global medical travel and reducing catastrophic claims national conference... · 2010-10-14 ·...
TRANSCRIPT
1September 23, 2009
Global Medical Travel and Reducing Catastrophic Claims
2
SIIA Medical Travel Session
• Three Presentations• From Overview to Specific
– Facilitator - BridgeHealth International– International Hospital - NZ– Patient - Thailand
3
Facilitator Presentation Overview
• Business Concept & Background• The Opportunity to Impact
Catastrophic Claims• Value to Stakeholders• Networks• Quality • Controlling the Client Experience• Medical Case Fees• Surgery Benefit Management• Contact Information
4
Medical Travel‐ TopicsWe will cover 3 main topics:
• Surgery Benefit Management through– Education about specific procedures & Tools on avoiding
unnecessary surgery and saving cost
• Domestic Quality Value Travel Network– Discounted Centers of Excellence (COE’s) in the U.S.
• International Network– World class deeply discounted quality international COE’s
All available today to ASO & Some Fully Insured clients
5
Why Medical TravelSignificant savings
Innovative health benefit design
Ensures high quality, cost effective medical care - COEs
Transparent costs & simplified billing
Complements consumer-driven programs
6
The OpportunityThe American healthcare system has become so expensive that companies are dropping coverage.
Healthcare is virtually unaffordable for those without insurance.
American businesses are increasingly unable to compete in a global marketplace due to the high costs of health insurance.
Varying countries’ citizens wanting to access quality valueworld providers
The declining current world economies coupled with health care reform in the U.S. is putting pressure on U.S. healthcareWaiting lists in some countries: Canada & UK
7
Major Medical Travel Competitors
• Aetna – Serves one customer in Maine & has one hospital in Singapore.
• Cigna - Exploring • Companion Health – Blue Cross/Blue Shield of S.C. subsidiary.
Int’l only. Several commercial clients and patients sent.• BridgeHealth Medical – Domestic and International – over 2,500
patients, customers: Employers, TPAs, & Insurance companies.• HealthBase – Focus on India and mostly consumer. • Health Place America – Domestic only; ~ 50 patients handful of
clients – recent major reorganization.• WellPoint – Serves one customer, focus mostly on India.• Misc. others – mostly focused on B to C, new ones regularly
8
Health Care Reform &Impact to Most Medical Travel
Under nearly all proposed scenarios & plans Medical Travel comes out aheadIn No Case is it Compromised, though some approaches may need to be modified
• Medical Travel is in fact part of the solution:– Access:
• Makes more choices available• Coordinates High Quality Low Cost Providers• Creates World Wide Access To Best Hospitals & Physicians
– Cost:• Lowers cost• Educates patient• Clearly posts prices in an all inclusive understandable way
– Quality:• Provides quality rankings of hospitals including outcomes results• Educates patients on options that may be lower cost and better quality• Prepares patients for what to expect in Surgery and how to select a provider• Provides high levels of customer service
• Most Medical Travel is not, nor is it designed to be the cure for all issues or proposed solutions.
9
Key Attributes for a Medical Travel Facilitator
Look for a top service provider: a company with infrastructure, expertise, growth capital, and industry-specific experience.
