Monthly Archives: February 2010

3 Things You Need to Know About US Medical Visas

Japan recently announced the a relaxation of medical visa requirements. Post 9/11, the United States has become more vigilant about allowing visitors into the country for medical care. Here are three things you should know if you plan to visit the US for treatment or surgery.

You might need a B-2 Visa

There are several websites that explain the process for applying for a medical visa, e.g. http://www.usavisitorvisa.com/medicalvisa/medical_visa.htm and http://travel.state.gov/visa/temp/types/types_1262.html

Present US immigration policy presumes that every visitor visa applicant is an intending immigrant (has an intention to stay back in the U.S. permanently). Therefore, applicants for visitor visas must overcome this presumption by demonstrating that:

The purpose of their trip is to enter the U.S. for business, pleasure, or medical treatment.
That they plan to remain for a specific and limited period.
Evidence of funds to cover expenses in the United States;
Evidence of compelling social and economic ties abroad; and
That they have a residence outside the U.S. as well as other binding ties which will insure their return abroad at the end of the visit.

You might be eligible for a visa waiver

If you intend to visit the United States for 90 days or less, unders certain circumstances, you might be eligible for a visa waiver. To learn more about the prograsm and requirements, check http://travel.state.gov/visa/temp/without/without_1990.html

You will need to satisfy certain immigration requirements even if you are not the patient

For example , suppose you want to accompany a family member while they get care. Or, what if you intend to donate your kidney to a family member who is having a transplantation operation in the US? According to http://www.immihelp.com/visitor-visa/visitor-visa-usa-medical-treatment.html, you will need the necessary approval from US immigration officials before your US arrival.

If you plan to come to the US for care or plan to accompany someone who is, make sure you have a visa or documentation of a visa waiver. Prepare ahead and don’t procrastinate. Getting approval can take months and you should give yourself enough time to get it.

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The New Normal in Global Healthcare Referrals

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The model for global healthcare referrals has changed. In the old model, patients went to their doctor who referred them to another doctor or surgeon for care. These days, patients find their own surgeon and request a “reverse referral” asking the consultant to get the necessary information from a primary care doctor at home to assure continuity of care. Using transfer of electronic medical records, health information exchanges and telemedicine, patients now drive the process with increasing disintermediation of healthcare professionals.

BOTTOM LINE: The globalized, interconnected healthcare infrastructure is putting more power in the hands of patients to make choices about the value of care they receive.

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Best Medical Tourism Company

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How do I find a best medical tourism company? How do I know if the company I work with is a trust worthy medical tourism company? This is one of the common questions that goes in patient’s mind. Here are some of the questions that you can ask yourself to judge:

Did you get a valid timely response for the inquiry submitted?
Did the case manager help with all your questions and logistics without doing a sales pitch?
Did you make the decision by yourself without any bias from the medical tourism company?
Did you verify if the company is properly incorporated and have a good standing?
Did you verify if they have no complaints using Better Business Bureau?
Did any third party non profit or certification parties verify their internal process?

If all the answers to the above questions are a big “YES”, then yes – you have a winner! The above questions are just a subset of questions that you could ask to judge a medical tourism company. Please treat this as just a guideline.

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Mommy Makeovers at MedVoy

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You may be wondering… what exactly is a “mommy makeover”?

Pregnancy takes a toll of a woman’s figure and a mommy makeover is designed to help restore the pre-baby body. Women gain an average of 25 to 35 pounds during pregnancy and unfortunately, there are changes to the body, such as stretching of the stomach and fatty tissues stored in the hips and abdomen which is difficult, if not impossible, to lose through diet and exercise alone. A mommy makeover combines a variety of cosmetic surgery, such as tummy tuck, butt lift, breast lift/augmentation, liposuction, cellulite removal and other treatments. As every woman is different, these are customized to each woman’s needs.

Medical Tourism helps to provide high quality services at an affordable prices, keeping the savings for more important things (like sending your little one off to college). Contact us for a complimentary quote.

