Arlen D Meyers, MD, MBAwww.medvoy.com

www.careconnectix.com

What are we talking about?Medical tourism v medical travel v global

care coordination v travel medicine v humanitarian care

Medical travel: Leaving home for careInbound , outbound, domesticWhy?

CostAvailabilityAccessTravelSecrecy

MEDICAL travelTHIS

Not, medical TRAVELNot, this

Telemedicine and medical tourismMedical tourism: 35% CAGR into 2010

(outbound 1.6M)Inbound: 561,000 by 2010220 JCI sites in 2008 (76 in 2005)AMA guidelines on medical tourismwww.medvoy.com

Telemedicinewww.cotelehealth.com

The Six Legged StoolA sustainable business modelGlobal healthcare IT connectivity and

integrationGlobal referral networksA global regulatory, socioeconomic and legal

ecosystemPatient awareness and acceptanceMeasurements of value= quality/price

The Old Model

The New Model

10 Medical Tourism Trends 1. Global healthcare information exchanges

2. Commoditization of healthcare and the disintermediation of professionals3. eBay mechanism to auction global healthcare services4. Erosion and redefinition of professionalism and ethics5. New healthcare insurance products designed to empower patients

10 Medical Tourism Trends

6. Changes in global healthcare workforce7. Global quality and price information exchanges and growth of domestic medical tourism8. Growth of programs offering MBA’s in medical tourism9. Evolution of medical tourism nurses and advocates10. Electronic markets offering unused healthcare capacity.

Deloitte Customer SegmentsContent and Compliant (28.5%)Sick and Savvy (25.3%)Online and Onboard (8%)Shop and Save (2.4%) Out and About (8.2%)Casual and Cautious (27.6%)

Themes: Medical Travel IndexCommoditization of careHigh volume, low costDigitally integratedReal estate appreciationAging demographicsMinimal geopolitical riskGlobal diffusion of innovative technologiesTelemedicine and telehealth functionality

Medical Travel MetricsHow many?Where?For what?Which providers?

Regional Medical Travel by City in Colorado

Aurora can Attract More Patients from

Aspen, Vail etc.

Market Staging Inc.www.MarketStaging.com

Newport Beach, CA

Source: 2009 CHA Discharges

Regional Medical Travel by Hospital in Colorado

Aurora Hospital can Attract More Patients from Aspen, Vail etc.

Market Staging Inc.www.MarketStaging.com

Newport Beach, CA

Source: 2009 CHA Discharges

Regional Medical Travel by City in Colorado

More Patients & Families Stay in Aspen or Vail

Patients & Families

Stay Longer in Littleton

Market Staging Inc.www.MarketStaging.com

Newport Beach, CA

Source: 2009 CHA Discharges

Regional Medical Travel by Hospital in Colorado

Aurora Hospital can Attract More

Patients with Web Visibility

Vail Hospital has 15% More Patients with Web Visibility

Market Staging Inc.www.MarketStaging.com

Newport Beach, CA

Source: 2009 CHA Discharges

Regional Medical Travel Dimensions:

1) Geography & Distance

2) Costs

3) Quality

4) Visibility

• by patient & medical service

• by market and facility

• data centric & risk adjusted

• branding with web visibility

Market Staging Inc.www.MarketStaging.com

Newport Beach, CA

Foreign Healthcare InfrastructureHospitals and systemsAmbulatory surgery centersClinical labs and imaging centersDisease specific treatment facilities like

cancer centers, stem cell centers, etc

Example: Fortis Healthcare

Travel/hospitality infrastructureHotels and Surgical HotelsSpasAirport developmentTourist attractions

Example: Ritz Carlton, CH2M Hill, Bechtel

Tools and Support CompaniesPlayers in global healthcare information

exchangeData analytics and business intelligenceQuality, price and value determinationsCompanies offering alternative pricing

mechanismsTelehealth and telemedicine

Example: Cisco/Tandberg

Insurance and travel productsTrip cancellation Follow up careEmergency evacuationProfessional liabilityInfectious disease managementGeopolitical risk insurance

Example: Healthcare insurance products

Medical Travel Supply ChainTravel medicine clinicsMedical travel facilitators and specialty

travel agentsMedical concierge ground operatorsCurrency exchange risk managers/FX

risk funds

Example: Medvoy

Real Estate DevelopmentHealth CitiesEx-patriot retirement communities

Example: Dell Webb

Healthcare CompaniesDrugsDevicesDiagnosticsHealthcare ITService Platforms

Example: Johnson and Johnson

Global Healthcare Fundswww.fasttrack.net : over 100 funds listed and

comparedUS companies expanding globally

www.seekingalpha.com Country Specific Hospital and Healthcare Philippine Hospital AssociationForeign Hospital Company Stocks

www.thehindubusinessline.com

Medical Travel PortfolioFortis Healthcare Limited (Bombay Stock

Exchange) Marriott International (NYSE)Cisco Systems (NASDAQ)Lloyds Banking Group (NYSE)American Express Company (NYSE)Johnson and Johnson (NASDAQ)Global Healthcare Mutual FundsBechtel/Halliburton/Fluor

Thanks and QuestionsContact arlen.meyers@medvoy.com303-724-1952