s Primary Health care model.  

The research findings suggest that Crossover’s specialist costs were on average 30% lower compared to the community. These cost savings were achieved through Crossover’s integrated, multi-disciplinary Primary Health care model, which decreased the number of referrals to outside specialists and ensured necessary referrals were managed through a closed loop workflow to high-quality, cost-effective specialists.

Crossover Health Chief Medical Officer Stephen Ezeji-Okoye, MD said, “The standard practice for managing specialist referrals continues to be a pain point for all parties, including patients who shoulder the burden of unnecessary treatment, providers who struggle to coordinate and close the loop on downstream specialist care, and payers who absorb the skyrocketing costs of specialty care without improved outcomes. As referral management grows more complex with the addition of virtual care, it’s clear that a Primary Health model, inclusive of a care navigation function, is critical to increased patient and provider satisfaction, improved outcomes and lower costs.”

Notable takeaways from the research include:

  • Patients who received care via the Primary Health, team-based model from Crossover were referred to specialists 26% less than those who received care in the community.
    • This lower referral rate is driven by several key factors including integrating primary care, physical medicine, mental health, and coaching in a team-based environment, reducing the need for outside referrals.
  • With improved closed-loop navigation and care navigators focused on the highest quality, lowest cost specialists, costs for patients referred out by a Crossover’s Primary Health care team were considerably lower. 
    • Overall costs were on average 30% lower than in the community, significantly reducing referral costs for self-insured employers.
    • Costs for gastroenterology visits, for example, were on average a staggering 69% lower for Crossover referrals than in the community.
  • Crossover members reported they were highly satisfied with their specialist visits, rating them on average 4.33 on a scale of 5.
    • In a disconnected healthcare system where patients consistently report frustration with the care experience, Crossover’s high satisfaction scores reinforce that its model is working better for everyone.

To view and download the full case study, visit the Crossover website here


About Crossover Health

Crossover Health is a leader in delivering value-based hybrid care. The company’s national medical group delivers – at scale – Primary Health, a proven care model driven by an interdisciplinary team inclusive of primary care, physical medicine, mental health, health coaching and care navigation. With a focus on wellbeing and prevention that extends beyond traditional sick care, Crossover builds trusted relationships with its members and flexibly surrounds them with care – in-person, online, and anytime – based on the member preference. Combining a sophisticated approach to data analytics that incorporates social determinants of health, Crossover delivers concrete results and measurable value for employers, payers and most importantly, members. Together we are building health as it should be and engaging a community of members to live their best health. To learn more, visit crossoverhealth.com or follow us on social media @crossoverhealth.


Media Contacts:

Sydney Bronstein
Media Relations
Crossover Health

Brittany Sell
Weber Shandwick for Crossover Health