Centers of Excellence with Global Convenience™

Case Example: An Uninsured U.S. Patient SITUATION WV is a 57-year-old uninsured truck driver He has a family history of prostate cancer (father died of this disease) WV was diagnosed with prostate cancer on December 9, 2008 He is otherwise healthy Patient wants minimally invasive surgery Offered unaffordable global package for US$50,000 Affordable options included open surgery

SITUATION

WV is a 57-year-old uninsured truck driver

He has a family history of prostate cancer (father died of this disease)

WV was diagnosed with prostate cancer on December 9, 2008

He is otherwise healthy

Patient wants minimally invasive surgery

Offered unaffordable global package for US$50,000

Affordable options included open surgery

Case Example: An Uninsured U.S. Patient MEETING THE PATIENT’S NEEDS The patient’s priorities are Choice Quality Cost containment Risk management WV wants minimally invasive surgery He cannot afford complications, so … He needs a highly experienced surgeon He needs the surgery at an affordable cost, and … He needs appropriate insurance against post-op medical/surgical problems

MEETING THE PATIENT’S NEEDS

The patient’s priorities are

Choice

Quality

Cost containment

Risk management

WV wants minimally invasive surgery

He cannot afford complications, so …

He needs a highly experienced surgeon

He needs the surgery at an affordable cost, and …

He needs appropriate insurance against post-op medical/surgical problems

MSI Addressed the Clinical Needs MSI coordinated The availability of an expert surgeon with a decade of experience in minimally invasive prostate surgery Operating privileges in a high quality institution in Trinidad Transportation of specialized equipment to supplement other essential equipment available on-site An appropriately experienced surgical support team

MSI coordinated

The availability of an expert surgeon with a decade of experience in minimally invasive prostate surgery

Operating privileges in a high quality institution in Trinidad

Transportation of specialized equipment to supplement other essential equipment available on-site

An appropriately experienced surgical support team

And MSI Addressed the Non-Clinical Needs MSI also coordinated Air transportation to Trinidad and back to the U.S. Pre- and postoperative resort accommodations with concierge service for the patient and his wife Access to a specialized surgical complications and travel insurance policy for “medical tourists”* A deeply discounted global package * This policy covered complications related to procedures for cancer, cardiovascular, and additional disorders that other policies for ‘medical tourists’ exclude

MSI also coordinated

Air transportation to Trinidad and back to the U.S.

Pre- and postoperative resort accommodations with concierge service for the patient and his wife

Access to a specialized surgical complications and travel insurance policy for “medical tourists”*

A deeply discounted global package

The Surgical Practicalities The patient arrived in Trinidad on March 3, 2009 The inpatient operation was carried out on March 6 There were no perioperative issues The patient returned to the resort accommodations the same day There were no postoperative issues after 3 days The patient flew home on March 9, 2009

The patient arrived in Trinidad on March 3, 2009

The inpatient operation was carried out on March 6

There were no perioperative issues

The patient returned to the resort accommodations the same day

There were no postoperative issues after 3 days

The patient flew home on March 9, 2009

Centers of Excellence with Global Convenience™