Category Archives: Primary Care

Crossover Health: Welcome to Next Generation Health Care!

Crossover Health Launches New Model of Primary Care in South Orange County
Innovative membership service delivers Urgent, Primary, and Online Care

Aliso Viejo, CA (PRWEB) October 1, 2010

Crossover Health Medical Group announced today the launch of their flagship membership-based, primary care practice in Aliso Viejo, California. The new clinic will offer urgent, primary, and online care services directly to individual members, families, and employer groups. Membership based health care is a new health care finance and delivery innovation that has gained widespread popularity as the cost of health insurance and ongoing service deficiencies have plagued the current health care delivery system. The Crossover membership model decouples health care from health insurance, and allows individuals and organizations to purchase primary care directly from health care providers who offer increased access, enhanced services, and an exceptional service experience.

“The membership-based practice model allows Crossover Health to fundamentally change the way health care is practiced, delivered, and experienced,” according to Chief Executive Officer Scott Shreeve, MD. “Crossover has been specifically designed to restore and enhance the patient-physician relationship, increase access and convenience, reduce the cost of health care, and deliver an unprecedented patient experience.” The membership fee pays for access to the technology enabled practice and wellness services, as well as affordable prices for office visits, specialty consultations, and ongoing health management followups. A health concierge is assigned to each member to assist in overseeing follow-ups, proactive health maintenance, and care coordination. Crossover also provides health advisory services to guide patients in financial decisions related to the management of their health.

Crossover Health introduces two key innovations to the membership model. First, Crossover members have direct access to their physician via Crossover’s unique online, anytime, from anywhere technology platform that includes options for email, text, and video chat consultations. Second, the technology also enables a direct financial, administrative, and clinical relationship between the patient and their personal physician and the extended Crossover care team of medical specialists, diagnostic testing centers, and other licensed professionals. This inherent connectivity enables the creation of the Crossover Health Network™, a network of specialist providers who commit to deliver to a specific service level, make their prices transparent to members, and communicate on a common platform. The result is a simple, efficient, and affordable care experience.

“Many people, including employers, are surprised to find out how affordable exceptional health care can be when purchased directly from the physician,” said Chief Medical Officer Richard Patragnoni, MD. “Members can typically save a significant amount of money while enjoying a broader range and higher quality of personalized service to meet individual, family, or corporate health needs.” Crossover offers a variety of individual and corporate memberships that provide essential primary and preventive care services as well as targeted wellness programs like medical weight loss, executive health programs, health portfolio management, and virtual clinics.

Crossover Health memberships appeal to individuals looking to establish a personal relationship with a physician, families whose care requires a higher service level, and busy professionals who need flexible access to their physician. Membership care is particularly attractive to employers facing annual double digit health care cost increases. Employers using this model have consistently shown significant reduction in inappropriate utilization, dramatic improvements in satisfaction, and cost savings of up to 50% when bundled with lower premium insurance plans. Crossover Health is currently accepting new members throughout the Orange County area.



Filed under Change Agents, Crossover, Design, Direct Practice, Entrepreneurship, Innovation, Launch, Medical Home, Membership, Primary Care, Quality, Value

Day 49: “Magically” raising the Bar in Primary Care

Magic (măj’ĭk) adj.

  1. Possessing distinctive qualities that produce unaccountable or baffling effects.
  2. Of, relating to, or invoking the supernatural

The California Health Care Foundation does some really good work. I listened to their President Mark Smith give a speech at the Microsoft conference last June and came away really impressed with him and what the organization is all about.  They also generate quite a few solid reports on issues affecting Californians but also as representative of what the rest of the nation can look forward to as well.

An interesting report that was recently issued related to the supply of California physicians.  The report is basically a powerpoint, which is really smart, because in our world of information overload a powerpoint is about all the detail you can swallow on a quick scan through. Four of the slides really caught my attention as they told a compelling story of what has happened to primary care.

We begin our review by noting that general physician supply has been flat for the last 15 years. There are a variety of reasons for this including economic alternatives, fixed number of medical schools, and the length of training versus the end payoff during the career.

Medical Graduates has remained flat in the CA for last 15 years while population has grown 40% during that time.

The flat physician supply is bad enough, but coupled with more than a decade of medical school graduates choosing specialties (less than 10% remain in primary care), we see a growing disparity in the numbers going into these safety net fields. The multifactorial reasons why graduates don’t pursue care in primary medicine relates to revenue model, business model, intensity of work, and job satisfaction among others.

California barely meets the nationally recognized standard for numbers of primary care physicians.

This is demonstrated in the attached slide showing the payment disparities between specialties. While primary care has enjoyed a recent increase it salary it has only moved from a running joke to a one liner. the 20% increase still puts it dead last in compensation and ~$15K lower than the next closest specialty.

While primary care has enjoyed a 20% increase, it is still $15K lower than the next lowest paid specialty.

To add insult to injury, California Primary Care Physicians are not just economically under appreciated as a specialty, they are also under appreciated geographically when compared to their peers. In one of the most expensive places in the country, they only make about 88% of what their peers make in other states.

When comparing CA PCP's against their peers in other states, they earned about 90% of national average.

Putting this all together paints a pretty tough picture for primary care – flat physician supply, only 5-8% of grads going in primary care, as a result of low pay, and for those choosing to stay in California they are rewarded with even less relative pay comparing to their PCP peers in other states.  These are all big macroeconomic trends that will take a long time to correct.

However, in the short run, at Crossover Health we believe that we give PCP’s HOPE that there is a better way, HOPE that there is a brighter day, and HOPE that they can either once again return to the medicine they loved to practice or forge ahead in creating an entirely new type of health care based on membership business model, using a powerful technology platform, and creating a new value network of specialist and ancillary providers. We believe we can raise the bar through each of these innovation singly, but when synergistically applied, we think we have something magic. 

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Filed under Crossover, Health 2.0, Primary Care