- Crossover Health, a capitated primary care provider for self-insured employers, plans to expand to payer clients, according to Crossover Chief Medical Officer Stephen Ezeji-Okoye.
- “We’re exploring working with payers,” Ezeji-Okoye told Healthcare Dive in an interview. “That’s an area of interest for us because we think that’s a way to make Crossover’s services more accessible.”
- Crossover has been working on extending its business model to payer clients for several years now, is currently in discussions with multiple major insurers, and will have more news to share by the end of the year, the company said.
Crossover was founded in 2010 in an effort to help self-insured employers curb healthcare costs by coordinating care for their employees, and has grown quickly to nab some of the biggest companies in the U.S. as clients, including Amazon, Apple and Meta.
Now, the primary care company is interested in expanding to health plans as well. According to Ezeji-Okoye, working with payers is a “natural extension” of Crossover’s business.
Crossover’s advanced primary care model revolves around patients having ongoing relationships with interdisciplinary care teams, including doctors, nurses, mental health clinicians and health coaches, who can refer the patient to other in-network specialists if needed.
The provider operates 34 private on-campus centers for its employer partners, along with eight shared health centers in majority urban markets, in 11 states. It also runs a virtual program covering all 50 states.
Crossover’s key differentiator from its rash of primary care competitors is that it’s fully capitated, which incentivizes it to look at patients’ full pictures of health, not just their physical needs, Ezeji-Okoye said. Crossover charges a membership fee — $200 for 30 days, $500 for 90 days or $1,500 for a full year — that’s paid either by the individual or covered by their employer. The medical group also charge members additional fees for services not covered by their membership, such as specialty lab work.
Crossover collects a lot of data on its patients to measure their social determinants of health. The San Clemente, California-based company built a home-grown population health platform that allows it to better engage with members and help clients tailor their benefits program to the needs of their members, according to the CMO.
According to Crunchbase, Crossover has raised $281.5 million in funding to date.