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Five things will need to happen before medical travel gets real

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Despite the research reports, eco-devo white papers, industry analyses and industry marketing hype, medical travel/medical tourism is still an early stage industry looking for the right formula for success.

In my view, five things will need to happen before medical tourism and global healthcare referrals get real traction: 1) the creation of a sustainable business model, 2)global healthcare IT connectivity and integration, 3) a physician generated global healthcare referral network, 4) a global regulatory, legal and socioeconomic ecosystem, and 5) patient awareness and acceptance.

The creation of a sustainable business model
Industry players including payors, providers, partners and facilitators are still looking for the the most successful way to make a profit and scale the business. With an eye towards what happened when Expedia disrupted the travel agency business, participants understand that margins for travel arrangement services are thin and that there is high price elasticity for global medical care. Few have found the magic key that fits the lock that opens the doors to profits. Payors and employers are hesitant to accept the value proposition without a better way to reduce their risk and demonstrate tangible, meaningful cost savings to their insureds and employees.

Global healthcare IT connectivity and integration

The US national healthcare information architecture is evolving. Eventually, the network will be a portal to the world and will allow for seemless, secure, confidential transfer of personal health information thus assuring some continuity of care and quality improvement. Similarly, it will take a while for health information systems to evolve in host countries that can talk to non-host systems. Short term solutions, like personal health records or mobile health applications, might fill the void temporarily.

A physician generated global healthcare referral network

Most medical tourism models connect patients to healthcare facilities, bypassing doctors in the initial stages. Doctors will get in the game when the model feels better, and they have the resources and ability to make referrals to consultants directly, like they do now. Since MedVoy was founded by an American doctor, MedVoy connects patients directly to doctors which is unlike other facilitators. Given the rise of international members, professional medical societies should be more proactive in building global referral networks, rather than seeing them as threats to existing domestic members.

A global regulatory, legal and socioeconomic ecosystem

The barriers to adoption and penetration of medical travel are many and include liability, reimbursement, quality assurance and impediments to continuity of care. As healthcare goes global, so will the rules and regulations that facilitate or obstruct its use. How about a World Trade Organization Treaty on Medical Travel?

Patient awareness and acceptance

According to the most recent polls, 50% of consumers understand the meaning of the term “medical tourism”, leaving home for care. Social network buzz and media stories find the medical travel story sexy, particularly given all the noise about escalating healthcare costs and consumers, employers and payors are hungry for more information. Moving patients from awareness to intention to decision to action, however, will take more time and use innovative marketing approaches directed towards granular market segments.

Global medical travel is projected to be a $1B industry by 2012. While the bones are in place, it will take more time to add the flesh. Until then, to quote Karl Mauldin, people won’t leave home without it.

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MedVoy launches the Jumpstart Program

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MedVoy now offers the Jumpstart Program to quickly and easily launch our partners into the realm of medical tourism. Combining the three most necessary components – MedVoy Showcase Center, MedVoy Lead Services, and MedVoy Portal Access Services – raises visibility, channels leads and facilitates communication.

This program is designed to help consumers find the best medical travel for their needs by having the information in one-stop location. Through experience, we know providing information and enabling communication helps to mitigate against uncertainty, aids with continuity of care and improves the overall customer experience. This program is open to all types of providers in global healthcare. .

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Three Things to Know about your Doctor

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A recent Deloitte report on medical tourism predicted that outbound medical travel from the US could reach upwards of 1.6 million patients by 2012, with sustainable annual growth of 35 percent. If you are one of the many potential patients seeking high quality, affordable care outside of the US, you should know three things about your provider before boarding the plane: who they are, how and where they practice, and what are their results and outcomes.
The first question, who they are, probes the provider’s education, qualifications, experience and reputation. Most of this information is usually accessible on the doctor’s website and can be verified on accreditation organization websites or professional association resources. Check to see whether the practitioner is board certified by a reputable US or foreign specialty board and if they are a member of the national specialty society or association.

