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MedVoy receives Medical Tourism Association Certification

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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Online care is coming to your neighborhood

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If you have not already noticed, online care is coming to a hospital near you. That means that you will be able to communicate with any doctor or provider in the world using a computer. Hospitals ,doctors , payors and vendors are rushing to get these systems in place because they are convenient , they can be used to improve the quality of care and the quality of service, and because patients are demanding them.

Using global information and telecommunications technologies to perform clinical (e. g. follow up care, second opinions, telemedicine, consultations for medical tourism) and business processes (e.g.billing and collection, making appointments, transferring documents) will eliminate waste and reduce costs of care.

BOTTOM LINE: Healthcare power is continual shifting to the patient. Look for an Office of Online Medicine to come to your hospital soon.

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The Next Wave of Global Healthcare

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The business and practice of global care is evolving. Originally called medical tourism because patients sought mostly cosmetic surgery while vacationing, the practice of seeking care away from home is now being driven by high costs, limited access, long waiting times and the availability of certain technologies not approved at home. It is morphing into a sophisticated global healthcare network facilitated by information and communications technologies and is suitable for a very small population of those who need short procedures with little postoperative risk, low followup requirements and high cost. Unfortunately, the legal, professional and business aspects of global care have lagged and continue to vex the industry.

At this point, entrepreneurs are sharpening their pencils and looking for a business model that generates cash. Facilitating care with providers is labor intensive, low margin and plagued by the aforementioned issues. Those looking to make a profit are eyeing the travel parts, insurance products and other support offerings as way to play the game. After all, more money was made servicing those traveling the Sante Fe trail, that those who actually struck it rich from mining.

As patients, providers and payors seek global solutions to high costs, the global care networks will evolve and barriers will be eliminated. It will happen faster if everyone works together to provide a business model that provides value to everyone.

Arlen D Meyers, MD, MBA

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Healthcare Open Enrollment Period

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It’s that time of year again… open enrollment for your health benefit plans. Most Americans are frustrated because their healthcare care bill is increasing… yet again… and this is exacerbated by the global recession and the confusion surrounding healthcare reform. Colorado is projected to see a healthcare increase of 14.4% in 2010 – slightly higher than other states due to the large number of small businesses in the state.

Large employers with 100 or more employees will often receive utilization and cost data and are in a much better position to manage their health care cost through aggressive plan management strategies and tactics. Small employers (and individuals) generally do not receive utilization and cost data plus often rely on the pooling of risk since they have a higher probability of costing the system more than the dollars they contribute through premium payments – since “everybody pays for a few”.

The misperception in healthcare is that cost and pricing for the same clinical procedure is relatively the same from provider to provider yet clinical costs vary significantly from zip code to zip code, state to state, and country to country.

Domestic and international medical tourism introduces transparency and helps to lower healthcare cost. There are scores of articles on lowering your out-of-pocket healthcare cost in 2011 that may help marginally. However, MedVoy is in a position to help individuals, employers and employees save real money on healthcare – contact us for details.

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MedVoy visits the Chihuahua Medical Cluster!

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Chihuahua Cathedral

MedVoy visits the Chihuahua Medical Cluster

The Chihuahua Medical Cluster in Chihuahua Mexico (less than a two hour flight from Houston), is a collaboration of the government, business, and medical community to provide high-quality medical care and to become a global leader in international healthcare.

With a strong colonial heritage, Chihuahua has a legacy of three centuries of hospitals and plans are already underway for additional hospitals. Meetings with Chihuahua Mayor Alvaro Guillermo Madero MuÒoz and Secretary of Tourism, Minister Hector Valles also unveiled plans for future tourism initiatives – a highlight being a Swiss-made tram being installed in Copper Canyon later this spring. Copper Canyon, a group of canyons twice as deep and five times longer than the Grand Canyon, is an unspoiled gem with breathtaking scenery.

For more photos of hospitals and Copper Canyon, please click here.

CIMA Hospital Chihuahua

CIMA Hospital is an international partnership of US and Mexican investors and the 150 physicians who practice at CIMA. Already ISO 9000 certified, CIMA Hospital is undergoing the JCI accreditation process, to be completed in June 2010.

