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Weekend Medicine

Researchers and doctors know that weekend hospitalizations are dangerous to your health. There are fewer staff, access to procedures are limited and oversight is less. In fact,one study in 2007 found, for example, that for every 1,000 patients suffering heart attacks who were admitted to a hospital on a weekend, there were 9 to 10 more deaths than in a comparable group of patients admitted on a weekday.

On the other hand, weekend surgery is a big opportunity for maximizing healthcare utilization and for accomodating those who want global healthcare services. By scheduling patients for care during periods of underutilized capacity, providers can reduce overhead costs and provide more personalized services

BOTTOM LINE: Healthcare is a 24/7/365 global industry. There will need to be significant changes in policy, procedures and incentives to staff if appropriately.

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Global Healthcare Speaking Engagement

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Due to his expertise, experience and invaluable insight on medical tourism, Dr. Arlen Meyers, MedVoy’s Co-founder, President, and Chief Medical Officer will be an invited speaker for the upcoming Medical Fusion Conference to be held in Las Vegas, NV, November 5th-8th 2010.

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Medical Tourism Resources

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Below are references of two most used resources about Medical Tourism available in MedVoy website presented here for ease of navigation:

Price Comparison: Use this to compare prices for various procedures you are looking for across domestic and international providers.

Medical Tourism Guide: A simple, detailed easy to understand medical tourism guide that elaborates more on what is medical tourism, why medical tourism, medical tourism concerns, accreditation processes that are available in medical tourism, medical tourism savings, quality of care, physician credentials, followup care. Also it includes medical tourism pre-trip / post planning plus things to consider while choosing a medical tourism company to work with.

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The next wave in medical tourism

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As anyone following this industry knows, medical tourism is evolving rapidly. Some of the biggest changes are:

1. Movement from an emphasis on “tourism” to “medical”, with some questioning whether the term “medical tourism”should be abandoned in favor of descriptors like “global and domestic healthcare facilitation or aggregation”
2. A shift from international travel to US domestic referral to an ever expanding base of “centers of excellence”
3. Domestic price and quality transparency leading to value comparisons
4. Global competition forcing US providers to lower their charges
5. An emphasis on regional referral networks rather than long distance networks
6. Increasing IT interconnectedness because of HITECH incentives in the US
7. Increasing telehealth and mobile health options
8. Industry consolidation and elimination of marginal players
9. Higher barriers to entry as companies develop difficult to build networks
10. Initial attempts at costing the true benefits of various business models.

BOTTOM LINE: Buckle your seats belts. We’re in for a rough ride.

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Medical Tourism Continues to Grow

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According to research performed at the Center for Medical Tourism Research in San Antonio, Texas, medical tourism continues its relentless growth. In fact, the triple digit growth rates arguably make medical tourism one of the fastest growing industries in the US.

Now that healthcare reform legislation is passed, the economy is gradually recovering and the unemplyment rate is stabilizing, pundits are polishing their crystals balls and predicting the impact on the future of the industry.

The disparity in the supply and demand for services, the aging population and more costly technological advances will continue. In response, look for the continuing growth of online care/telehealth, global information networks and transportability of personal health records and continued transparency in quality, price and outcomes. These are all positive steps towards making care better, cheaper and more accessable in the US and around the world.

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Bringing your own doctor

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Are you worried that the doctor in another city, state or country is not as qualified as yours? How about bringing your doctor with you?

More and more US doctors are asking about practicing in other countries for one or two weeks. Denver based plastic surgeons practice a few weeks in Dubai. An orthopedist in a Western state is available to operate almost anywhere for a few weeks. A global PPO is recruiting specialists to operate in designated countries where the cost savings can be passed on to the patient and payor.

Whether it’s reimbursement pressure in the US, a desire to see another part of the world, or cold economics of healthcare, surgeons , like patients, are moving around the world.

BOTTOM LINE: Don’t be surprised to see your surgeon in the airplane seat next to you. Global supply and demand is forcing a change in how we deliver care.