Specifics to Consider:A domestic and/or an international top quality network of physicians and
accredited hospitals and clinics – True Centers Of Excellence (COEs) Priority customer serviceSignificant savings on high value medical procedures A clear fixed price using case rate DRG pricing Service & Quality Outcome tracking based measurement systems Experience in sending Americans to healthcare destinationsA patient Surgery Education component
10
Total US Healthcare Expenditures
2008
$2.3 Trillion
The Opportunity
11
The Opportunity
Total US Healthcare Expenditures2008
Other $2 Trillion
Pharma$300 Billion
12
Significant & Unmanaged
Other$1.1
Trillion
Pharma$300 Billion
Surgery$700 Billion
Pharma is a Big Industry –
Tightly Managed
Bigger Industry – Unmanaged
Radiology$100 Billion
Behavioral Health$100 Billion
Surgery represents a significant and unmanaged portion of the $2.3 Trillion healthcare market
1/3rd of total medical spend and it exceeds other benefit management areas
13
2 Components of SurgerySupply Side: Provider Selection
• A quality & value-driven domestic Centers of Excellence (COE) network• A greatly discounted & demonstrated quality international COE network
Demand Side: Surgery Education/Surgical Benefit Management (SBM) solution
• Built on studies that conclude that 30% of surgeries are unnecessary- (Wennberg – Dartmouth) – possibly better value and quality than traveling
• Educate employees to make informed decisions about surgery, its risks, and alternatives such as:
• Evaluating if surgery is even needed• Understanding the possible surgery • A less invasive surgery• Physical therapy• Pharmaceutical alternatives• Tools to discuss with Surgeon and prepare for surgery & recovery
14
Insurers, Reinsurers/Stop Loss, MGU’s, TPA’s, ASO’s, & Brokers & Consultants• Lower costs• Higher quality through alternatives• Employees make the “tough” decisions• Greater choice• True CDHP, as now the employee is educated on choices• Presenting a leading edge product• May not penetrate the specific or hit aggregate
Employers• Cost control & Quality improvement• Employee satisfaction• Not the bad guy, not cutting benefits, but adding choices
Value to Stakeholders
Employees• Informed Consent• Control of Decision• More options / greater quality• Tools and education to understand & evaluate the process• Higher satisfaction & lower costs
15
Medical Travel for Employers• Employer Often has 3
Choices pays Facilitator a no risk case rate by procedure, PEPM, or a shared savings.
• Employees should be given a choice to travel.
• Employees should be given an incentive to travel.
16
Centers of ExcellenceNational Network
Look for representative top tier domestic (US) network with geographic spread to enable patients to choose a low cost / high quality U.S. provider.
Countries Often in International Networks
• Brazil• China• Costa Rica• Hong Kong• India
• Malaysia• Mexico• New Zealand• Puerto Rico• Panama
• Singapore• South Korea• Taiwan• Thailand• Turkey
These are representative countries generally having high quality high service and often JCI accredited or equivalent hospitals. Often different countries have different surgical specialties.
17
Medical & Dental ProceduresMedical & Dental Procedures•Gastroenterology
•General Surgery
•Gynecology
• Infertility
• Internal Medicine
•Neurosurgery
•Oncology (selective)
•Ophthalmology
• Cardiology
• Cardiothoracic
• CyberKnife® (cancer)
• Dental
• Detox/Rehab
• ENT
• Executive Health Physicals
•Orthopedics
• Pain Management
• Pediatrics
• Plastic andReconstructive Surgery
•Urology Male/Female
• Vascular
•Weight Loss/Obesity Surgery
18
Look for Care CoordinationLook for Care CoordinationConsultation with Travel Care Coordinators
HIPAA compliant
Coordination of pre‐travel communications made for client to hospital and physician
After care needs can be coordinated
Satisfaction & medical outcomes are tracked and monitored
19
Ideally Have All‐InclusiveTransparent Pricing PlanIdeally Have All‐InclusiveTransparent Pricing Plan
Which Includes:
Surgery/procedure costs
Airfare
Lodging
Transfers
24/7 Concierge Service
20
Example: Savings PotentialExample: Savings PotentialIn a 1000 member company
Would have approximately 70 cases/year would benefit from travel
If only 1/3 of members used the domestic COE travel benefit
Annual savings would be ~10‐12% per year!
This includes all travel & related costs
Many of these would be Catastrophic Claims at the Specific level and collectively could impact the AggregateInternational savings per case are about double or more
21
Sample Estimated Costs of SurgeriesTypical US Pricing *
U.S. COE Pricing
International COE Pricing
Mitral Valve Replacement
$117‐177,000 $47‐77,000 $10‐31,000
Cardiac Bypass $72‐121,000 $37‐64,000 $8‐30,000
Hip Replacement $48‐53,000 $20‐25,000 $7‐14,000
Knee Replacement $31‐74,000 $20‐34,000 $7‐15,000
Spinal Fusion $39‐172,000 $18‐49,000 $5‐14,000
Note: These U.S. COE prices are inclusive of Hospital, Surgeon, Lab, Radiology, Anesthesiology, etc.Prices will vary by location, severity, co-morbidity and are approximate for comparative illustration.COE examples do not include travel costs, but the savings more than offsets them.