Secondly, ask how and where they practice. For example, plastic surgeons and dentists are likely to practice and operate in private clinics or ambulatory surgery facilities removed from a hospital setting. Some may even own the clinic and they should divulge that information to you. If something goes wrong during a procedure, make sure you understand how and where you would get emergency care, how you would be transported there, and who would pay for it. In addition, unlike more and more hospital facilities that are being accredited by the Joint Commission International, (click for a list of accredited hospitals) the organization responsible for making sure hospitals adhere to acceptable practices and procedures, independent, free-standing facilities frequently are not similarly examined or accredited.

Finally, and perhaps the most difficult information to find, is the outcome and results of a given procedure. Ask ” How many of these operations do you do in a week, a month or a year ?” Also, inquire about the number of cases that result in complications, the need for revision surgery or significant morbidity i.e. something that unexpectedly doesn’t work the way it should after surgery, or postoperative death. Most doctors, including those in the US, will be unable to give you an accurate answer because they don’t keep good records or have an unreliable system to keep track of results. Sometimes the best you can do is to talk to someone who has had a similar procedure.

Getting information about a doctor and his or her results in not easy, wherever they practice. The more information you know, however, the better you can determine whether surgery away from home makes sense.

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Connecting to your Doctor through your Terminal

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In our recent blog, (What’s Hot), one of our emergent trends was telemedicine. Innovations have made the world flatter and have helped with continuity of care, which is absolutely essential in global healthcare. By providing global information and communication technology networks, patients can now get a preoperative consultation and postoperative tele-care wherever and whenever they need it. While not always appropriate, in several instances, like cosmetic surgery/plastic surgery or procedures that involve mostly postoperative wound care, telemedicine image and data devices can be utilized to monitor wounds and healing while maintaining contact with the patients – regardless of location.

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ObesityFree – Specializing in Laparoscopic Weight-Loss Surgeries

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MedVoy is pleased to be partnered with ObesityFree that is focused on providing laparoscopic weight loss solutions for patients who have struggled for years with their excess weight. Obesity has become an epidemic and for the first time in many decades, life expectancy is expected to decline in years to come – by as much as 10 years because of this previously underestimated condition. A large number of weight loss operations have been devised over the last 50 years, including: vertical banded gastroplasty, gastric banding (adjustable or non-adjustable), Vertical Sleeve Gastrectomy (Gastric Sleeve) and malabsorbtion procedures such as Roux-en-Y gastric bypass, biliopancreatic diversion and duodenal switch.

Dr. Rosales of ObesityFree has specialized in – Gastric Sleeve and Adjustable Gastric Band – because the best results have come from these procedures, while also being safer with less complications and side effects. Dr. Rosales received an Invasive Surgery Fellowship at the Christus Health Group in Monterrey, Mexico and has been specializing in these procedures for the past five years. The surgeries are performed at the JCI Accredited facility of the Christus Health Group in Monterrey, Mexico. Dr. Rosales is a member of the Member of the Mexican Association of Endoscopic Surgery, AMCE and is also a Board Certified Surgeon with the American College of Surgeons (ACS) Certified for Advanced Trauma and Life Support.

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MedVoy receives Medical Tourism Association Certification

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MedVoy is one of the first medical tourism facilitators/medical travel facilitators to be certified by the Medical Tourism Association’s, Medical Tourism Facilitator Certification /Medical Travel Facilitator Certification.

Medical Tourism Facilitators are organizations that are involved in the coordination of patient care for patients traveling from one country to another. The certification process is a detailed process of evaluation which may take up to 120 days to complete. The standards have been developed by healthcare leaders from around the world in an effort to create best practices in the medical tourism industry. The key to the MTA’s program is transparency in the services being offered to international patients.

MedVoy is proud to receive the MTA certification and this certification has not only enabled us to put the right processes and procedures in place but also provided an opportunity to demonstrate our commitment towards patient safety and positive outcomes.

Patients all over the world must take the time to understand whom they are working with to avoid any surprises.

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