Featured download
What one eligible knee replacement can mean for plan savings.
Use this PDF to frame an employer, advisor, or TPA conversation around savings logic, clinical governance, member suitability, and annual opportunity.
Knee Replacement Savings Brief
A CFO-ready example showing how one eligible knee replacement could create meaningful plan savings through a clinically governed China COE pathway.
Why users will find it valuable
- Shows a simple employer-facing savings calculation.
- Uses knee replacement as a concrete, familiar example.
- Separates medical cost, travel, coordination, and member support.
- Explains why this is a governed pathway, not unmanaged medical tourism.
Illustrative knee replacement scenario
Domestic allowed amount$42,000
China COE pathway medical cost$18,000
Travel + coordination + member support$5,000
Total overseas pathway cost$23,000
Estimated net plan savings$19,000
10 eligible cases per year$190,000
Illustrative only. Actual savings depend on procedure category, plan design, allowed amounts, member eligibility, travel suitability, clinical review, facility selection, and implementation costs. Savings are estimates, not guarantees.
Additional resources
More evaluation tools for employer surgical spend management.
Use these buyer-facing briefs to evaluate governance, advisor conversations, and pilot readiness before requesting a formal briefing.
Employer Buyer's Guide
A practical guide to evaluating voluntary overseas Center of Excellence pathways for self-funded employers.
Surgical Savings Model Brief
A framework for evaluating claims opportunity, participation assumptions, program cost, and net savings.
Clinical Governance Checklist
Questions to ask before launching a global elective surgery pathway.
Broker Client Conversation Guide
A client-ready discussion guide for advisors evaluating surgical spend alternatives with employer groups.
These resources are for employer-sponsored benefit evaluation and advisor discussions. They are not direct-to-consumer medical advice and should not be used to submit patient information or PHI.