Premise Health & Crossover Health to Merge, Creating Large-Scale Advanced Primary Care Platform

The transaction will bring together two established players in employer-sponsored healthcare, collectively serving more than 400 organizations and millions of members across the United States.

Premise Health and Crossover Health have signed a definitive agreement to merge, creating a combined direct healthcare organization focused on advanced primary care delivery for employers, unions, and other organizations.

The transaction will bring together two established players in employer-sponsored healthcare, collectively serving more than 400 organizations and millions of members across the United States.

Following the merger, the combined entity will operate close to 900 wellness centers nationwide, offering a hybrid care model that includes onsite clinics located at employer campuses, nearsite facilities, and virtual care services. The scale positions the organization among the largest providers of employer-based advanced primary care in the country.

Leadership of the merged company will be led by Premise Health CEO Stu Clark. Crossover Health co-founders Scott Shreeve, MD, and Nate Murray will continue in executive roles, a structure intended to maintain continuity across clinical and operational models as the organizations integrate.

Premise Health has traditionally focused on onsite care models embedded within large employer environments, while Crossover Health has developed nearsite clinics and a technology-enabled, membership-based approach to primary care. The combination brings together these complementary models into a single platform that offers employers multiple access points for care delivery.

Dr. Scott Shreeve stated that the merger is intended to move advanced primary care toward a broader adoption point, positioning it as a standard care option rather than an alternative. According to data published by Premise Health in 2024, patients using its advanced primary care model recorded average annual savings of approximately 30%, or $2,434, compared to community-based care. The merged organization plans to apply these cost outcomes across a larger employer base by pairing Premise’s scale with Crossover’s data analytics and member engagement capabilities.

The agreement also highlights a shared focus on accelerating Alternative Payment Models (APMs). Both companies have been developing infrastructure to support primary-care-centered health plans that assume greater financial risk and reduce reliance on traditional carrier-led PPO models. The companies said progress on these offerings is expected to accelerate following the merger.

If implemented broadly across the combined employer network, such models could represent a shift in how employer-sponsored healthcare is structured, with primary care positioned as the central driver of care coordination and cost management.

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