Tag Archives: medical tourism

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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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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