* Varies by MCO/PPO and region
22
23
International NetworkInternational NetworkMany Doctors are Western Trained
Nurse/patient ratio is better than US
Hospitals are accredited by the body that accredits hospitals in the US
Examples of high quality network are:• Wockhardt Hospital in Bangalore, India – affiliated with Harvard
• Punta Pacifica Hospital in Panama & Memorial Hospital in Istanbul– affiliated with Johns Hopkins
Aftercare Network• Locations in U.S. for follow up
International locations can reduce catastrophic claims even further than U.S. providers
24
Reduce unnecessary surgery• If it’s not necessary it doesn’t need to happen for lack of alternatives• Truly consumer‐directed—the consumer makes their own choices
Simplify required surgeries• Educate consumer on treatment alternatives to make the best decision
• Leverage different price/quality/location points = choice, & lower costs• Educate the member & give them “tools” for decisions and recovery
• Improve quality through COEs & less lost work time
Inhibit trend toward more aggressive surgery• Compare less aggressive versus more aggressive surgeries
Access to multiple networks• Local, Other Domestic COE’s, and optional International providers
The Surgery Decision‐Surgery Path
25
• Web‐based education
– An overview of the specialty area– A look at the subspecialty area– An explanation of treatment options
• A set of helpful consumer tools:– How to select a physician and hospital– Know what to ask of your provider once
you’ve chosen one– How to involve your family and friends
to improve your outcome– What to expect from your chosen path– Pre‐ and Post‐operative considerations– Understanding legal and financial forms– Recovery steps
Surgery Education – Member InfoItems often in Surgery Education – which can reduce unnecessary surgery and educate the patient on expectations:
26
Surgical Benefit Education: Education & Decision Process About Surgery, Alternatives, and Locations, and Recovery. Provide “Tools” for understanding
Dedicated, Care Coordinators
Networks: Local, Domestic travel, and International
Travel Care Coordinators to Coordinate Health Record Data & Concierge Travel Coordination
Employer Plan
Covered Member
Follow‐up Care & Patient Satisfaction Surveys and Outcomes Tracking
Plan Design Recommendations with financial incentives to seek care at quality hospitals throughout the U.S. and Internationally if selected
NOTE: Might be offered as a side by side option with employer’s existing plan. It can also be offered with a companion hospital reimbursement plan.
Solutions Reviewed
27
The opportunity for you to demonstrate innovative thinking that will:
• Reduce corporate costs ‐ today
• Reduce employee costs ‐ today
• Sustain or increase benefits ‐ today
• Improve quality ‐ today
• Offer a new innovative service
28
Summary of what to Look Forin a Facilitator
• Experience– Experienced leadership team with depth;
• Networks– Quality-rated Domestic and International COE Networks + Education
• Marketing Communications– Partnered, strategic plan to drive company utilization & unit cost savings
• Client Experience– Personalized service to clients by experienced coordinators
• Member Education– Reduce utilization and get better outcomes through member decisions
29
ProposalProposal
Look to form a collaborative partnership between your two organizations to:
Outline the Advantages of a World Class Network for Medical Travel
Demonstrate Viability and Value of Surgery Education
Reduce Benefit Costs for You/Your Clients
Show your Thought Leadership with New Services
Provide Employees with Exciting and Beneficial Care Options
The Trusted Bridge to World‐Class Healthcare™
30
Contact InformationContact Informationwww.BridgeHealthInternational.com
The Trusted Bridge to World‐Class Healthcare
Vic Lazzaro, [email protected]: 303‐457‐5725C: 303‐358‐0300
Gordon [email protected]‐841‐7566
1
SIIA2009 National Educational Conference
A Personal Medical Tourism Experience
September 23, 2009
ActuarialManagement Strategies, Inc.AMS
Presented by:
Alison J. Saifer, FSA, MAAA
ActuarialManagementStrategies, Inc.AMS
Copyright and Disclaimer
This presentation is for informational and discussion purposes. All material contained within this presentation is believed to be reliable and is based upon market experience and knowledge of Actuarial Management Strategies, Inc. (“AMS”). AMS does not certify to its accuracy or completeness. This document and its contents are proprietary to AMS and may not be copied or reproduced without the express consent of AMS.
