medicaltourism101

Medical Tourism 101

Lisbeth Stein
Membership Coordinator
Medical Tourism Association™
www.MedicalTourismAssociation.com
www.MedicalTourismMag.com

©Medical Tourism Magazine / Medical Tourism Association ™ Reproduction without permission of MTA or MTM is strictly prohibited.

Topics:
Globalization of Healthcare and Medical Tourism

Global Healthcare Crises

Medical Tourism Factors & Drivers

Current Trends & Streams
Delivering Value in Medical Tourism

Role of MTA in Medical Tourism Growth



Globalization of Healthcare
• “Globalization is transforming
not only trade, finance,
science, the environment,
crime and terrorism, it is also
influencing health and
medical care…
• Broad international contacts
are not a novelty. What is new
is the pace and range of
integration.”

Julio Frenk, MD PhD
Dean Harvard School of
Public Health



Medical Tourism is the Direct Result of the

Globalization of Healthcare



Medical Tourism Definition

People traveling from one country to another for medical
intervention based upon the perceived personal value.

Affordability,
Accessibility, Perception
Value
Availability of Tourism
Quality



Struggling Healthcare Worldwide

Current healthcare systems worldwide suffer from severe
crises.

The Healthcare crises are driven by several different factors
in each country.



Global Struggling Healthcare
UK
•Lack of Private Participation
Europe
•High waiting time
•Aging Population
Canada •Shrinking Revenue
•High waiting time
•Shortage of healthcare
resources

Japan
US •Baby Boomers
•High Cost •Over Hospital Stay
•Uninsured Population

Africa
• Lack of Appropriate Healthcare Services GCC
• Lack of Quality HealthCare Services •Population Growth
•Chronic and Affluent Disorder
•Genetic Disorder
•©Medical Tourism Magazine / Medical Tourism Association ™ Reproduction
without permission of MTA or MTM is strictly prohibited.

Key Factors for Global HealthCare Crises

High Cost of Services in Developed World

Lack of Availability of Healthcare Services in Under Developed World

Need of Better Healthcare Services in Developing World and GCC countries

Baby Boomers and Ageing Population

Lack of Healthcare Professionals Worldwide

High Pharmaceutical Cost ( Research and Trade Mark Expenses)

High Malpractice Cost

High Documentation and Accreditation cost

Lack of Preventive Measures Worldwide

©Medical Tourism Magazine / Medical Tourism Association ™ Reproduction without
permission of MTA or MTM is strictly prohibited.

Global Healthcare Crises

What's the Future?
Will it continue? How long?

©Medical Tourism Magazine / Medical Tourism Association ™ Reproduction without permission
of MTA or MTM is strictly prohibited

It is likely that Global Healthcare crises will continue for many more
years despite attempts by international health organizations and
national health authorities.

Key Reasons are:
 Challenges of a Changing World
– Unequal Economy. Unequal Outcomes.
– Shift in diseases, increase of non-communicable and chronic
disorders
 Little anticipation and slow response by authorities
 Baby Boomers and Ageing Population
 Increase in Healthcare Cost
– Increase in Pharmaceutical Cost
– Increase because of Medical Equipment Cost
– Increase because of Documentation and Accreditation Cost
 Fragmented Healthcare System worldwide
 Commercialization of Healthcare

Little Anticipation and Slow Reactions by
Authorities
 Over the past few decades, health authorities have shown little evidence
of their ability to anticipate such changes, prepare for them or even
adapt to them when they have become an everyday reality.

 This is worrying because the rate of change is accelerating.
Globalization, urbanization and ageing will be compounded by the
health effects of other global phenomena, such as climate change, the
impact of which is expected to be greatest among the most vulnerable
communities living in the poorest countries .
Source: WHO

Baby Boomers (US Study)
The number of Americans aged 65 or over will double by 2050

The number of people age 85 or over will quadruple by 2050

By 2030 over half of U.S. adults will be over age 50

The over 65 population will nearly triple as a result of the aging Boomers.

More than six of every 10 Boomers will be managing more than one chronic condition.

