Tag Archives: medical treatments abroad

Medical Spa MD Interview with MedVoy Cofounder, CMO, President

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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Will medical tourism improve surgical safety?

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Will the growth of medical tourism improve surgical safety throughout the world or will economic factors create separate systems: one for the domestic population and one for inbound medical tourists willing to pay for a higher class of care? While some would argue that a two class system presently exists in several industrialized countries, including the United States, a favorable outcome realized from the growth of medical tourism would be improved surgical quality standards and outcomes for all patients.

The answer to the question is important for several reasons. First, there is an unserved burden of global surgical care. Improved standards, outcomes, manpower and per patient expeditures in developing countries would help meet the needs of underserved domestic populations.

Second, important ethical, political and socioeconomic problems arise when there are different healthcare standards for different people in a given country. We should strive for the highest accreditation standards for everyone.

Third, a potential backlash to medical tourism might occur if citizens feel they are getting second class care at the expense of medical tourists. For example, how would Americans feel if the Center for Medicare and Medicaid Services reimbursed for care outside of the United States?

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Cost vs. Quality in Medical Tourism

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We encounter on a daily basis patients who heavily price shop when it comes to getting medical treatments abroad. Price shopping is good however there needs to be a balance maintained . Some questions which you have to ask yourself or your facilitator before travelling abroad are as follows

1. Is the hospital abroad accredited?

2. Is the surgeon abroad doing the procedure American Board certified?

3. What kinda protections your facilitator or the hospital guarantee in terms of post complication surgery?

4. Has the facilitator visited those countries, hospitals before? Or are they blindly sending you to a place where they have never been?

5. Ask for the resume of the physician/surgeon

6. Share as much as medical history possible to the surgeon /hospital abroad in a more private, secure compliant manner so as to make sure that the price quoted are realistic. You dont want to end up paying more at the hospital than what was quoted.

Good upfront planning and by working with the right facilitator who has good experience will definitely play a tremendous factor in ensuring your safety, cost savings and more important getting the surgery done in a high quality setting with superior care of service.

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Choosing the right Medical Tourism Facilitator

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With rising healthcare costs, more and more patients are travelling abroad for medical treatments. However before doing medical travel, one should invest the time and effort to do some careful planning. You don’t have time to do all the research? No worries! That’s why there are medical tourism facilitators. Medical Tourism Facilitators such as MedVoy can help arrange travel, accommodations, transportation, medical procedures abroad and also provide information about the estimate procedure price, destination, hospital, and surgeons plus put together a detailed medical travel plan. So how do I know if I am working with a good medical tourism facilitator? Here are some questions to think about while choosing a medical tourism facilitator:

1. First make sure the company is legally registered and not a company with just a website. The best place to check is the Secretary of State where you can find the incorporation information plus any unresolved issues.

2. You need to make sure that you are working with a company based in U.S. not elsewhere. The legal recourses in other countries might not be as supportive as here in U.S.

3. Ask your facilitator what your recourses may be if you experience a problem.

4. Don’t let the facilitators influence or make decisions for you. Your selections should be based on your own needs and what’s important to you. However the facilitator should provide detailed information on all the questions you might have to make you well informed.

5. Make sure you are working with a reputed company that has healthcare professionals involved. You need professionals who can act as your patient advocates and understand about medical procedures.

6. Is the company insured? Ask for evidence.

7. Find out if the facilitator has visited the hospitals you are being referred to?

8. Are they a certified medical tourism facilitator ?

This is just a subset of questions but I hope you understand the importance of working with the right medical tourism facilitator.

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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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