Executive Wellness Screenings utilize GE Millennium MG Nuclear Imaging Environment (GENIE), which provides an intuitive user interface that goes well beyond the nuclear stress test. The General Health Council recently awarded CIMA Chihuahua the most important recognition in Mexico – recertification as a high-specialty hospital – and the Mexican Association of Private Hospitals has also recognized it as a Hospital of Excellence. Other specialties are: Bariatrics, Plastic Surgery, Cardiology, Angiology, Endoscopies, Orthopedics, Angioplasty, Lung and Heart Transplants.

Oncology Center of Chihuahua

Part of the CIMA Hospital Center, Oncology Center of Chihuahua is a brand-new, holistic, state-of-the-art cancer treatment center that is part of an international collaboration with Southwest Oncology Center of Scottsdale, Arizona.

The only TomoTherapy machine in Latin America, at a cost of $2.8M USD, fuses CT, MRI, and PET Scan simulations for contouring and allows for the most precise angles to be used, which can pinpoint tumors previously thought untreatable. With an on-site psychologist, nutritionist and private suites, treatment options include surgery, radiation and chemotherapy.

Clinica Cumbres

Clinica Cumbres, an American-designed Ambulatory Surgery Center, was built in cooperation with the JCI to follow the current US trend where 70% of clinics are for outpatient care. Clinica Cumbres has been JCI accredited since its inception in 2008, providing multi-year transparency, 100% electronic files and the ability to work with insurance providers.

With private rooms and an English-speaking staff, the average stay is six hours and patients are monitored every ten minutes. Specialties include: Angiology, Anesthesiology, Angiology, General Surgery and Gastroenterology, Plastic Surgery, Ophthalmology, Orthopedics, Otolaryngology, Pathology and Urology.

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Medical Tourism Terms

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For the average patient seeking care, there is a confusing array of terms describing who participates in the healthcare referral process. Here are some terms and what they mean.

Medical tourism: Seeking care away from home, either in the same country (like across several state borders in the US and sometimes called domestic) , outside the home country (leaving the US to go to Mexico) or to a home country (coming from the Caribbean to get care in Florida). Many industry participants are trying to get away from the term “medical tourism” since it tends to minimize the serious medical issues and risks associated with getting care away from your home location or region. Evolving terms are global or international healthcare referrals or sourcing, global care or transnational care referral. Also, how does traveling a few miles from your home, even if it means crossing a state border or a country border (Canada or Mexico) for care differ from domestic medical tourism? This lack of specificity contributes to the confusion about how many people actually seek care in different regions and that leads to inflated numbers of “medical tourists”

Facilitators: Facilitators are those individuals or companies that help patients identify providers and make travel or care arrangements for a fee. They do not actually provide care. Facilitators can be country specific, regional or global and sometimes promote themselves as exclusive (the only company that represents care providers in a given country to inbound potential patients) or non-exclusive (multiple people or companies that can source providers in a given country).

Transnational providers: These are, usually, large domestic providers with brand recognition, like the Cleveland Clinic , Johns Hopkins and Harvard, that have affiliation arrangements with hospitals outside of the US, for example, Panama,Dubai or Abu Dhabi.

BOTTOM LINE: If you decide to seek care away from home, do your homework and understand the role of the different members of the chain of care.

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Testimonials in Global Healthcare

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A few months ago, we blogged about finding a reputable medical tourism facilitator in How do I find the best medical tourism company?

Another important factor is… a patient testimonial. Does the medical tourism facilitator have reference from past customers who were delighted by both the service provided by the company AND the doctor?

If not, you may want to think twice….

Anne Marie from Virginia

Looking in the mirror I saw sagging cheeks and droopy eyelids and I knew it was time to do something to reverse the “old” look. I also knew I wanted to find a surgeon who was the best with no regard to where he or she was located.

