Tag Archives: doctors

New Year – New You

Happy New Year! The New Year symbolizes a time of renewal as we reflect on 2010 and the ways to improve in 2011.

Some of us will turn inward and will seek ways to set goals and fit more into our ever hectic schedules. Many will be trying to fight the holiday bulge and race off the gym holding steadfastly to our resolutions. The holiday retail numbers were strong, economic indicators are improving and even the typically droll economists are optimistic about 2011.

  • Will 2011 be the year that you take care of those lagging health problems? One in five Americans put off going to the doctor due to the economic climate, so demand for procedures such as knee arthroscopy or a hip replacement is likely to increase.
  • Will this be the year that you finally get over the fear of the dentist? Prothodontists can help restore your smile through implants, bridges and fixtures, while Cosmetic Dentistry deliver an entire “smile makeovers”- filling in gaps, veneers, whitening teeth, etc.
  • Or will this be the year that you will finally has that cosmetic surgery procedure done? Newer methodology for facelifts and eye lifts (Blepharoplasty) utilizing a laser can significantly lower downtime and get you back to work looking refreshed in no time.

The year has just begun – what do you want to with it?


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Medical Tourism Evolution

Medical tourism used to be tiny and only for the wealthy. Now it’s ‘Medical Travel’ and it’s growing, fast.

Leaving home for care is nothing new. People have been traveling around the world for treatment since the beginning of time. Now we call it medical tourism, and it is growing quickly.

Patients seek care away from home because it is cheaper, unavailable in their home location, can be accessed without waiting for a long time, can be combined with a travel experience and can be kept secret. Despite the talk of healthcare reform, patients and employers are paying more for care with no forseeable decreases and they are looking for safe, affordable alternatives to care in the US.

There are several serious barriers to adoption and penetration of the notion of leaving home for care. In fact, we’re not even sure what to call it these days. “Medical tourism” has morphed into global healthcare referral or medical travel, underlying the fact that we are talking about healthcare in a different place, not sipping Margueritas by the pool. The growth of the industry is being fueled by mostly medical outsiders who see the commercial potential of opportunities that have resulted from medical cost inflation, globalization and cheap information and communications technologies.

There are lots of opportunties for physicians in the medical travel industry. Substantial challenges to the traditional notions of face-to-face care, continuity of care, itinerant surgery and global healthcare information exchange are but a few of the issues that the medical provider establishment will have to confront as medical travel continues to grow around the world.


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Enrollment in High Deductible Health Plans Increased in 2010

According to the survey from Benefit Research Institute, the 2010 EBRI/MGA Consumer Engagement in Health Care Survey showed that enrollments in high deductible health plans increased in 2010 – from 13% in 2009 to 14% in 2010.

Large deductibles mean that patient will pay out-of-pocket for many of their medical expensive. As more and more Americans are tightening their belts, they will be looking elsewhere to lower their medical cost. This will raise demand for diagnostic tests (colonoscopies, endoscopies, CT scans, MRI), overall health screenings (Executive Wellness Exams) as well as other procedures, such as orthopedics, ophthalmology and others. Global healthcare can help to fill in the gaps to provide solutions to help families struggling with rising healthcare costs.


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Has Medical Tourism Gone Mainstream?

A new reality show entitled The Health and Wellness Travel Show takes men around the world to explore alternative treatments in a variety of exotic locations. The show will take a look at a variety of ancient and modern treatments from a variety of practitioners ranging from traditional doctors to shamans. This premise has been given the Hollywood spin and dramatized for television since medical tourism connects patients to accredited and highly-trained medical doctors. However, the fact that this show even exists makes the case that global healthcare has become mainstream and the concept of leaving home for a cure is becoming commonplace.

What do you think?