2
ActuarialManagementStrategies, Inc.AMS
Background: Alison J. Saifer, FSA, MAAA
Health Care Consultant (Actuarial/Financial/Business) for:Reinsurance Companies
Direct Carriers
MGUs
Attorneys
Investors
ActuarialManagementStrategies, Inc.AMS
Types of Products
Employer Stop LossLimited Medical/ Mini-MedFirst Dollar, including High Deductible PlansTravelCarve Outs – Transplant, Dental, Drug, VisionStudent Accident and MedicalBlanket Special RiskPet Insurance
3
ActuarialManagementStrategies, Inc.AMS
The Hot Topic of Medical Tourism
Everyone is talking about it, but is anyone actually doing it?
Many have determined that the potential for cost savings, even after accounting for travel and accommodations is significant
After looking at it from an actuarial perspective, decided to participate in an actual experience
ActuarialManagementStrategies, Inc.AMS
The “Mock” Trip
I’m Not a Doctor, I Just Think All Those Actuarial Exams Qualify Me to Act Like One!
May 27 – June 1, 2009
Bangkok, Thailand
Medical Services Needed….All parts currently working…, so how about an executive physical?
Traveled with an Insurer, Reinsurer, Reinsurance Intermediary
4
ActuarialManagementStrategies, Inc.AMS
Agenda
Tour of Bangkok Hospital
Meeting with Hospital Senior Management
Tour of Rehabilitation Clinic and Holistic Medical Center
Tour of Samitivej Sukhumvit Hospital
Meeting with a Group That Does Aphaeresis Treatments Not Available in the US
First Hand Experience with Some Medical Tests and Treatments
ActuarialManagementStrategies, Inc.AMS
What about the Tourism Component?
Dining Experiences
Tour of the City
Visit to the Bangkok Night Market
5
ActuarialManagementStrategies, Inc.AMS
Trip to Bangkok
After 26 hours of travel, arrive in Bangkok, tired, but excited
A concierge was waiting for us with a sign AT OUR GATE
Helped us with luggage, through customs and to a waiting car
Transportation to the hotel
ActuarialManagementStrategies, Inc.AMS
Bangkok Hospital –Meeting with Management
6
ActuarialManagementStrategies, Inc.AMS
Bangkok Hospital –Meeting with Management (continued)
JCI Accredited
In 2007, 37% of Patients Were International9.4% are Americans – mostly expats living in Thailand and surrounding areas
Most Doctors Have Excellent English Skills, so Language is Not a Big Barrier
“High Tech with a Light Touch”State of the art equipmentCaring, dedicated staff with Thai hospitality
ActuarialManagementStrategies, Inc.AMS
Bangkok Hospital (continued)
No Waiting
No Shared Rooms – Extremely Clean and Quiet
Doctors Spend Time With Patients
Affordable, Even After Allowing for Traveling and Accommodations
Look After the Family, Not Just the Patient
No Visiting Time RestrictionsApartments available in the hospital
7
ActuarialManagementStrategies, Inc.AMS
Bangkok Hospital (continued)
Seamless ServiceReferral Center
Concierge ServicesTransportation from airport, to hospitalTake people shopping, tourism tripsRe-booking flightsStress free
Medical Coordination
Communication with RefereesPatients go home with discharge folders
ActuarialManagementStrategies, Inc.AMS
Bangkok Hospital (continued)
Longer Inpatient Stays Than USNot rushed out of hospital
Re-Hab Patients May Stay at Hotel and Come Back Daily to Hospital
24/7 ServiceSaturdays and Sundays are very busyRoutine operations may happen at 8pm
Hospital is the Center of Healthcare
8
ActuarialManagementStrategies, Inc.AMS
Bangkok Hospital (continued)
Package PricingGetting you back home is part of their responsibility
May advise you to stay longer before you are ready to travel home
Cost of Wait time before you are “fit to fly” included
Doctors or nurses may fly back home with you
ActuarialManagementStrategies, Inc.AMS
Bangkok Hospital (continued)
Typical US Patients are:Well traveled
Have passports
Understand technology
Typical Procedures Include:Cardiac stem cell therapy
Computerized diagnosis and radiotherapy for cancer
Joint replacement surgery
Clinical trials
9
ActuarialManagementStrategies, Inc.AMS
Bangkok Hospital Tour of Facility
Extremely Clean
No Hospital Smell
People Smiled and Greeted You as They Passed By
Rooms Were Large and Comfortable, and “Hotel-Like”
Patients Drugs Kept in Locked Box in Patient’s Room
Photo Taken at Registration and Then on Every Page of Medical Records
ActuarialManagementStrategies, Inc.AMS
Bangkok Hospital Tour of Facility
Procedure Prices Posted on the Wall at the Hospital
10
ActuarialManagementStrategies, Inc.AMS