More than 1 out of every 3 Boomers – over 21 million – will be considered obese.

One out of every four Boomers – 14 million – will be living with diabetes.
Reference: ~ A joint report
from First Consulting
Group and the American Nearly one out of every two Boomers – more than 26 million – will be living with arthritis.
Hospital Association, titled
“When I'm 64: How
Boomers Will Change
Health Care.” 8x more knee replacements will be performed in 2030 than today.

High Pharmaceutical Cost
 The pharmaceutical industry weighs even more heavily
in the global economy, with global pharmaceutical sales
expected to expand to US$ 735–745 billion in 2008,
with a growth rate of 6–7%93.

 The United States is the world’s largest market,
accounting for around 48% of the world total: per
capita expenditure on drugs was US$ 1141 in 2005,
twice the level of Canada, Germany or the United
Kingdom, and 10 times that of Mexico.

Mexico
Germany / UK
US
Source: WHO

Fragmented HealthCare System
Fragmentation: health systems built around
priority programmes

 While urban health by and large revolves around
hospitals, the rural poor are increasingly confronted
with the progressive fragmentation of their health
services, as “selective” or “vertical” approaches focus on
individual disease control programmes and projects.

Source: WHO

Commercialization of HealthCare

Health systems left to drift
towards unregulated
commercialization

In many, if not most, low- and
middle-income countries, under-
resourcing and fragmentation of
health services has accelerated the
development of commercialized
health care.

Source: WHO

The Global Shortage of Healthcare Workers

Fifty-seven countries
face a severe health
workforce crisis.

WHO estimates that at
least 2,360,000 health
service providers and
1,890,000 management
support workers, or a
total of 4,250,000 health
workers, are needed to
fill the gap.

Without prompt action,
the shortage will worsen.

Healthcare is a concern

Percentage of the population citing health as their main
concern before other issues, such as financial problems,
housing or crime.
Source: WHO

Global Healthcare Crises and Concerns

With continued growth of Global Healthcare
Crises, patients will struggle to get:

 Affordable Healthcare
 Easy Accessible Healthcare
 Availability of Healthcare
 Quality Healthcare Services

Medical Tourism Drivers & Factors

Global Establishment
Increased Global
Affordability of Quality Standards
Access, Affordable
Transport

Additional
Availability
Benefits
Increased Demand Increased Demand
Medical for Cosmetic and
for Medical &
Surgical Procedures
Tourism Dental Procedures

Quality of
Accessibility
Care

Acceptance by
Globalization of Employers & Health
Workforces Plans

Who will use Medical Tourism?

Developed Travel for Travel for
Affordability Accessibility
World

Better Affluent will
Developing Healthcare or Travel for Better
High end and Privileged
World Healthcare Healthcare

Under Travel Because Affluent will
Develop of Lack of Travel for Better
Healthcare Healthcare
World

Cost Saving in Medical Tourism
Knee Replacement

Turkey

Korea

Mexico

Costa Rica

Singapore

Thailand

India

USA

0 5 10 15 20 25 30 35 40

Knee Replacement (2009 MTA survey)
USA India Thailand Singapore Costa Rica Mexico Korea Turkey
$50,000 $7,000 $10,000 $11,100 $11,000 $12,000 $24,100 $13,000

Heart ByPass

Turkey

Korea

Mexico

Costa Rica

Singapore

Thailand

India

USA

0 20 40 60 80 100 120 140

Heart Bypass (2009 MTA Survey)

USA India Thailand Singapore Costa Rica Mexico Korea Turkey
$130,000 $9,000 $11,000 $16,500 $24,000 $22,000 $34,150 $17,000


Note: Prices do not reflect PPO discounts. Prices will
vary based on zip code, region, provider, and other
factors. Prices are an estimate and do not include
airfare or hotel accommodation for the patient or a
companion. Travel costs, including airfare and hotel
will vary depending on country and also the length of
stay for recovery.

