Tag Archives: medical tourism

Observations from San Diego

I recently attended the annual meeting of the American Academy of Otolaryngology-Head and Neck Surgery (AAO-HNS) in San Diego. Attended by several thousand ear, nose and throat surgeons from around the world, the meeting is the premier educational event for otolaryngologists (ear, nose and throat doctors). I heard several things that have implications for medical tourism.

First, experts are predicting severe otolaryngology manpower shortages in the US. If these predictions are true, availability for services will shrink and patients will seek care outside the US.

Second, given that 49% of the membership of the AAO-HNS now practices outside of the US, intercontinental referrals will accelerate with the consequent need for information transfer and continuity of care arrangements.

Finally, geopolitical risk (drug wars and violent regime changes
, currency fluctuations and global epidemics (swine flu) are impossible to predict and will impact global tourism numbers.

Doctors have a lot of things to think about these days. The impact of medical tourism on the practice of surgical specialists, like ear, nose and throat surgeons, is one more.

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When is Medical Tourism Itinerant Surgery?

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Itinerant surgery is defined as any surgery performed by a surgeon outside his/her community where the postoperative care is left to another physician. In this age of medical tourism, policies concerning itinerant surgery will need to be reassessed since, instead of the surgeon coming to the patient (although this is sometimes done in a third country where the patient and the surgeon meet), the patient comes to the surgeon, possibly without arrangements for postoperative care at all or arrangements are made for postoperative care with another physician in the patient’s home country. The practice of itinerant surgery is strictly proscribed by the American College of Surgeons and other specialty societies.

The primary concern with itinerant surgery is the potential compromise of quality of care. Addtional questions surround fraud and abuse when surgeons charge for postoperative care that not delivered by the operating surgeon. Given these concerns, specialty and medical societies should be asking themselves some questions concerning their present policies on itinerant surgery:

1. Under what circustances is medical tourism itinerant surgery?
2. What evidence is there that quality is compromised when patients elect to have surgery performed by one doctor and follow up care delivered by another doctor?
3. How long is “follow up care”?
4. Should there be sanctions in place for surgeons who perform surgery without making arrangements for follow up care by a doctor in the patients home area?

Medical tourism is forcing a reappraisal of several professional dogmas. The definition of continuity of care and itinerant surgery is just one of them.

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AMA recently published its new guidelines on Medical Tourism. They are as below

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(a) Medical care outside of the U.S. must be voluntary.
(b) Financial incentives to travel outside the U.S. for medical care should not inappropriately limit the diagnostic and therapeutic alternatives that are offered to patients, or restrict treatment or referral options.
(c) Patients should only be referred for medical care to institutions that have been accredited by recognized international accrediting bodies (e.g., the Joint Commission International or the International Society for Quality in Health Care).
(d) Prior to travel, local follow-up care should be coordinated and financing should be arranged to ensure continuity of care when patients return from medical care outside the US.
(e) Coverage for travel outside the U.S. for medical care must include the costs of necessary follow-up care upon return to the U.S.
(f) Patients should be informed of their rights and legal recourse prior to agreeing to travel outside the U.S. for medical care.
(g) Access to physician licensing and outcome data, as well as facility accreditation and outcomes data, should be arranged for patients seeking medical care outside the U.S.
(h) The transfer of patient medical records to and from facilities outside the U.S. should be consistent with HIPAA guidelines.
(i) Patients choosing to travel outside the U.S. for medical care should be provided with information about the potential

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Medical Tourism: Planning for the worst

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None of us likes to think about it, but death following elective surgery or a procedure happens. If it happens while you are overseas, it can be particularly traumatic and difficult for your survivors. Whether you have surgery in Miami or Mumbai, here are some things to do to prepare:

1. Be sure you have a living will and a durable power of attorney. These documents, describing who is your surrogate and empowered to make medical decisions if you are unable, are extremely important for those taking care of you. If you travel overseas for care, be sure to bring a copy that can be included in your medical records. Include the names and contact information for those who should be contacted in case of an emergency.

2. Consider how you will return the body to a designated place. Discuss this with your provider and identify options before you need them

3. If you have life insurance or survivor benefits, check with your insurance agent or company to confirm that your policy will cover events that occur outside of your home country.

4. If you are using a medical tourism facilitator, discuss with them how they can help you handle the situation and what kind of contingency plans they have in place.

Fortunately, postoperative deaths are unusual for most elective procedures. Should it happen, however, you should have a plan in place to minimize the stress of dealing with an already difficult situation.

Arlen D Meyers, MD, MBA
Chief Medical Officer

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Barriers to medical tourism that need to be addressed by medical professionals

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The issues of follow up care and liability are certainly two of many barriers to adoption of medical tourism and need to be addressed by medical professionals and our international legal and insurance partners. For example, the policy statements concerning itinerant surgery and continuity of care for specialty societies should be reassessed given the growth of medical tourism.

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Challenges in U.S. healthcare — Why MedicalTourism

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The U.S Health Care Industry is facing more challenges than ever before due to some of the following significant factors. I have tried to list below few items

•Based on the National Center for Health Statistics data, life expectancy in the United States continues to increase and at the same time, U.S population is aging rapidly.
•America’s 78 million Baby Boomers begin turning 65 in 2011.
•The number of Americans less than 65 years who are uninsured remains staggering at more than 42 million.
•The number of patients waiting for transplants is rapidly increasing. The number of new registrations on the kidney transplant waiting list increased more than 300% between 1988 and 2006, and 67% between 1996 and 2006.
•In 2005, the United States spent 16% (up from 14% in 2000) of its Gross Domestic Product (GDP) on health care, a greater share than any other developed country. In 2005, the United States spent $1.7 trillion on health care, an average of $6,700 per person.
•Almost half of the two-million Americans who file for bankruptcy do so because of medical expenses. Please see the U.S Bankruptcy data for the year 2001.
•Managed care providers continue to struggle to contain costs while employers are hit hard by vast increases in the cost of providing coverage to employees and retirees. Physicians are caught between the desire for quality care and the desire for cost control on the part of payers, including HMOs, Medicare and Medicaid. Patients and insurance companies are also dealing with sticker shock as the nation’s prescription drug bill soars. At the same time, hospitals and health systems write off record amounts of revenues to bad debt, which increases costs for bill-paying patients.

All of the above factors clearly indicate the severe problem of continuous increases in the cost of U.S health care and how it affects the various actors in the industry namely patients, physicians & care providers, insurance companies, employers, hospitals, health systems and government.

Medical Tourism is one solution but not a replacement for U.S. healthcare system.

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What is Medical Tourism

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Medical tourism is the act of traveling to other coutries to obtain medical, dental or cosmetic care. Medical tourism is a new term but thousands of years old act. From the 18th century wealthy Europeans traveled to spas from Germany to the Nile.

Factors such as high healthcare costs, long waiting list for transplants, ease and affordability of international travel, improving technology and high quality of healthcare standards in many countries of the world has led to the recent increase in popularity of medical tourism among U.S population.

MedVoy is created understanding of these needs and growing demands.

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Welcome to MedVoy Blog!

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Thanks for visiting Medvoy’s blog site. This blogging site will focus towards recent developments in the medical tourism industry and Medvoy’s contribution in this vibrant space. If you are interested in blogging this space, please dont hesitate to contact us.

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