Bangkok Hospital Tour of Facility
Outpatient Dialysis Area
ActuarialManagementStrategies, Inc.AMS
Bangkok Hospital Tour of Facility
Apartments Available in the Hospital for Family Members or Patients with Outpatient Procedures
11
ActuarialManagementStrategies, Inc.AMS
Bangkok Hospital Tour of Facility
Starbucks Coffee and Au Bon Pain in Hospital
ActuarialManagementStrategies, Inc.AMS
Holistic Medical Center
Integrated with Medical Care
State of the Art Equipment
12
ActuarialManagementStrategies, Inc.AMS
Samitivej Sukhumvit Hospital
JCI Accredited
40% of Patients are InternationalJapanese, then AmericanMostly expats living in Thailand or surrounding areas10% of revenue from medical travelers
Thai Patients are Upper and Upper-Middle Class
ActuarialManagementStrategies, Inc.AMS
Samitivej Sukhumvit Hospital (continued)
Karaoke in Room
Internet in Room
24 Hour Hot Line to Nurses Station Using Skype and Web Cams – Face to Face Communication After Discharge
Connectivity Externally - Pre and Post Care Facilitated Through Web
Consult with doctor face to face before patient comes to Thailand
13
ActuarialManagementStrategies, Inc.AMS
Samitivej Sukhumvit Hospital (continued)
Apartments Available in the Hospital – About $80
ActuarialManagementStrategies, Inc.AMS
Day 2 – Tour of City
Concierge Services Provided Us Transportation, Tour Guide
Visit to Grand Palace
Wonderful Thai Food
Incredible Hospitality
14
ActuarialManagementStrategies, Inc.AMS
ActuarialManagementStrategies, Inc.AMS
15
ActuarialManagementStrategies, Inc.AMS
ActuarialManagementStrategies, Inc.AMS
Day 3 - Patient
Concierge picked us up at hotel at 7:30 am for 8 am appointment on SUNDAY (appointment had been made electronically from home)
7:50 am check-in at International Medical Center Desk – handed us voucher for Starbucks or Au Bon Pain so we could eat once we were finished with lab work
16
ActuarialManagementStrategies, Inc.AMS
Day 3 – Patient (continued)
8:05 am called and all vitals, blood and urine taken
Water available at every turn
8:20 am finished with lab piece and head upstairs for chest x-ray
Waiting for us, no paperwork, NO WAIT
The longest wait we had was the time it took us to change into hospital gown for chest x-rays
Were told we could come back in 1 hour for consult with the Doctor
ActuarialManagementStrategies, Inc.AMS
Day 3 – Patient (continued)
8:40 am – Cappuccino and Croissant at Au Bon Pain
17
ActuarialManagementStrategies, Inc.AMS
Day 3 – Patient (continued)
Appointment at 9:40 am with DermatologistRefused escort to other building – all signs in English, so no problem finding it!Arrive at 9:05 amCalled into patient room at 9:25 am
Doctor was waiting for ME in the room
Consult over at 9:45 am, when exam and all my questions were answered in English
Cost 750 baht - $22
Services requested – all prices explainedWere a fraction of costs in USA
NO WAIT for ServicesAll services provided by friendly, attentive and knowledgeable professionals, including the Physician
ActuarialManagementStrategies, Inc.AMS
Day 3 – Patient (continued)
Payment was made and our concierge was waiting for us with a sandwich and water bottle
But first, back to the International Medical Center for our test results
Check in at 11:40 am (with no appointment)
Called to speak with Physician at 11:45 am who went over in detail the results of all the labs and showed me my chest x-ray
I had come down with a sore throat, so after an additional exam was given a prescription for an antibiotic and headed out at 12:00 pm
18
ActuarialManagementStrategies, Inc.AMS
Day 3 – Patient (continued)
Pharmacy was around the corner. Arrived at 12:00 pm and was on my way with my filled Rx at 12:05 pm
Back at the IMC, I was provided a hard copy of all my results and told that a formal report would be done in 1 hour and that I could pick up or it could be emailed to me
Concierge then provided for a last delicious, authentically Thai meal, a trip to the night market, and transportation back to the airport at 4 am Monday morning
Another concierge met us at the airport and facilitated us through the check-in and customs process
ActuarialManagementStrategies, Inc.AMS
Day 3 – Patient (continued)
Cost of the Check-Up Including:Physical examCBCBlood sugarLiver Function TestKidney Function TestLipid screeningUrine AnalysisChest X-rayPhysician Consult of ResultsFull Written Report
$2,600 Baht or $74
Unparrelled, Courteous and Timely Services – PRICELESS!
