Identify suitable clients
Best fit includes self-funded employers with meaningful elective procedure spend and openness to voluntary benefit innovation.
For brokers and consultants
Bring clients a differentiated surgical spend strategy.
CareCostDown helps brokers and benefits consultants offer self-funded employers a physician-led Center of Excellence pathway for eligible high-cost elective procedures.
Your clients are under pressure to control healthcare cost trend without damaging employee trust. CareCostDown gives you a focused, explainable solution for surgical spend: claims-based savings modeling, clinical governance, voluntary member navigation, and implementation support.
Program view
Surgical spend pathway
Savings
30-50%
Governance
Clinical review
Reporting
Case-level
Knee replacementEligible review$42k domestic benchmark
Orthopedic bundleCOE pathwayNet savings modeled
Member supportVoluntaryNavigator assigned
Employer reporting snapshot
12
Eligible cases
3
Clinical exclusions
Modeled
Pilot savings
Pain points
Clients need more than another generic cost-containment pitch.
Employers are already hearing from point solutions across pharmacy, navigation, virtual care, and chronic condition management. Advisors need strategies that are specific, measurable, and relevant to high-cost claims.
- Rising self-funded plan costs
- Large elective surgery claims
- Need for fresh savings strategies
- Limited appetite for complex implementation
- Skepticism toward unproven vendors
- Pressure to show advisory value beyond renewal negotiation
Why CareCostDown
A specific solution for a specific cost problem.
CareCostDown gives advisors a structured way to discuss high-cost elective surgery spend with clients.
- Claims opportunity review
- Client-ready savings scenarios
- Role-specific briefing materials
- Clinical governance narrative
- Voluntary member pathway design
- Pilot implementation support
- Reporting clients can review with finance and HR
- Flexible advisor collaboration model
Program workflow
Easy to introduce, disciplined to evaluate.
The program is designed to help advisors qualify clients, support stakeholder conversations, and implement a focused pilot.
Model the opportunity
Estimate savings potential using claims history and procedure categories.
Brief stakeholders
Support CFO, HR, benefits, TPA, and carrier workflow discussions with role-specific materials.
Design the pilot
Define population, procedures, incentives, communication plan, and reporting.
Support implementation
CareCostDown manages member navigation and program operations.
Review performance
You and your client receive clear reporting on savings, utilization, and next-step recommendations.
Objection handling
Built for the questions clients will ask first.
Is this a direct-to-consumer travel referral program?
No. Position it as a physician-led Center of Excellence pathway with clinical governance and employer reporting.
Will employees trust it?
The program is voluntary, selective, and supported by member education and care navigation.
Is it too complex to implement?
The pilot model is designed to start focused, typically with defined procedures and a clear operating workflow.
How do we protect our client relationship?
CareCostDown can work behind or alongside the advisor, depending on the preferred engagement model.
Metrics and outcomes
Give clients a measurable advisory conversation.
Client reporting is designed to connect savings strategy to implementation and renewal discussions.
- Estimated eligible case volume
- Target procedure savings range
- Pilot participation assumptions
- Net savings scenarios
- Member inquiry and conversion metrics
- Completed case savings
- Employer reporting summaries
- Renewal strategy implications
FAQ
Questions this team asks first.
Which clients are the best fit?+
Self-funded employers with high-cost elective surgery claims, benefits leadership support, and interest in measurable cost-containment strategies.
Can CareCostDown support client presentations?+
Yes. We can provide role-specific briefing support for CFO, HR, benefits, TPA, carrier, and plan administrator stakeholders.
Does this compete with existing Centers of Excellence vendors?+
It can complement domestic COE strategies by adding a selective overseas pathway for suitable cases.
How are advisor economics handled?+
Advisor economics can be structured based on the relationship model, client ownership, and implementation scope.
Add a surgical spend strategy to your cost-containment toolkit.
Work with CareCostDown to evaluate which clients may benefit from a focused overseas Center of Excellence pathway.
Broker partnership inquiry
Discuss advisor fit for your client base.
Use this form for broker or consultant conversations about client suitability, savings modeling, pilot briefing support, and advisor collaboration.