CrossCare Global Health Plan Solutions™
Extend your healthcare network beyond borders.
Solutions for Employers, Health Plans, TPAs & Insurers
Connect eligible members with carefully evaluated international healthcare providers, specialist second opinions and global Centers of Excellence — while gaining greater visibility into the complete cost and coordination of each healthcare journey.
Global Healthcare Access. Intelligent Cost Management. One Coordinated Journey.
CrossCare Global is not an insurance company. We provide technology, evaluated global provider access, navigation, coordination and cost intelligence. Coverage determinations, medical-necessity decisions and authorization decisions remain with the relevant payer or plan.
How an enterprise case moves
An international healthcare navigation and coordination platform for employers, self-funded health plans, TPAs, insurers, benefits organisations and other approved healthcare purchasers seeking appropriate global Centers of Excellence, international second opinions and transparent total journey cost comparisons.
Employer / Health Plan / TPA / Insurer → CrossCare Global
The enterprise value proposition
Global Access
Extend access to carefully evaluated healthcare providers and specialists across international markets.
Cost Intelligence
Compare appropriate domestic and international healthcare pathways using the complete estimated journey cost — not hospital price alone.
Member Navigation
Coordinate medical records, consultations, treatment planning, travel, accommodation, hospital admission, recovery and follow-up.
Continuity of Care
Pre-treatment preparation and post-treatment follow-up are built into the international care pathway, not added afterwards.
Who we partner with
Approved healthcare purchasers offering eligible members or employees access to international healthcare options.
Case intake channels
Every case receives a unique CrossCare Case ID. Enterprise dashboards use role-based access and avoid exposing unnecessary personally identifiable information.
Member eligibility workflow
Your organisation configures the programme rules; the platform checks them before a case advances.
Statuses
AI never makes a final coverage determination. Those decisions stay with authorised human reviewers in your plan's workflow.
AI Medical Record Intelligence
- • Organise records
- • Classify document types
- • Identify dates
- • Create timeline
- • Identify missing documentation
- • Identify duplicate records
- • Generate structured case summary
- • Prepare case for professional review
- • Support translation where appropriate
Missing Information Detector
Additional information may be required before provider review:
Global Second Opinion Network™
- 01Case prepared
- 02Provider selected
- 03Records securely transferred
- 04Specialist review
- 05Written opinion received
- 06Teleconsultation if required
- 07Opinion returned to member / authorized payer workflow
Each opinion clearly identifies the specialist, hospital, country, credentials, review date, opinion status and follow-up recommendation. AI may organise and summarise an opinion — it never impersonates the physician.
Where AI stops and clinicians decide
AI performs
AI never performs
Cases reaching these points are flagged Clinical Review Required for authorised clinicians or medical reviewers.
CrossCare Global Centers of Excellence Network™
View the networkHospitals qualify for individual clinical categories — no hospital is designated excellent at everything, and no provider carries the designation before verification and compliance review.
CrossCare Value Matrix™
Provider selection weighs thirteen factors, so the lowest-priced hospital never becomes the recommended option by default. Providers are never ranked by referral commission.
Decision hierarchy
- 1 Clinical appropriateness
- 2 Quality & safety
- 3 Member choice
- 4 Continuity of care
- 5 Total Journey Cost™
- 6 Financial value
Global Savings Intelligence™
Compare the domestic expected allowed cost against the complete Total Journey Cost™ — treatment, physician fees, diagnostics, travel, accommodation, companion, navigation, visa, recovery, coordination, follow-up and contingency. Results are shown as an estimated cost difference, never as realized savings.
Estimated aggregate domestic cost
$1,842,000
Estimated aggregate Total Journey Cost™
$903,400
Estimated net cost difference
$938,600
Average case coordination time
34 days
Orchestrated by Journey Intelligence™
One journey object drives every authorised dashboard. Enterprise cases reuse the existing CrossCare modules — no parallel systems.
Member Choice Center
International treatment is presented as an option, never as pressure. Members see the domestic option where available, hospital and physician information, travel requirements, potential risks, cost information, recovery requirements, follow-up arrangements, their responsibilities and alternatives.
Declining an international option carries no negative consequence for the member.
Member incentive engine
Configurable where legally permissible. Nothing is activated by default — every incentive requires enterprise compliance approval before it appears to a member.
CrossCare Global Care Concierge™
Care doesn't end when the flight lands.
Before travel
- • Identify domestic physician
- • Confirm medical history
- • Prepare records
- • Confirm fitness for travel where required
- • Establish follow-up plan
Before discharge overseas
- • Discharge summary
- • Operative report
- • Imaging
- • Pathology where relevant
- • Medication list
- • Follow-up instructions
- • Complication warning signs
- • Emergency contact information
After returning home
- • Teleconsultation
- • Domestic physician handoff
- • Rehabilitation
- • Medication management
- • Wound care where relevant
- • Lab monitoring
- • Outcome collection
Care Escalation Protocol
- 01Identify whether the member is overseas or home
- 02Display the appropriate hospital emergency contact
- 03Notify the CrossCare coordinator
- 04Notify the authorized payer contact where permitted
- 05Notify the treating provider
- 06Provide relevant records
- 07Coordinate local medical evaluation
- 08Track incident and resolution
AI is never used alone to manage a medical emergency. In an emergency, contact local emergency services immediately.
CrossCare High-Cost Case Navigation™
For eligible planned cases where international alternatives may warrant evaluation. Emergency cases are never routed internationally.
CrossCare Advanced Treatment Access™
Where the objective is clinical access, expertise, treatment availability, second opinion, evidence and regulatory status — not cost. These cases never lead with savings.
Governance, roles and compliance review
Roles & permissions
Compliance review areas
Each area carries a review status: Not Reviewed • Under Review • Requirements Identified • Approved • Restricted.
Authorization statuses
Every authorization action is written to the audit log.
Designed to support enterprise healthcare privacy and security requirements. CrossCare does not claim certification that has not been independently verified.
Integration architecture
Secure APIs and webhooks are architected for the systems below. Integrations are only described as live once they are actually connected for your organisation.
Global Healthcare Value Report
Board-ready reporting for your programme. Estimated differences are never presented as realized savings.
Discuss a global health plan strategy
Tell us about your population and objectives. A CrossCare enterprise lead will follow up with an appropriate programme design conversation.