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Medical Spa MD Interview with MedVoy Cofounder, CMO, President

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MedVoy’s Chief Medical Officer, Cofounder and President, Dr. Arlen Meyers, was recently interviewed by Medical Spa MD.

In this interview, Dr. Meyers defines medical tourism as “leaving home for care. It can be inbound, (someone from Mexico coming to the US), outbound (leaving the home country to go to another country) or domestic. There are local, regional, national and international medical tourism clusters developing throughout the United States and around the world.

It is estimated that global medical tourism is a $100B global industry expected to grow significantly over the next few years. While no one can know for certain the effects of the recent US healthcare reform bill, rising costs, lack of supply of physicians and the demand for technologies and treatments continue to expand and fuel the growth of the industry.

The most common procedures sought by patients considering medical tourism are cosmetic surgery and dentistry, bariatric surgery, IVF and short stay procedures in urology, orthopedics, ENT and ophthalmology. That said, because of the onerous costs of some procedures in the US, patients are seeking life-saving cardiac surgery in India, proton beam irradiation in South Korea and living donor liver transplants in Asia.

The entire interview may be found here.

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Medical Tourism | Follow up care

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One of the questions that frequently comes up when considering getting care outside of your home country is “how do I get follow up care and who pays for it”?
Here are some tips:
1. Whenever possible, be sure to establish a relationship with a care provider in your home country BEFORE you leave and discuss your plan to get care.
2. Introduce your primary provider at home to your provider overseas
3. Be sure you have adequate information to give your primary provider so he or she knows what kind of procedure you had done.
4. Check with your insurance company and your overseas provider to determine the limits of postoperative care
5. Consider buying a postoperative care/complications insurance policy
6. Discuss with a local surgeon whether and under what conditions they will see you if you have a complication from surgery done outside your home country.

As with most procedures, there are risks. Fortunately, most procedures go smoothly without complications. Should they occur, however, it’s best to have a plan in place before you have a procedure.

Arlen Meyers, MD, MBA

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Is it safe?

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In the 1976 thriller, “Marathon Man”, a sadistic ex-Nazi dentist(Laurence Olivier) tortures an unknowing grad student ( Dustin Hoffman) to determine the whereabouts of stolen jewels, constanting asking “Is it safe?”. The line was etched into the annals of celluloid history. It is now reappearing as more and more potential patients are asking whether it is safe to get care away from home. A few things to remember:

1. Healthcare, whether delivered in the US or somewhere else, is never completely safe. The operating room, a hospital bed or even an outpatient clinic is potentially dangerous under the best of circumstances.

2. In general, the more times a surgeon and the facility where he or she works does a procedure, the better the outcome.

3. While education, credentials, experience and certification are important quality benchmarks, they sometimes do not tell the whole story.

4. Whether in the US or around the world, quality outcomes data are often incomplete or non-existent.

Patients choose doctors for many reasons. A rational decision based on quality data is rarely one of them.

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Healthcare reform and medical tourism

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Will reforms to the US healthcare “system” impact medical tourism? Of course, no one can predict the future. Potential patients choose medical tourism for 5 reasons (http://www.imtjonline.com/articles/2008/medical-tourism-vs-traditional-international-medical-travel-a-tale-of-two-models/): cost, accessablity, availability, travel and confidentiality.

Perhaps the most likely thing to change as a result of reform efforts would be cost, although that is uncertain. Even if reform bends the curve, however, certain procedures will not be covered, like cosmetic surgery, and copays and deductables are likely to increase. The increase in patients seeking care for obesity , for example, drives patients to look for cheaper alternatives for care as well as other elective procedures. A sudden influx of over 30 million people into the system will tax the supply side of the equation and will take almost a generation to correct. Technologies, like stem cell treatments, are subject to political forces and regulatory pressure unlikely to change in the near future. Medical tourists, by definition, are not adverse to travel for care, sometimes combining it with a vacation or recuperation. Finally, there are people who just don’t want others at home to know they had “something done”.

Bottom line: As Niels Bohr noted, prediction is very difficult, especially about the future. The terms in this equation, however, reform outcomes seem to favor the growth of medical tourism.

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