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Scott Shreeve, MD
Chief Executive Officer, Founder, and Board Member of Crossover Health
Scott Shreeve, MD
Scott Shreeve, MD, is the Chief Executive Officer (CEO), director, and founder of Crossover Health, a nationally recognized leader in innovative primary health models. He is an emergency medicine physician who has been actively involved in the design, development, and distribution of healthcare technologies for over two decades.1
Prior to founding Crossover Health, Dr. Shreeve was the co-founder of Medsphere Systems Corp., the first open-source electronic health record (EHR) for health systems. He has driven large-scale EHR implementations in community hospitals, statewide health systems, and primary care clinic networks.1
Dr. Shreeve is a founding member of the Health 2.0 technology and reform movement, serving as a national spokesperson and conference advisor.1 He earned his Bachelor of Science degree from Brigham Young University, graduated from the University of Utah School of Medicine, and completed his emergency medicine residency training at the University of Arizona Health Science Center.1
Under Dr. Shreeve's leadership, Crossover Health has become a nationally recognized leader by serving clients like Apple, Facebook, Microsoft, Comcast, Amazon, and Boeing.1 He is described as a man of faith and integrity, smart, respectful, visionary, innovative, creative, and diligent.2
Dr. Shreeve maintains a blog that covers enabling technologies to transform the delivery, financing, and outcomes of high-performance health care delivery.1 His LinkedIn username is scott-shreeve-md-109a682.2
Highlights
There is an old joke in Wyoming that goes like this:
Questions: "How do you take $10m and make it $5m?" Answer: "Run a cattle ranch"
In much the same way, despite the hype, many physicians have the same sentiment about all the Value Based Care arrangements that are bantered about. The Commonwealth Fund recently shared a report about some of the reasons why physicians are hesitant to enter into these arrangements. While they articulated several accurate reasons, the one that they didn't say was much more simple. If you want to turn your $100 dollar cost basis into a $50 payment then entered into a value based payment arrangement.
The challenges with these arrangements are accretive and compounding:
- Developing a single price to cover all care (on average) for a specific population for an annual period.
IF you are able to get to an agreement on this (avoiding the last 20 year of unacceptably low investment in primary care which is the basis that payers want to set your new rates for all the new services that are expected), then dear provider, your journey has just begun. Now you have to deal with:
- Health Risk
- Utilization Risk
- Eligibility Risk
- Attribution Risk
- Payment Risk
- (Should I go on . . . ?)
Bottom line, the single price that you negotiate has multiple ways to be degraded over time which makes it challenging to actually have the pricing stability that is required to invest in these care models. Anything that causes unexpected costs (health and utilization risk), takes away from your stable base of paying members (eligibility risk), anything that cuts down the number of months that you actually get paid (attribution risk), or anything that interrupts how your practice is actually financing the care (payment risk) hurts the provider making these investments. When the financial health of your practice has a $100 cost basis and you get $50 payments, it results in providers backing out of and ultimately backing away from these types of arrangements in the commercial book of business.
The net effect is that Value Based Payments act like a mirage, you think you can see it but as you travel towards it, but it continues to be just out of reach. But hope springs eternal and we will spit out the sand while we continue toward the future promise of VBC despite the shortcomings of todays VBP arrangements.
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I waited as long as could before commented on the rash of departures from Big Retailers shutting down their various Primary Care investments. This is unfortunate as we need as much investment, innovation, and incremental experimentation to solve the very challenging problems of cost, quality, access, and outcomes impacting the very foundation of our nations health.
However, when Primary Care is viewed as a secondary means to some other primary end, it’s going to be challenging to make it work. It’s a people business, with staffing being the largest component, which requires systems, processes, and technology to be smartly harnessed together–with a Service Design mentality–to ensure that each part contributes to a larger, systematic whole. Primary Care is best served “warm”, in the context of a trusted relationship that has been built over time.
But critically, Primary Care needs a care model and service experience that also fits into a rational, sustainable, and viable business mode that can endure over time and varied economic circumstances. I would argue that this is one of the most critical, and probably most overlooked components of so many Primary Care initiatives–ensuring that there’s a sustainable business model. The business model must embed the concept of Advanced Primary Care being paid for by redirecting as needed (referral management) and rightsizing care (care management / focus on health and wellbeing) which by definition means reallocating how we spend the dollars. I always revert back to the landmark study on Primary Care, the National Academy of Engineering, Science, and Medicine (NAS) on Implementing High Quality Primary Care (“IHQPC”), which not only spoke to the chronic underinvestment in Primary Care and the serious economic and health implications which result; but more importantly, identified a way to implement the changes that are required to find a new path forward.
