Tag Archives: medical tourism

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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Colombia: Evolving from Regional to Global Medical Hub

Clinica Del Rosario - view of Medellin

Clinica Del Rosario - view of Medellin

Conventional wisdom dictates that more experience makes you a better doctor. If this axiom holds for medical tourism, Colombia is poised for a promising future. Colombia already serves as a regional medical hub for neighbors in the Caribbean, Central and South America. Intra-Latin American medical travel flourishes because regional health insurance plans (EPS) cover the cost of care in Colombia. For those living in less populated countries, such as Netherland Antilles, this provides superior medical care at a great value – a win-win for both the insurers and patients. With the prevalence of Multinational Corporations headquarters in Colombia, scores of expats receive medical care in Colombia, granting additional exposure to English-speaking Westerners.

Internationally-focused since inception, Colombian hospitals are accredited by international non-profit ICONTEC using International Society for Quality in Health Care (ISQua) standards. ISQua subsequently accredits ICONTEC hospitals since standards are identical. The Medellin Healthcare Cluster sets additional guidelines focusing on quality of care outcomes. The global revolving door continues through international partnerships and training. Fundacion Cardioinfantil in Bogota partners with the Cleveland Clinic to train doctors and co-sponsors an annual cardiovascular clinic. Hospital Pablo Tobon Uribe in Medellin follows National Comprehensive Cancer Ontario Protocol (NCCN) guidelines and its Hematology specialists are Birmingham-trained.   At MediHelp in Cartagena de Indes, a US-trained doctor performs Deep Brain Stimulation Treatment for Parkinson’s disease and the clinic even performed gastric bypass for famed Argentinean soccer star Diego Armando Maradona.

Over the past decade, a dramatic transformation has taken place – spearheaded by popular President Uribe, elected in 2002 on a platform of restoring security to the country. Increasing political stability has grown the tourism sector with virtually limitless options – Bogota is a bustling big city with culture and gastronomical delights. Medellin, a mountain retreat rejuvenates your health with its temperate year-round climate. Cartagena de Indes, a breathtaking colonial enclave on the Caribbean transports you back in time and conjures up images of swashbuckling pirates fighting on the walls of fortress, a UNESCO World Heritage site. The tourism board’s new promotional statement is “the only risk is wanting to stay” and believe me, you just may…


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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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Global Healthcare Is Not Just About The Cost

3 Million people spent $76B on care away from home in 2010.
A recent Frost and Sullivan research report on the medical travel business predicts that medical tourism will come a $100 B business by the end of 2012 and that hot spots to watch will be: the Middle East, Asia and Germany.
While most believe that cost is the main driver this is not true across the board. A McKinsey and Company 2008 report emphasizes that 40 per cent of medical travelers seek advanced technology, 32 per cent seek better healthcare, 15 per cent seek faster medical services and only 9 percent of travelers seek lower costs as their primary consideration. Click to view the full report.

As reimbursements for Medicaid and Medicare continue to decrease and increasing numbers of US doctors indicate they will cut back seeing patients insured by these government insurance plans, or stop seeing them altogether. This will fuel access, rather than cost, to the forefront of medical travel.
Inbound tourism is the flip side of the same coin – as US healthcare continues to get more expensive and more difficult to access, hospitals are looking for ways to fill the beds. Foreign patients are attractive market and also pay in cash.
As I””ve pointed out before, these market eruptions present entrepreneurs with big opportunities. Healthcare reform might change the rules, but I don””t think significantly, given the big picture patient demographic and manpower supply and demand challenges.
Global referral communications, coordination and care is a growth industry begging for talent and $100B is likely to get a lot of attention. It certainly got mine.


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Asian Medical Tourism Sector Sees Growth in Spite of Recession

According to the recent RNCOS report, Asian Medical Tourism Analysis (2008-2012), the Asian medical tourism sector has increased the number of visitors and revenues on an annual basis for the past few years. Fueling the demand is the cost effectiveness, well-skilled medical professional and tourism. India is a key destination and received 650,000 medical tourist and generated US $1160 Million in revenues in 2009. Other countries in the region , including Thailand, Malaysia, South Korea, the Philippines, and Singapore are also experiencing growth. This report projects that medial tourism numbers in Asia will increase by CAGR of around 16% during 2010-2012.

MedVoy already has partners in these countries and is also traveling to South Korea next month to visit hospitals. As always, we will keep you informed of what we learn in order to help you get the best access to global healthcare.


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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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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:

  1. The purpose of their trip is to enter the U.S. for business, pleasure, or medical treatment.
  2. That they plan to remain for a specific and limited period.
  3. Evidence of funds to cover expenses in the United States;
  4. Evidence of compelling social and economic ties abroad; and
  5. 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

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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