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Crossover Finds Niche With ‘Commercial Advantage’ Plan

Crossover Health, a San Clemente-based healthcare provider, is enticing more large employers with what Chief Executive Scott Shreeve calls its Commercial Advantage model, which plays off the Medicare Advantage model for senior citizens.

“It’s a type of care model that has a large care team, an integrated approach, and [it] is really focused on delivering outcomes,” Shreeve said.

“We’re doing that in the commercial market with self-insured employers, and that’s where we see the growth really taking off.”

Crossover announced a number of additions to its leadership team this month, including Dan Oftedahl, who will lead the adoption of the company’s Commercial Advantage plan as senior vice president of payer sales. Oftedahl was most recently head of national transformative markets at Aetna.

COVID Services

Crossover started as a membership-based primary care provider in 2010, before adding behavioral health, physical therapy and other specialty services to its offerings.

The firm—which has raised some $110 million in funding, most of that coming in 2016—found a niche by serving large, self-funded tech employers that act as their own medical insurance companies, using a combination of on-site or near-site healthcare clinics that it runs.

Crossover currently has more than 25 health centers set up across the country, in a mix of on-site and near-site locations for its employer clients.

When the pandemic hit, the company quickly developed a framework to help employers navigate COVID-19.

“Every employer is very different,” Shreeve said. “Instead of a prescriptive [approach], we developed a framework to give people a way to think about this and then adapt it to their unique situations.”

The approach—which include offering tools for COVID-19 screening, testing and treatment—clearly worked.

Crossover nabbed its largest deal: a 20-site agreement with Amazon in August. It now serves more than 350,000 members across 30 employers.

Growth is coming from new employers, as well as employers that have opted to expanded virtual services such as mental health offerings—the company’s fastest-growing service line—to a larger employee population, Shreeve said.

Health Notary

Crossover expects to be involved in vaccine distribution for a number of its clients in the coming months, Shreeve said.

The company will also offer a digital health passport to employees, which will document their vaccination and even their immunity status to COVID-19.

“We think the world will move beyond proof-of-vaccination to proof-of-immunity,” Shreeve said.

“So, we’re offering this health notary service—it’s interesting to see how the role of the medical group is evolving.”

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