After searching the world, I was lucky enough to find, with the help of MedVoy, Dr. Edmond Khoury. He specializes in only faces so I knew he was performing the kind of face procedures I needed daily, not monthly. My experience with Dr. Khoury was incredible. Minimum pain, little downtime, totally natural look and, best of all, no one knows I had anything done! Friends and family just know I look great. Thanks to MedVoy for helping me find this fine surgeon.

Sincerely,

Anne M.

To read more, please visit: http://mycommunity.in/medvoy/testimonials.php

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Orthopedics and Medical Tourism

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Aside from elective procedures, such as plastic surgery, orthopedic surgeries are an increasingly popular option in global healthcare because patients may be un-insured, underinsured or somehow denied benefits. Cost savings are significant as the prices of procedures like total knee replacement and hip replacement surgery costs on average $35,000 and $50,000 respectively in the USA. The total costs of the orthopedic procedure are clearly lower in international medical tourism due to arbitrage, exchange rates and relative cost of living. However, even in the domestic medical tourism space there are significant discounts when the costs are calculated on cash versus insurance basis.

It is possible to live pain-free! For a list of providers: http://www.medvoy.com/procedure/orthopedic-knee-surgery

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Insurance paying for global care

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More and more healthcare insurance companies are putting their toes in the global healthcare referral ocean. While they are still suspect about several barriers, cost savings and the value proposition, insured healthcare consumers should investigate a few options that are sprouting.

First, if you work for a small to medium sized company that is self-insured, check to see if a “medical tourism” benefit is part of your healthcare insurance plan.

Second, your health insurance benefits may include “out of network” care, particularly if the care you need is not provided by a member of your network. Be careful, though. Be sure to cross your t’s and dot the i’s before going for out of network care. Otherwise, you might be stuck with a big bill.

Finally, there are more and more conversations about whether Medicare and Medicaid should pay for care in non-US locations. Stay tuned.

BOTTOM LINE: Payors are experimenting with payment options for those seeking care in non-US locations.

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Vetting your Doctor

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The term medical tourism is a bit of a misnomer as it downplays the serious nature of choosing a doctor – whether in your home country or abroad. The questions below, while not exhaustive, give you some guidance on choosing your doctor wisely.

What are your academic credentials?

Look for specialized training in the chosen field, such as plastic surgery / cosmetic surgery, bariatrics, orthopedics, fertility training, prosthodontics, etc. Many doctors have international training in the US and Europe and may be American-board certified which helps to put US patients at ease. High-quality doctors collaborate internationally and regionally so also, think twice before underestimating a surgeon if they have graduated from a reputable medical school overseas. If you’re not sure – ask MedVoy!

Are you accredited?

International accreditation for providers include: Joint Commission International JCI, Trent Accreditation Scheme (TAS) and International Organization for Standardization (ISO), while the International Board of Medicine and Surgery (IBMS) certifies physicians. Furthermore, many countries also have stringent national standards that follow international guidelines. One example is Colombia, where hospitals follow international non-profit ICONTEC standards that are identical to ISQua standards. Hence, all accredited hospitals in Colombia are subsequently accredited by ISQua. Malaysia also has the Malaysian Society for Quality in Health (MSQH) that acts as an independent, not-for-profit organization to ensure safety and quality.

How many of these surgeries have you performed?

Experience is one of the most important elements towards a successful outcome. Whether the doctor performs the surgery every day or a few times a year is significant! Do they specialize in a certain area? A cosmetic surgeon such as MedVoy’s partner Denver Cosmetic Surgery that specializes in the aging face is going to give you a better outcome than a dilettante. Find out how many of these surgeries the doctors has performed. Also, make sure that the actual surgeon will be performing the surgery and not a subordinate.

What materials do you use?

There is a wide range in quality in the materials used – so ask! Are they from a reputable company like Johnson and Johnson or Boston Scientific? Do they provide a guaranty? MedVoy’s partner Travel and Smile in Peru will uses German-made noble metal crowns and that are the standard in the US and Germany and gives a lifetime guarantee on quality. Make sure that you know this before you are actually there.

This list does not cover all the questions which is why it’s important to work with a well-established medical tourism company.

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