Find the waste in your plan's healthcare spend, and capture it
For self-funded employers, most plans leak money: care delivered at the priciest site, bills nobody questioned, spend a lower-cost option would have avoided. CareRoute finds that leakage, helps steer care to lower-cost options before it happens, and disputes excessive or erroneous bills after. You pay only from the savings we deliver.
Before care
Employees compare costs and find lower-cost, in-network options and sites of care.
After care
Bill Defense reviews and negotiates down excessive or erroneous medical bills.
Paid from savings
No platform fee. Nothing owed unless measurable savings are realized.
Healthcare Spend Leakage Calculator
Enter two numbers to size where your plan is likely leaking spend, and how much of it CareRoute can help recover. This is an illustrative estimate grounded in public research, not a prediction. Nothing is saved.
Illustrative estimate for informational purposes only, not a guarantee of savings. Ranges are national and grounded in public research (KFF, RAND, CMS, HCCI); your plan-specific opportunity depends on your claims, network, and market. Last updated 2026-09-15.
How CareRoute lowers plan spend
CareRoute already does this one person at a time on the consumer side, cutting real money off individual medical bills and steering people to lower-cost care through tools used thousands of times. For a self-funded plan, the same two levers compound across a whole workforce:
- Before care: employees use CareRoute's cost tools to see what a service should cost and where to get it for less, shifting shoppable care to lower-cost sites.
- After care: Bill Defense audits, disputes, and negotiates bills that are excessive, erroneous, or wrongly out-of-network.
- Independent and outcome-based: CareRoute is not tied to a carrier or network, and is paid only from the savings realized.
Frequently asked questions
What is this savings estimate based on?
It applies published, national benchmarks to the numbers you enter. The ranges come from public research (the KFF Employer Health Benefits Survey for plan cost, the RAND Hospital Price Transparency Study for commercial-to-Medicare price variation, and CMS and Health Care Cost Institute data on shoppable and site-of-care spend), plus billing-audit findings for overcharge recovery. It counts only what CareRoute does today: fair-price and site-of-care steering before care, and bill review after. It is an illustrative opportunity range, not a prediction or a guarantee.
How does CareRoute actually help an employer capture these savings?
On both sides of care. Before care, CareRoute helps employees understand their options, compare costs, and choose lower-cost sites of care. After care, CareRoute Bill Defense reviews and negotiates down excessive or erroneous medical bills. For a self-funded plan, those reductions flow straight back to the employer.
What does it cost?
CareRoute is paid only from the savings it delivers. There is no platform fee and nothing owed unless measurable savings are realized. That keeps the incentive fully aligned with lowering the plan’s spend.
Is this specifically for self-funded employers?
Yes. Self-funded (and level-funded) employers pay their own claims, so every dollar of avoidable spend or overbilling that CareRoute removes is a dollar the employer keeps. The estimator sizes that addressable opportunity for your plan.
Can benefits advisors and brokers use this with their clients?
Yes. Advisors can run the estimator with a client to size the opportunity, then request a more precise assessment from the client’s claims data. Note that you are an advisor when you request it and we will work with you directly.
How we calculate this estimate (sources & methodology)
The estimator applies published national benchmarks to the numbers you enter. It is deliberately transparent and conservative: it sizes an addressable opportunity range, not a predicted result, and it counts only the capabilities CareRoute sells today (fair-price steering and site-of-care before care, and billing integrity after). If you leave plan spend blank, we estimate it from covered lives at about $7,500 per covered life (KFF Employer Health Benefits Survey (blended average total plan cost per covered life)). These three categories are drawn from public research:
| Category | Range (% of spend) |
|---|---|
| Price variation & fair-price steering | 2% to 6% |
| Site-of-care & shoppable services | 1% to 4% |
| Billing & payment integrity | 0.5% to 2% |
The categories act on overlapping slices of shoppable spend, so their savings cannot simply be added. The headline range (3 to 10 percent of plan spend) is therefore set deliberately below the sum of these ranges (3.5 to 12 percent). These are national illustrative figures; a plan's real opportunity depends on its claims, network, and local prices, which is exactly what a precise assessment measures from your data. Benchmark set version 2026-09-15.
Related
The savings estimate is illustrative and for informational purposes only. It is not a prediction or a guarantee of savings, and does not constitute financial, actuarial, or insurance advice. Ranges are national and grounded in public research; actual results depend on your plan, claims, network, and market. Last updated: September 2026.