PRESENTED BY

Victor Lazzaro, Jr., CEOFeb. 2009

U.S. & International Medical Tourism

University of California - Irvine

PresentationOverview

PresentationOverview

Medical Travel a.k.a Medical Tourism

Medical Travel 2008

Trends and Outlook

Impact on HealthCare in the US

Medical Travel History

How & Why did it begin?

Market Facts

• 500,000 Americans crossed the border for treatment in 2005. National Center for Policy Analysis (NCPA)

• 500,000 – 700,000 patients a year and savings on the order of $20 billion.  McKinsey Report 2008

• Cost Advantage for Medical Tourism is 28-88%. Deloitte Center for Health Solutions

Benefits of Medical Travel

Benefits of Medical Travel

Significant Savings

High Quality

Transparent Costs

Complements Consumerism

Medical Travel challenges

Medical Travel challenges

Quality of institutions

After care coordination

Malpractice

Accreditation

• Joint Commission International, 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

BridgeHealth International Centers of Excellence

Additional locations in Europe and elsewhere are under evaluation.

•Brazil

•China

•Costa Rica

•Hong Kong

•India

•Mexico

•New Zealand

•Puerto Rico

•Panama

•Singapore

•South Korea

•Taiwan

•Thailand

•Turkey

•U.S.

U.S. & International Locations

Medical & Dental Procedures

Medical & 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

Care CoordinationCare CoordinationConsultation with Travel Care Coordinators

HIPAA compliant, including medical records

Coordination of pre-travel communications are made for client to host country hospital and physician

After care needs can be coordinated

Client outcomes are tracked and monitored

All-InclusiveTransparent Pricing Plan

All-InclusiveTransparent Pricing Plan

Which Includes:

Surgery/procedure costs Airfare Lodging Transfers 24/7 Concierge Service

Sample Benefit Design & SavingsSample Benefit Design & Savings

HYPOTHETICAL COMPANY EXAMPLE: CURRENT INT’L INN

INN BENEFIT SAVINGS to Employer* 0 $41,000DEDUCTIBLE $1,000 WAIVEDCOINSURANCE 80/20 WAIVEDMAX. OUT OF POCKET $5,000 WAIVEDADD’L BENEFITS: TRAVEL INCENTIVE N/A $3,000 Travel costs, air & hotel N/A $4,000 Partner air N/A $2,000

* Hip replacement done in Asia: U.S. cost ~ $50k, Int’l cost ~$9,000Cost to the Employer: $14,000 ($5k OOP, + $9k incentives & costs)

Net Savings to Employer: $27,000.

A Domestic Network would yield savings in between.

Who is interestedWho is interestedBrokers & Consultants

Insurance Companies

Union trust funds

ASOs

Self-insured companies

TPAs

Reinsurers

Individuals

Ideal forIdeal for Self Insured Plans

Fully Insured for uncovered benefits Dental Care Cosmetic Bariatric Surgery Infertility

Limited Benefit Plans

Procedures not available in U.S - Stem Cell

Timely access to care - Canada & UK wait times

The 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 high costs of health insurance.

The declining current world economies

OpportunityOpportunity

• Reduce corporate costs

• Reduce employee costs

• Sustain or increase benefits

• Offer a new innovative service

•More U.S. competition & transparency

Medical Travel Forecast

Contact InformationContact Information

Cade Ross, Account ExecutiveCRoss@BridgeHealthInternational.com

O: 303.457.5770C: 720.231.8780

www.BridgeHealthInternational.comThe Trusted Bridge to World-Class Healthcare

Víctor Lazzaro, Jr., CEOVLazzaro@BridgeHealthInternational.com

O: 303.457.5725C: 303.358.0300