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American Culture in Global Healthcare

American Culture in Global Healthcare

Global medical tourism exists because medicine transcends borders and doctors around the world genuinely care about patients. Apart from medicine, Americans have some unique commonalities that MedVoy’s providers and successful overseas healthcare providers already understand. As a reminder, here are some uniquely American cultural differences that are important to recognize:

English is our Only Language
Unlike other countries, Americans generally do not learn another language as part of their primary education. Since we only speak English, Americans are hesitant to speak other languages and tend to prefer to travel to countries where the language barrier is not an issue. While this trend is shifting, if you want to attract Americans, there needs to be an English speaking staff.

Privacy Please
It’s a fact – Americans like their personal space. This is noticeable in any restaurant where solo diners sit alone at a table for two rather than at a communal table with strangers. Our puritanical roots have also instilled a deep sense of modesty, especially when dealing with medical issues. The bottom line is understanding the need for personal space when considering your US guest. We prefer single hospital rooms and private waiting rooms, ideally with an international department allocated just for us.

Aesthetics Count
USA is a young country and as such there is a perception that new is better. It’s true that you cannot judge a book by its cover and that décor has nothing to do with medical outcomes. However, never underestimate your first impression. If Americans are heading overseas for medical care, we want to go to a modern facility – your photos and your facilities need to reflect this.

This list is certainly not exhaustive, what are others that should be listed?


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A Looming Doctor Shortage?

America will lose an estimated 46,000 primary care physicians by 2025, according to the Association of American Medical Colleges (AAMC). This has created a perfect storm stemming from three factors:

1) Rising cost of US medical school tuition, ($156,456 in 2009 according to the American Medical Association). Hence, debt-saddled graduates are financially bound to more lucrative careers as specialists.

2) The first crest of Baby Boomers is reaching retirement age – increasing doctor demand and further straining these thin resources. According to the American Academy of Anti Aging, Baby Boomers accounted for 26.1% of the US population in 2006.

3) Healthcare reform will soon insure 32 million previously uninsured Americans.

Scary statistics indeed, however, as with all business, times of great challenge stimulate innovation. Some trends indicate a rise of: nurse practitioners, telemedicine, walk-in clinics, global and domestic healthcare. One such example of filling in the gaps through global healthcare is the Executive Wellness Screen/Executive Wellness Exam, originally designed for busy executive as an efficient über-physical with a host of diagnostic tests such as an electrocardiogram (EKG or ECG) and bioscans. Other trends are emerging…stay tuned!


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Designing a Perfect Smile in Costa Rica

The world looks brighter behind a smile, yet for many people smiling can be a challenge. Medical tourism has made restorative and cosmetic dentistry more accessible and affordable for everyone. Housed in clean and modern facilities, next to partner CIMA Hospital, Dental Cosmetics Costa Rica specializes in cosmetic dentistry to help patients attain the bright, radiant teeth that transform their smiles and helps them regain their self-confidence.

Founders Dr. Alejandro Lasso and Dr. Andres Fernandez Rodriguez are highly experienced and board certified – including certification by the American Association of Cosmetic Dentistry. Additionally, Dr. Rodriguez is recognized as one of the preeminent maxillofacial surgeons in the country and is a member of several international boards, including the International Asociación of Oral and Maxillofacial Surgeons, American Academy of Implant Dentistry, American Association of Cosmetic Surgery and American Association of Oral and Maxillofacial Surgeons.

To learn more click here.

Dental Cosmetics Costa Rica Doctors

Dental Cosmetics Costa Rica Doctors


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Former VP of Anthem Blue Cross Blue Shield Joins MedVoy

MedVoy announced today that they have added Lew Emanuelson to its advisory board to support and develop strategies for the employer benefit marketplace. MedVoy will now have an additional 32 years of specialized insurance experience in underwriting, sales and consulting for group health insurance plans and insurance brokerages in order to provide invaluable insight into the increasingly complex insurance vertical. It will enable MedVoy’s partners to draw from a new pipeline of patients to increase revenue streams, while also fulfilling MedVoy’s mission of connecting patients to domestic and international healthcare providers that administer the highest quality of care and accessibility at an affordable cost.

Read the full press release


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Five things will need to happen before medical travel gets real

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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Three Things to Know about your Doctor

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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