Primary Care is a Loser
The perennial “loss leader” mentality for primary care is an absolutely LOSER framework, strategy, and concept for a service that is so fundamental to the health of our society. Blake Madden is a great follow on X as he regularly surfaces good insights into care delivery as part of his Hospitology Newsletter. He recently highlighted […]
The Mirage of Value-Based Payments: A Provider’s Perspective
I have always appreciated the Commonwealth Fund who puts out some solid research on primary care. One of their recently published papers caught my attention: “Why Primary Care Practitioners Aren’t Joining Value-Based Payment Models”. They thoughtfully consider several points: The current dominance of fee-for-service (FFS) stifles Value-Based Payment (V
Retail Health: Are We All SKUed?
The ubiquitous SKU (“stock keeping unit”) concept was initially developed in the 1950s but really began to impact the retail industry in the 1970s with the introduction of barcodes and related technology. SKUs are not only a unique identifier or code for a specific product, but can also track price, manufacturer, where the product was […]
Health Innovation – Beyond “Bread and Circuses”
I had the opportunity to participate in the Founders Summit sponsored by Lynne Chou O’Keefe and the Define Ventures team. Besides the amazing Stein Eriksen Lodge setting (is there anything better than a summer evening in Park City?) and the inspiring performance by Aloe Blacc (man – I love hearing artists describe their creative process […]
Hard Work—The Climb to a Value Based World
We have been talking for a long time about the fundamental role payment architecture plays in the destiny of how care is delivered, experienced, and how it performs. While most people in the industry would agree that the current fee for service payment model is a root cause contributor, there seems to be only scattered […]
RamaOnHealth: Creating Cohesive Care Delivery
This was an interview with RamaOnHealthcare exploring the future of Primary Care in the US. BACKGROUND: Crossover is a technology-enabled, national primary health membership service that integrates both online and in person care for self-insured employers and health plans. The company currently serves over 350,000 employees and their families via our onsite,
Primary Health is…a “Commercial Advantage” Plan
When employers complain about the ever-rising costs and increasing complexity of providing healthcare for their employees, they seem blind to a proven model that’s right in front of them. During the last several years, there has been an explosion of enrollment in Medicare Advantage plans throughout the country. The Medicare Advantage plan is a type [
Primary Health is…an emerging health model
Over the years, we have had the privilege of working with some of the greatest companies, brands, and corporate innovators in the world. I have learned so much from them, about them, and most importantly, about how they approach their work. Each company, like every individual, is unique with different beliefs, cultures, values, and how […]
Interview: Rich Patragnoni, MD, Part 2 – Digital First from Zero to One
Rich Patragnoni, MD is one of the three co-founders of Crossover Health, alongside Scott Shreeve, MD and Nate Murray. He trained and practiced as an Internal Medicine physician for about a decade before his impatience and frustration with the primary care system led him to embark on the adventure that is Crossover Health. In Part […]
Employer Dilemma: A Framework for Returning to Work [ Safely ]
We are fortunate to work with some of the largest employers in the country, most of which have followed local or federal guidelines and ceased operations in the workplace because of COVID-19. They had to do this with little opportunity to reflect on the impact or prepare for an eventual transition back to the workplace. […]