CCDCareCostDownSurgical Spend Management

For HR and benefits leaders

Offer a voluntary surgical pathway employees can understand and trust.

CareCostDown helps HR and Benefits teams introduce a physician-led overseas Center of Excellence program with clear communication, member support, and clinical safeguards.

Employees need more than a lower-cost option. They need confidence, clarity, and a supported experience. CareCostDown is designed to help eligible members evaluate a voluntary care pathway without feeling pushed into an unfamiliar decision.

Program view

Surgical spend pathway

Pilot ready

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

A savings program only works if employees trust it.

HR and Benefits leaders have to balance cost control with employee experience. A poorly framed surgical program can feel risky, transactional, or confusing.

  • Employee hesitation around overseas care
  • Fear that savings are being prioritized over safety
  • Difficulty explaining eligibility and voluntary participation
  • Concerns about travel, recovery, and follow-up
  • Need for clear communications and manager-safe language
  • Ensuring the benefit feels supportive, not coercive

Why CareCostDown

Designed around member confidence and clinical discipline.

CareCostDown is not a self-service referral tool. Members are supported through education, screening, clinical review, coordination, and return-home planning.

  • Voluntary participation
  • Plain-language member education
  • Physician-led clinical review
  • Dedicated care navigation
  • Travel and scheduling coordination
  • Clear exclusions when the pathway is not appropriate
  • Employer communication support
  • Post-procedure handoff planning

Program workflow

A managed experience from education to recovery planning.

CareCostDown supports HR and Benefits teams before, during, and after the member journey.

1

Prepare the communication plan

Position the program clearly as a voluntary option for eligible procedures.

2

Educate eligible members

Provide plain-language information about the pathway, requirements, and decision process.

3

Screen for fit

Review eligibility and clinical suitability before any case moves forward.

4

Support the member journey

Coordinate scheduling, travel support, preparation, and member questions.

5

Plan continuity

Support post-procedure follow-up and domestic handoff planning.

6

Report appropriately

Provide program performance reporting without unnecessary clinical detail.

Objection handling

Answering the questions employees and HR teams will ask.

Will employees feel pressured?

No. The program is voluntary and should be communicated as an option, not a requirement.

How do we talk about overseas care?

We focus on Center of Excellence standards, clinical review, support, and eligibility, not destination-based savings.

What if an employee is not a good fit?

The pathway is selective. Some cases should remain domestic based on clinical, travel, or personal factors.

Will this create more work for HR?

CareCostDown supports communications, navigation, coordination, and reporting so HR is not managing cases manually.

Metrics and outcomes

Measure both savings and experience.

Benefits leaders need to see adoption, support quality, and program performance together.

  • Eligible member inquiries
  • Completed clinical reviews
  • Participation rate
  • Member satisfaction feedback
  • Procedure completion rate
  • Return-home handoff completion
  • Issue escalation rate
  • Employer savings reporting
  • Communication effectiveness by audience

FAQ

Questions this team asks first.

Is participation voluntary?+

Yes. The program is designed as a voluntary pathway for eligible members.

Does CareCostDown provide medical advice?+

CareCostDown supports clinical review and care navigation, but individual medical decisions remain between the member and qualified clinical professionals.

How is employee privacy handled?+

Employer reporting should focus on program performance and savings, not unnecessary clinical details.

Can this be communicated as part of open enrollment?+

Yes, but the recommended approach depends on plan design, incentive structure, and employer communication standards.

Build a surgical pathway employees can take seriously.

CareCostDown can help your team evaluate procedure fit, communication requirements, member support needs, and pilot design.