19
ActuarialManagementStrategies, Inc.AMS
Patient Experience
All Professionals I Came in Contact with (perhaps 20) had Excellent to Fluent English
All Care was Provided Professionally, Politely and Efficiently
All Facilities Were Immaculately Clean
ActuarialManagementStrategies, Inc.AMS
General Observations
Always Felt Safe, Cared For and Never Left StrandedThe Food was Delicious – No One Got Sick and All Enjoyed the Cuisine
The City was Interesting and Culturally Rich
The People Were Incredibly Hospitable, Attentive and Professional
All Hotels, Restaurants and Sights We Were Exposed to Were Very Safe and Excellent by American Standards
Never Experienced a Language Barrier
The Medical Care was Efficient, Professional and Provided in a Superior Manner to that of the US
20
ActuarialManagementStrategies, Inc.AMS
Most Important Questions
And If I Really Needed a Medical Procedure, Would I Go Back?
ABSOLUTELY!
Only True Down-Side for Me was the Long Trip, But the Care, Quality and Opportunity to Visit a New Country and Experience the Culture Made It Worth While
ActuarialManagementStrategies, Inc.AMS
Thank You !
Alison J. Saifer, FSA, MAAAPresident
(215) 862-8390
ActuarialManagement Strategies, Inc.AMS
1
WORLD CLASS MEDICAL TREATMENTIN AN ENGLISH SPEAKING, FIRST WORLD COUNTRYDELIVERING EXCEPTIONAL HEALTHCARE VALUE
INTRODUCING
Dr Edward WatsonMBcHB MBA DRACOG FRNZCGP
Executive ChairmanMedtral New Zealand
2
TODAY’S AGENDA
The Globalization of Healthcare
Why offer a Medical Travel option?
The Medtral OfferValueQualityCare
Hospitals and Doctors
Destination - New Zealand
Benefits to Insurers and Self-insured companies
Patient Experience
WHY ARE PATIENTS TRAVELING?
Cost
Cost
Cost
Long waiting lists (public healthcare)
Expatriates
Indication not approved in home country
To find the best care available
Dissatisfaction with existing providers
THE GLOBALIZATION OF HEALTHCARE
3
MEDICAL TRAVEL PROGRAM
1. Cost savings
2. Safety (environment + medical)
3. Quality
4. Compatibility (medically and culturally)
5. Efficiency
6. Continuation of Care
7. Marketable Destination
8. Ease of Travel
WHAT DO SELF-INSURING COMPANIES LOOK FOR?
INTRODUCING MEDTRAL NEW ZEALAND
Through Medtral New Zealand, insured customers and employees from self-insured companies have access to world class, non-acute, surgical and medical treatment in an English speaking, first world environment - New Zealand
The environment in which the patients are treated is both medically and culturally aligned to North America as well as being clean, green, safe and American friendly.
TRAVELING TO NEW ZEALAND WILL NOT BE A FOREIGN EXPERIENCE
4
OPERATION PACKAGE (Medtral) COST US$Coronary Artery Bypass Graft Surgery $38,000Heart Valve replacement surgery $40,000Total Hip replacement $26,000Total Knee replacement $26,000
EXCEPTIONAL VALUE
PROCEDURE ONLY (USA) COST US$Coronary Artery Bypass Graft Surgery $125,000Heart Valve replacement surgery $135,000Total Hip replacement $64,000Total Knee replacement $63,000
EXCEPTIONAL VALUE
Our standard package estimate includes:
Integrated concierge service to manage all aspects of the patient’s journey
Patient and doctor communicationHotel and flight bookingsSpecialist and hospital bookingsAftercare managementImmigration managementFeedback and integration with health provider in US
Flights from the west coast of the USAHotel accommodationAll expected medical and surgical costsAftercare (Physiotherapy and Nursing care in hotels)Contingency insurance
Treatment and recuperation while in New ZealandMedical evacuation home if deemed necessary
What is in a cost comparison?
