Premise Health and Crossover Health announced an agreement to merge into a single company focused on scaling primary care access. The combined organization will provide onsite, nearsite, and virtual care for more than 400 employers with millions of members, operating nearly 900 wellness centers across the country. Premise’s annual revenue is about $1.6 billion, and the combined company is expected to approach $2 billion, according to Premise CEO Stu Clark. The new entity will be led by Clark.
Both companies share the thesis that advanced primary care is the lever to disrupt U.S. healthcare. They define advanced primary care as an integrated bundle of primary care, behavioral health, pharmacy services, and care navigation. “Crossover and Premise have proven that a few things happen when you deploy our advanced primary care models: access goes up, health improves and costs go down,” Clark stated. The company’s target customers will be large self-insured employers, mainly Fortune 1000 companies, unions, Native tribes, and government entities.
Business model and strategic rationale
The company will be paid directly by employers on a fixed-fee basis, not using a fee-for-service model. Clark explained that higher utilization of clinics will lead to better health outcomes, lower employer costs, and greater value from the fixed fee, aligning incentives around prevention and engagement rather than volume-driven billing. Employers are turning to advanced primary care because traditional health plans cannot control costs or improve access. “Healthcare is now an earnings-per-share issue for American employers,” Clark remarked. “It’s one of the single biggest cost risks that they have in running their business.”
While Premise is the larger organization, Crossover brings strategic assets to the partnership. Crossover’s near-site clinics fill geographic gaps in Premise’s footprint, while Premise’s national scale gives Crossover’s clients the ability to expand across multiple markets. Crossover also brings more advanced digital member engagement tools, which Premise plans to roll out across its broader client base. Crossover CEO Scott Shreeve stated that “I don’t think we’re going to get there all on our own” in solving healthcare’s triple aim of cost, quality, and experience. The deal is subject to regulatory approval and customary closing conditions.
This article is an AI-assisted summary. All facts and figures are drawn from the original report: https://medcitynews.com/2026/02/premise-crossover-merger-healthcare/