Have Coverage, Will Travel

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• Have Coverage, Will Travel
• Medical Tourism And The Value It Can Bring to
  Employer Benefit Design

David Boucher, MPH, FACHE President and Chief
Operating Officer August 7, 2010
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Medical Tourism Vacation Independence Day, 2006
MY PERCEPTION
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Medical Tourism Vacation Independence Day, 2006
REALITY
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Bumrungrad Has Not Gone Unnoticed
SOURCE American College of Healthcare Executives
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International Air Travelers Reporting Healthcare
as a Purpose for Their Trip
SOURCE American College of Healthcare Executives
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Medical Tourist Estimates
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Projected Outbound Patient Flow
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36 percent of Americans reported putting off
needed medical care.
Outbound medical tourism substantially reduced
its growth in 2008-2009.
However, this will likely resume sustainable
growth in 2010
Produced by the Deloitte Center for Health
Solutions October 16, 2009
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World Health Organization (WHO) Overall Ranking
of Its 191 Member States
Rank 1 France 2 Italy 3 San Marino 4 Andorra 5 Mal
ta 6 Singapore 7 Spain 8 Oman 9 Austria 10 Japan
37 United States
This performance assessment of health systems
is based on many variables including
socio-economic, political, and technological
standards.
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The Perfect Storm..
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Introducing

• A Network of JCI Accredited, Low Cost Hospitals
  in Overseas Locations
• Concierge Travel Arrangements
• Case Management
• Aftercare Consultations
• Related Medical Travel Insurance Products

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Companion Global Healthcare Network
Blackrock Clinic Dublin, Ireland
Klinikum Chemnitz, Germany
Teknon Hospital, Barcelona, Spain
Severance Hospital, Seoul, Korea
Anadolu Medical Center Istanbul, Turkey
CIMA Hospital, Hermosillo, Mexico
Anadolu Dental Istanbul, Turkey
Kent Hospital, Izmir, Turkey
Bumrungrad International, Thailand
Wockhardt Hosp, Bangalore Mumbai India
CIMA Hospital, Monterrey, Mexico
HIMA Hospitals, Puerto Rico
Min-Sheng Hospital, Taiwan
Clinica Biblica Costa Rica
CIMA Hospital Costa Rica
Sime Darby Medical Center, KL, Malaysia
Apollo Hosp, Delhi Bangalore, India
East Shore Hospital Singapore
Prisma Dental Costa Rica
Meza Dental Costa Rica
Mount Elizabeth Hospital Singapore
Adult Dentistry of Costa Rica
Gleneagles Hospital Singapore
Biodental Esthetics Costa Rica
Raffles Hospital Singapore
Albert Einstein Med Center, Sao Paulo, Brazil
All Hospitals are JCI-Accredited and Undergo an
On-Site CGH Survey. JCI is the International Arm
of the JCAHO is is Accredited by Intl
Society for Quality in Health Care
(ISQua) Companion Global Healthcare is an
Organizational Member of ISQua
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Price Differentials
Procedure Averages for Six Major Surgical
Procedures 2010 CABG, Heart Valve Replacement,
Vaginal Hysterectomy, Spinal Fusion, Total Hip
Total Knee Replacements

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Current Business Models

• Directly With Employers
• Through Health Dental Insurers
• For BCBS of SC Employees
• All of these incent members to voluntarily travel
  abroad for surgery

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Impact of National Health Reform ?
Physicians Exiting the U.S. Medicare Program
The Medicare Payment Advisory Commission reported
in 2008 that 28 of Medicare beneficiaries
looking for a primary care physician had trouble
finding one, up from 24 the year before. A
2008 survey by the Texas Medical Association
found that only 38 of primary-care doctors in
Texas took new Medicare patients. The percentage
of physicians participating in Medicare has
decreased consistently from 1990 to 2010.
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Companion Global Healthcare AFTERCARE SERVICES
available through Doctors Care.
Thomas E. Gibbons, MD Columbia, SC
Steve Parks, MD Greenville, SC
Ronald K. Reynolds, MD Myrtle Beach, SC
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Related Medical Travel Insurance Products

• Reduced Cost Stop-Loss Insurance
• Employer-Sponsored, Member-Centric Medical Travel
  Insurance
• Employer EO Coverage Specific to
  Benefit-Directed Medical Travel

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SUMMARY

• Worldwide, Patients Travel More For Quality
  Accessibility, While American Patients Travel
  Primarily For Cost
• The International Medical Travel Market is in its
  Infancy Stage
• The Growth Potential is Significant
• Employers Are Willing To Change Their Benefit
  Plan Structure To Avail Their Employees to
  International Medical Care
• Substantial Opportunity Exists in The Medical
  Travel Business Since MT Can Benefit Employees,
  Employers, and Payers

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Questions?

• David Boucher, President COO
• Companion Global Healthcare
• David.Boucher_at_CompanionGroup.com
• 803-264-3256