What Services do They Seek?
Orthopedics • Hips, Knees, Back and Spine

Cancer Treatment • Diagnostics, Cyberknife, Stem Cell

Heart Procedures • Angioplasty, Bypasses, Valve Replacements, Stem Cell

Transplants • Liver, Kidney, Lung

Dental Treatment • Implants, Veneers, Crowns

Bariatric Surgery • Lap Band, Gastric Bypass, Gastric Sleeve

Alternative • Acupuncture, Preventative, Homeopathy, Indigenous

Stem Cell Treatments • Alzheimer's, ALS, Parkinson's, Paralysis, Heart

Cosmetic Surgery • Face Lifts, Breast Implants, Corrective

Infertility Treatments • IVF, Fertility, Hormonal Disorders

Rehabilitation & Geriatric • Acute and Chronic Conditions, Geriatric Care

Medical Tourism
a Growing Phenomena Worldwide

US Medical Tourism Trend & Forecast
Deloitte Study 2009 ~ Recession Adjusted Forecast

2007 2008 2009 2010 2011 2012
Number of
Patients 750,000 540,000 648,000 878,000 1,283,000 1,621,000

Forward -20% -10% 20% +35% +35% +35%
Growth Rate

USA Today puts Medical Tourism as one of the
Top Ten Growing Trends

29% Americans will travel for Medical Tourism

Gallup Poll May, 2009

Up to 29% of Americans would
consider traveling abroad for
medical procedures such as:

heart bypass surgery

Travel for hip or knee replacement
medical
Tourism plastic surgery

cancer diagnosis and treatment.

Medical Tourism in Asia
2004 India had 1.8 million inbound medical
tourists at USD$333 million. India’s growth in
the industry is 30% per year projected at
USD$2.2 billion by 2012

Singapore targets 1 million foreign patients
and USD$1.6 billion by 2012

Asia’s Growth Industry, 2006
Malaysia expects USD$590 million by 2012

Thailand and South Korea combined estimate
USD$4 billion by 2012

Terminology

Health
Tourism • Patients traveling out of a
Outbound country
Health & Healthcare
Spa travel Travel

Medical Inbound • Patients coming into a country

Tourism Intrabound • Patients traveling within a
Wellness Medical country
Travel Travel
• Organization / Agency
Medical Facilitator providing support services to
Value Travel the patient

How a Patient Decides Upon Medical Tourism

Role of Medical Tourism Facilitator
Travel
• Airline
• Local Transport

Documentation
• Legal Documents Healthcare
• Patient Records • Identification
• Reports • Price
• Claim Submission Negotiation
and • Monitoring
Reimbursements Quality of Care

Tourism / Concierge
• Translators
• Personalized Services
• Representative
• Tourism related
arrangements

Facilitator Analysis
Percentage of Facilitators By Base Country

USA
China
Thailand
India
Malaysia
South Africa
UK
Australia
Korea

Researched by ExHealth
Canada
Turkey
New Zealand
Poland
Singapore
Tunisia
Croatia

No. of Facilitators Providing Service to Countries

33

No. Of Facilitators By Type of Procedure
80

70

60

50

40

30

20

10

0
Cosmetic Surgery Dentistry Alternative Medical Spas Infertility Obesity Cancer All
Surgery Medicine Procedures


Facilitators offering Service to ALL Countries

Facilitators Offering Service 2 Countries or More

Facilitators Offering Single Country Service

Accessing the Patient ~ Facilitators

51% used a Facilitator 37% found very helpful
44% N/A

Role of Hotels
Package
• Transparent Pricing
• Services

Communication
• Sensitizing Staff Modifications
• Communication • Dietary / Menu
Training • Privacy
• Coordinated • Nursing Support
Emergency • Entertainment
Response

Tourism / Concierge
• Translators
• Personalized Services
• Appropriate Tourism
• Transportation

The Role of the Travel Agent and Medical Tourism

• Coordinate Appropriate Aspects of Travel

• Increase Patient Referrals

• Good Follow Up = Good Outcomes



US Employers, Insurers & Medical Tourism

Several insurance companies have implemented medical tourism or “pilot”
programs in medical tourism such as Aetna, Blue Cross Blue
Shield, WellPoint, Swiss Re and others.