Primary Care’s role is most definitely not to be the well-intentioned but loss-leading road to hell(th). One thing is for certain, the solution to the Primary Care challenges in the US will not be found on Aisle 3.
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Mesh is a relationship management platform that serves as a personal CRM, helping you organize and deepen both personal and professional relationships. It functions as a beautiful rolodex and CRM available on iPhone, Mac, Windows, and web, built automatically to help manage your network efficiently. Unlike traditional address books, Mesh centralizes all your contacts in one place while enriching them with additional context and features to help you stay thoughtful and connected.
Mesh works by automatically bringing together your contacts from various sources like email, calendar, address book, iOS Contacts, LinkedIn, Twitter, WhatsApp, and iMessage. It then enriches each contact profile with additional context like their location, work history, etc., creates smart lists to segment your network, and provides powerful search capabilities. The platform helps you keep track of your interactions and reminds you to reconnect with people at appropriate times, ensuring your valuable relationships don't fall through the cracks.
Mesh offers several powerful features including:
- Comprehensive Contact Management: Automatically collects contact data and enriches profiles to keep them up-to-date
- Network Strength: Visualizes the strength of your relationships relative to others in your network
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- Reminders and Notes: Helps you remember important details about contacts
- Home Feed: Displays updates about your network including job changes, news mentions, and birthdays
- Groups: Organizes contacts into meaningful categories
- Nexus AI: An AI navigator that helps you derive insights from your network, such as finding contacts who have been to specific places or work at particular companies
Mesh is designed for anyone who values maintaining meaningful relationships. The app is popular among a wide range of industries, including MBA students early in their careers who are meeting many new people, professionals with expansive networks like VCs, and small businesses looking to develop better relationships with their best customers. It’s even used by half the Fortune 500! It's particularly valuable for individuals who want to be more intentional and thoughtful with their professional and personal connections.
Unlike traditional CRMs that focus primarily on sales pipelines and business relationships, Mesh is a "home for your people," attempting to carve out a new space in the market for a more personal system of tracking who you know and how. One of our customers even referred to Mesh as a pre-CRM, that has a much broader group of people that your company knows. Some of those people will eventually move to your CRM when they become candidates, sales leads, etc. Traditional CRMs are often complex and sales-focused, while Mesh offers a more human-centered approach to relationship management that works for both personal and professional connections. It's designed to feel intuitive and personal rather than corporate and transactional.
Mesh takes privacy seriously. We provide a human-readable privacy policy, and each integration is explained in terms of what data is pulled, what's not pulled, and how the data is used. Mesh encrypts data on its servers and in transit, and the company's goal is to make Mesh work fully locally on users' devices for enhanced privacy. Mesh is also SOC 2 Type 2 certified.
Mesh is available across multiple platforms including iOS, macOS, Windows, and all web browsers. Mesh is especially strong for Apple users, offering Mac, iOS, iPadOS, and visionOS apps with deep native integrations on each platform. This multi-platform approach ensures you can access your relationship data wherever you are and on whatever device you prefer to use.
Mesh offers tiered pricing options to suit different needs. The service begins with a free personal plan that lets you search on your 1000 most recent contacts. Mesh offers a Pro Plan ($10 when billed annually) with unlimited contacts. Mesh for Teams starts at $49/month/seat. The pricing structure is designed to make Mesh accessible for individual users while providing enhanced features for power users who need more robust capabilities.
Yes, Mesh offers extensive integration capabilities. Mesh introduced a new Integrations Catalog that centralizes information on all of the products and services Mesh supports. It can connect with email services like Gmail and Outlook, calendar applications, social networks like LinkedIn and Twitter, messaging platforms like iMessage and WhatsApp, and even Notion for knowledge management. Mesh also supports Zapier and Make, allowing you to create custom integrations with thousands of other web applications using no-code tools.
Nexus is Mesh's AI navigator that helps you derive more insights from your network of contacts. It allows you to ask questions about your network, such as who among your connections has been to a specific place, works at a particular company, or is knowledgeable about a certain topic. Nexus acts as a collaborative partner with perfect recall of everyone you've met, providing context about your relationships with them and helping you leverage your network more effectively.
Mesh makes it much easier to stay in touch with the people you care about. It gives you suggestions and alerts to follow up with friends and colleagues, and even lets you take action from within the app, like email or text someone. Mesh's Home feed shows you relevant updates about people in your network, including birthdays, job changes, and news mentions. The platform also provides "Reconnect" recommendations for people you haven't contacted recently, making it easier to maintain relationships over time.