5
QUALITY WITHOUT COMPROMISE
Focus on patient outcome
A complete communication loop on patient carePatients condition worked up while still in the USAAll medical aspects of patient care feedback to PCP in USAInter-physician communication encouraged between NZ and USA doctors
Focus on patient experience
OUTSTANDING CARE
Dedicated Patient Coordinators
Personalized medical care
Excellent communication across all disciplines
Low Nurse to Patient ratios (RN primary nurses)
Emphasis on after-care
Holistic approach
Specially selected accommodations
In-hotel Nursing and Physiotherapy
“A Life Changing Experience”
…Total Customer Satisfaction
6
FULL SERVICE FACILITIES
Mercy Hospital and Ascot Hospital
Both are Quality Health New Zealand Certified. This is an international recognized accreditation (ISQua)
Services available:
Laboratory services
Catheter labs - EPS, angiography, peripheral vascular
Allied health - physio, dietician, OT etc
On site medical cover
Both are teaching hospitals of the University of Auckland (the only private hospitals in New Zealand to have this)
Robotic surgery
Dual integrated digital operating theatres
Radiology - with 1.5 MRI, 64 slice CT, ultrasound, general X-ray etc
7
INTERNATIONAL ACCREDITATION
ISQua
Australian Council on Health Care Standards
Quality Improvement Council, Australia
Canadian Council on Health Services Accreditation
Irish Health Services Accreditation Board (now HIQA)
Council for Health Services Accreditation of Southern Africa
Taiwan Joint Commission on Hospital Accreditation
CHKS-HAQU Health Care Accreditation Unit, UK
Japan Council on Quality in Health Care
Egyptian Health Care Accreditation Organization
Quality Health New Zealand
Joint Commission International Accreditation USA
THE HOSPITALs - MERCY & ASCOT
“Personally I would like to thank everyone at Ascot Hospital for the truly wonderful care I received. From the doctors to the beautiful ladies who make painful nights less painful and shorter. I’m pretty much at a loss for words to express my gratitude. I hope I wasn’t too much of a pain in the arse - after all it was my head they fixed! Many thanks Kiwis.”
Keith RichardsThe Rolling Stones
8
WORLD CLASS MEDICAL SPECIALISTS
540 CREDENTIALED SPECIALISTS ACROSS ALL THERAPEUTIC AREAS
English as their first language
Trained in North America, the UK as well as New Zealand or are board certified to work in the USA
Leaders in their respective fields within New Zealand
Excellent records with regards to adverse events, patient interaction and surgical outcomes
Most are involved in international clinical research
NEW ZEALAND
9
NEW ZEALAND
First world country with a long history of high quality healthcare provision
Commonwealth Fund ranks New Zealand as having one of the best medical systems in the world
One of the worlds safest blood supplies – no transfusion transmitted HIV infections since screening began in 1985
Geographical isolation means very low rates of nosocomial and community acquired infections
English speaking with a society that shares cultural affinitywith other western countries
12 hour overnight direct flight from west coast of North America
Temperate climate
The most peaceful country in the world (2009 Global Peace Index)
MEDTRAL NZ’S UNIQUE COMBINATION
Certainty of World Class Medical Treatment
Transparent Partnership
New Zealand is a culturally aligned English speaking destination
Internationally Accredited Private Hospitals
Cost effective destination
Contingency insurance
Feedback and communication with US medical providers
Personalized care at every step of the journey
10
THE BENEFITS TO INSURERS & SELF INSURING COMPANIES
World class personalized, quality care
An aligned environment
Significant cost savings
Market expansion
Market consolidation
Customer Satisfaction
Knowledge on how to implement medical travel options:Implementation manualsSystems and processesDefined outcomes
Patient Testimonial
PROVING THIS WILL WORK FOR YOU. IT IS WORKING FOR OTHERS
Don’t just take our word for it- see what patients who have travelled to New Zealand say
11
Patient Testimonial
QUESTIONS?
12
13
14
15