Several self funded employers have implemented medical tourism such as
Hannaford Brothers and others.

Many employers are offering medical tourism because the cost savings is
up to 90% of the cost in the U.S. while the quality can be equal to or in some
cases better than the patients would receive in their home countries.



Medical Tourism Association™
• The Medical Tourism • The MTA creates a forum • The MTA provides
Association advocates for communication amongst education to
creating a transparency in all of the players in the patients, insurance
the medical tourism medical tourism companies, employers and
industry in quality of care industry, allowing new players in the medical
and pricing so patients competitors to work tourism industry about all
know exactly what quality together for the first time to of the issues involved in
of care they are receiving promote their country or medical tourism ~
and what they are paying region first as a medical legal, economic, accreditati
for such care. tourism destination. on, best practices, strategic
marketing

Transparency in Education
Communication
Quality & Pricing

4th World Medical Tourism & Global
Healthcare Congress 2011

www.MedicalTourismCongress.com

2011 Congress Speakers

Multinational companies participating: Mary Kay Inc., American Apparel, among others…

Productive Networking Opportunities
Network with up to 1,500 attendees!

– Buyers of Healthcare
– Top International Hospitals
– Specialty Clinics
– Medical Tourism Facilitators
– Insurance Companies
– Insurance Providers
Up to 10,000 One-on-One Prescheduled networking meetings

Attendees & Delegates
• 1,500 attendees from over 87 countries
• 100 expert speakers
• 10,000 one-on-one networking meetings
• Networking lunches
• Networking cocktail receptions

Buyers of Healthcare-VIP Program
Insurance companies, governments, employers and insurance
agents may be eligible to get:

Free registrations
Discount registrations
Hotel room nights and flights

Don’t miss this opportunity!

4 INTEGRATED CONFERENCES
 Global Benefits Conference

 Healthcare Development & Sustainable
Healthcare Conference

 Global Healthcare Investment Conference

 Health & Wellness Conference

Global Benefits Conference
THEME: “Streamlining Benefits and Processes for Multinational Employers and Insurance
companies”.

TARGET: Highest level executive attendees involved in this industry.

WHO WILL BE THERE:
 International Insurance Companies
 Multinational Employers
 International Insurance Agents and Consultants
 Air Ambulance Companies
 And other International Insurance attendees and providers

VISIT: http://globalbenefitsconference.com

Healthcare Development & Sustainable
Healthcare Conference
Sustainable Healthcare (Green Healthcare), Healthcare Development and
Hospital Development is one of the fastest growing industries in the world

THEME: Groundbreaking Approaches to Healthcare Design, Management and
Sustainability.

FOCUS: International healthcare and hospital development with case studies from
different parts of the world.

VISIT: http://www.healthcaredevelopmentconference.com/

Global Healthcare Investment Conference
Network with investors as they learn about international investment
opportunities in the healthcare sector

THEME: “Emerging Markets for Healthcare Investment”.

FOCUS: Emerging markets and trends showing case studies of investment
opportunities in the healthcare sector.

Visit: http://www.healthcareinvestmentconference.com/

Health & Wellness Conference
Millions of consumers are taking vacations for health, wellness and prevention

THEME: “ Health and Wellness Travel and Tourism”.

FOCUS: Growing health and wellness tourism industry. Case studies on how many
regions create strong wellness programs attracting individuals and employers to their
regions.

VISIT: http://wellnessconference.com/

For more information and to register
http://www.MedicalTourismCongress.com

www.EmployerHealthcareCongress.com

Medical Tourism Association™ Destination Guides

The destination guides are an exclusive focus on a
destination, country or city with detailed information about the
quality of healthcare in the destination and the healthcare
infrastructure found in that region.

 The guides will include information on hospitals, clinics, medical
spas, wellness centers, hotels and tour operators for patients.

 They will also feature tourism information for patients with full
color photos.

 These guides will help patients pursue expectations for a
particular medical tourist destination.


Medical Tourism 101

Questions may be forwarded to:

Lisbeth@MedicalTourismAssociation.com



medicaltourism101

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