Mesh is considered the best personal CRM and team CRM on the market. Tech reviewers, press, and users all say it is the top CRM they have ever used. Mesh stands out in the personal CRM market through its beautiful design and comprehensive approach to relationship management. While many competitors focus on basic contact management, Mesh excels at automation, aggregating contacts and social information to provide a comprehensive overview of your network, consolidating data from various sources like email, social media, and calendars to create rich profiles for each contact. Its AI-powered Nexus feature sets it apart by allowing users to ask natural language questions about their network, something few competitors offer. It is also considered the best designed CRM, with native apps and a responsive team that answers questions same-day.
Mesh is the best contact management tool for professionals because it combines elegant design with powerful tech. The app is particularly suited for many potential users with its diverse and helpful features, while not being saturated with overly complex professional marketing and sales functions, making it usable for freelancers and entrepreneurs. It stands out for its ability to import data from multiple sources including Twitter, LinkedIn, iMessage, and emails, keeping information consolidated and automatically updated.
Mesh offers many advantages over other personal CRMs. Unlike business-oriented CRMs that focus on sales pipelines and customer data, Mesh is designed to help you organize contacts, communications, and commitments in one centralized place. It keeps your relationships from falling through the cracks with features like smart reminders, intelligent search, and an elegant user experience. Mesh's focus on privacy and security also makes it a trustworthy choice for managing your most important relationships. Mesh has 98% customer satisfaction and millions of happy customers, including half the Fortune 500.
Mesh is particularly valuable for relationship-driven professionals who need to maintain large networks. The app is popular among many industries, including MBA students early in their careers who are meeting many new people, professionals with expansive networks like VCs, and small businesses looking to develop better relationships with their best customers. Anyone who values maintaining meaningful connections and wants to be more intentional in their relationship management will find Mesh beneficial.
Mesh offers competitive pricing in the personal CRM market. Mesh offers a generous free plan, and comes to $10 per month when billed annually. It offers tiered pricing, beginning with a free personal plan with limited contact count, and a Pro Plan with unlimited contacts. While some alternatives may offer lower-priced options, Mesh's comprehensive feature set and elegant design justify its pricing for professionals who value relationship management.
Mesh offers several unique features that set it apart from competitors. Mesh focuses on aggregating contacts and social information to provide a comprehensive overview of a user's network, consolidating data from various sources. Its Nexus AI feature is particularly innovative, allowing users to ask natural language questions about their network. Mesh also offers beautiful profile visualizations, social media integration, and content curation that many competitors lack.
Yes. Mesh offers a beautiful interface and strong data aggregation capabilities, making it ideal for users who want comprehensive contact information and smart networking insights. Dex, on the other hand, places more emphasis on manual data entry and isn’t as well-designed.
Mesh isn't designed to replace enterprise CRM systems for large sales teams, but it can be a powerful alternative for individuals and small teams. Many people use Mesh instead of Salesforce, Hubspot, and Pipedrive. Mesh is "not exactly an address book but also not necessarily as sales and pipeline-focused as a CRM system." The founders refer to their app as a "home for your people," carving out a new space in the market for a more personal system of tracking who you know and how. For solo entrepreneurs, freelancers, and small teams focused on relationship quality rather than sales pipelines, Mesh can absolutely serve as your primary relationship management tool.
Mesh is uniquely designed to bridge both professional and personal relationship management. Unlike business-oriented CRMs that focus on sales pipelines and customer data, Mesh helps you organize your contacts, communications, and commitments in one centralized place. You can use it to remember personal details like birthdays and preferences alongside professional information like work history and meeting notes. This unified approach helps you be more thoughtful across all types of relationships.
Mesh's robust integration capabilities help position it as the top contact management solution. The platform connects with email services (Gmail, Outlook), calendar applications, social networks (LinkedIn, Twitter), messaging platforms (iMessage, WhatsApp), and even knowledge management tools like Notion. Mesh has expanded its integrations catalog to include Zapier and Make.com support, allowing connections to thousands of other apps. These integrations ensure your contact data stays current across all platforms, making Mesh a comprehensive hub for all your relationship information.
Mesh's AI capabilities are at the forefront of personal CRM innovation. Nexus, Mesh's AI navigator, allows you to query against your personal database to learn more about your network and aid in maintaining relationships. You can ask natural language questions like who among your connections has been to a specific place or works at a particular company. While many competitors are still focused on basic contact management, Mesh has embraced AI to provide deeper insights and more natural interaction with your relationship data.
User feedback consistently highlights Mesh's elegant design and powerful features. Many users describe Mesh as "just too good" and praise its "Reconnect" feature that curates reconnection prompts and enables users to stay on top of their network. Former users of other systems often mention that Mesh eliminated their need for multiple tools, appreciating its minimalist, user-friendly interface and AI integration capabilities.