Category Archives: Medical Tourism

MedVoy’s Blog related to medical tourism industry and its offerings towards medical travel

Orthopedics and Medical Tourism

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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Weekend Medicine

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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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