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Medical Tourism and Surgical TripTom Hamilton
www.SurgicalTrip.com1-866-313-1112
Sur icalgg Trip
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Medical Tourism: What is it? One of the newest, most innovative options is medical tourism which is defined as the act of traveling outside one’s own country of residence for health care. This can take form of a two hundred mile drive to your parent’s birthplace, or it can mean flying half way around the globe to an exotic culture you know nothing about. For people without insurance or those needing medical procedures that insurance won’t cover, medical tourism offers an attractive alternative to rising healthcare costs.
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Access to quality medical careLower costs… a fraction of the cost of care
in the United States
Why Americans Travel Outside the U.S.
Singapore Turkey
IndiaThailand Mexico
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Medical Travel: A Preferred Option
Medical travel has morphed into a preferred option for acute care procedures, surgeries, & dental care
Also for: Cosmetic and bariatric surgery and other uncovered
benefits Procedures not available in U.S. – robotic specialized
procedures Timely access to care (Canadians & UK citizens facing
waiting periods of 2-3 years)
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Lower Costs
Medical Care in foreign countries costs less:From 30 percent to 80 percent less than the
U.S. and Canada
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The “Tourism” in Medical Tourism
Exotic Destinations
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Macro Trends: Not a Minor Thing
According to the National Center for Policy Analysis (NCPA), 500,000 Americans crossed the border for treatment in 2005.
A recent report by Deloitte from August 2008 entitled “Medical Tourism, Consumers in Search of Value” reports that by 2017 it is estimated that approximately 17 million Americans could be traveling overseas to engage in Medical Tourism.
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Quality and SafetyMeets or exceeds U.S. standards
Plus great nursing ratiosHospitals more like 5 Star hotels Joint Commission International (JCI)
accreditationis a standard that monitors quality. Surgical Trip’s Network uses primarily JCI hospitals.
Trained, credentialed physiciansOften affiliations with U.S. hospitals and
American academic centersAccreditationEnglish-speaking doctors and professionals
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Surgical Trip provides prospective patients an all-inclusive, transparent pricing plan which includes: surgery/procedure costs
airfare, lodging, transfers and a 24/7 concierge service. A suite of medical and dental procedures are available, including:
Suite of Procedures
o Gastroenterologyo General Surgeryo Gynecologyo Internal Medicineo Neurosurgeryo Oncology (selective)o Ophthalmologyo Orthopedics
o Cardiologyo Cardiothoracico Chemical Dependencyo CyberKnife® (cancer)o Dentalo Detox/Rehabo ENTo Executive Health Physicals
o Pain Managemento Pediatricso Plastic and Reconstructive Surgeryo Urology Male/Femaleo Vascularo Weight Loss/Obesity Surgery
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Consumer ResearchKey Messages with greatest appeal:
Hospitals are accredited by the body that accredits hospitals here in the US
Insurance companies or employers pay the employee an incentive
Doctors are Western-trained Nurse/patient ratio is lower than in the US A guest can accompany the client
Drivers discovered and initiatives suggested: Levels of cash payment to the employee
Size of possible premium reduction Luxurious hospital rooms and various
accessories Patient comfort levels Concierge Service Marketing to younger employees Marketing to opinion leaders
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Ms Marlow’s Story Her words: “After being told by three US surgeons to have a
Total Hip Replacement where they amputate the entire head of your femur, I decided to take my health into my own hands, and traveled to India for “Hip Resurfacing” surgery. Surgery took place December 1, 2005. My hospitals stay was 9 days, recuperated 4 days in a 5 star beach resort, I had one of the world’s top surgeons, , large private hospital room with plasma screen TV, wireless laptop, fridge, microwave and care second to none I have ever experienced ALL for less than $12,000! It was so amazing that I will never have surgery again in the US.”
When Ms Marlow traveled to India for Hip Resurfacing surgery in 2005, there were no devices approved by the FDA at the time and her insurance would only cover a Total Hip Replacement where they amputate the entire head of your femur. She traveled to India and her experience was so amazing that she has become a major patient advocate for hip resurfacing surgery.
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Example: Decision for Hip Replacement
$5000WaivedWaived$500 Patient co-payment and
deductible
Impact to Employee*
$0$3000$1500$0 Incentive paid by ER by EE
Hospital A
Hospital B
Hospital C
Local US Hospital
Underlying Cost of Procedure, including Airfare and Hotel
$15,000 $12,000 $9,000 $50,000
Complication Rate for Procedure
0.5% 1.8% 1.1% 1.2%
Travel time from home (showing flight transfers required.)
4 hrs (0) 22 hrs (2)
30 hrs (1) 0.5 hrs (0)
Patient Satisfaction Score (5 point scale)
4.5 4.1 4.9 4.7
Net benefit to employee with variable incentive
$4500 $6500 $8000 -$5000
Assumes a $5000 copay/coinsurance at a US hospital and a variable incentive paid by employer (ER) to employee (EE) based on provider selected.
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Cost Comparison
According to the American Medical Association June 2007
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TRANSPLANTATION COSTAverage Total Billed Charges
Kidney (Living Related Donor)
Liver (Living Related Donor)
Bone Marrow (Autologous)
$25,000
$33,000
$25,000
Non- U.S. U.S.*
$171,730
$416,728
$242,835
*Source: Nationally Recognized Transplant NetworkAverage Total Billed Charges
Completed Cases, 1/1/2004 thru 1/31/2006
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Accreditation: Joint Commission International
JCI, based in the U.S., is a division of Joint Commission Resources (JCR) and a subsidiary of the Joint Commission designed to improve and regulate the quality and safety of healthcare services.
About 200 and growingforeign hospitals now accredited
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Accreditation: International Society for Quality in Health Care(ISQua)
A non-profit, independent organization with members in over 70 countries. ISQua works to provide services to guide health professionals, providers, researchers, agencies, policy makers and consumers, to achieve excellence in healthcare delivery to all people, and to continuously improve the quality and safety of care.
Based in Australia
JCI is accredited by ISQua
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Criteria for Selecting Hospital ProvidersReputation for quality Indicated experience in selected proceduresAccreditation statusAbility to provide clinical dataAgreement to participate in our quality assurance
and reporting programCustomer service orientationExcellent nurse to patient ratioChoice of geographic locationFamiliarity with the needs of international
patients International standards in clinical delivery and
patients’ roomsWorld-class medical infrastructure and equipment
Medical Tourism and Surgical TripTom Hamilton
www.SurgicalTrip.com1-866-313-1112
Sur icalgg Trip
