The Price for Life, The Universe, and Everything
One of the hardest things to understand in healthcare is pricing. Look at any health service bill (or more appropriately “This is NOT a Bill”) that you receive. You will see a price, the discount, the allowed amount, fractionalization of the services you received, endless itemizations, and my personal favorite “Lunar Monday Adjustment” (JK). Pricing
Interview: Sumeet Batra, MD – A Fresh Perspective on Occupational Medicine
Crossover has been planning to integrate Occupational Medicine as part of our comprehensive Primary Health model for some time. We’d been looking for not only a Medical Director to lead the effort but also a champion to build this service in a way that aligns with our care philosophy. With an extensive background in Occupational […]
gqOS – Acting on the Evidence
There has always been plenty of talk about “evidence-based” care. Large sets of anonymized data, scraped from clinical records and payment claims have been aggregated by providers, insurers and third-party analytics firms and used to assess the most effective clinical pathways to achieve the best outcomes across a range of health conditions and patient t
13 years Before the Mast
I feel fortunate to live in one of the most beautiful parts of the world along the coastline of Southern California. One of the prominent features of our coastline is Dana Point, a headlands which serves as a key navigational point for the annual whale migrations. The area is named after Richard Harvey Dana, an […]
Think Network, Not Nodes
Will there ever be a network effect in healthcare? “Nah. Healthcare is local” you say. And, in today’s landscape, you would be correct. There is no single national health care player that addresses healthcare needs in every major market and across every multiple channels. The closest we have is the ongoing battle between the big […]
Good
During a recent conversation I was asked how I am doing given the topsy turvey employer health world the last several years and specifically the ricochet effects in 2023. My standard answer is always the same – “I’m Good”. This phrase is usually quickly passed over and we move onto whatever the original purpose of […]
Existential Opportunity: Primary Care Led Navigation
In 2021, at the height of the pandemic valuation bubble, we began down the long road to a public offering. It was a heady experience to build a syndicate of top tier bankers, to work through the org meetings, to develop our narrative and value proposition for professional investors and of course to anticipate “ringing […]
Interview: Nihal Shah (Part 2) – Riding the Waves of Change
In Part 1 of our interview, Nihal Shah, our new Chief Financial Officer, described his journey through finance and healthcare that led him to Crossover. In this second part, he digs deeper into what he sees as our company’s unique qualities, and how in a rapidly-shifting and consolidating healthcare industry Crossover will ride the waves […]
Interview: Nihal Shah (PART 1) – Taking the Plunge into Care Delivery
Part 1: Taking the plunge into Care Delivery Nihal Shah joined Crossover as Chief Financial Officer in January of 2023. His career path, which had been following a more conventional financial services trajectory, pivoted to healthcare some years ago when he followed an old boss into a healthcare investment management firm. Nihal was compelled by [&hell
The Comparison Framework between Commercial Primary Care Models is Broken – And Here’s How To Fix It
We have sought multiple approaches to help Employer Clients and Benefits Consultants understand the value of Primary Health services paid for under a value-based arrangement versus traditional fee for service alternatives in the community. This same “comparison framework” problem exists within the Medicare Advantage (MA) space when trying to select