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  1. 1. PRESENTED BY Victor Lazzaro, Jr., CEO Feb. 2009 U.S. & International Medical Tourism University of California - Irvine
  2. 2. Presentation Overview Medical Travel a.k.a Medical Tourism <ul><li>Medical Travel 2008 </li></ul><ul><li>Trends and Outlook </li></ul><ul><li>Impact on HealthCare in the US </li></ul>
  3. 3. Medical Travel History How & Why did it begin?
  4. 5. Market Facts <ul><li>500,000 Americans crossed the border for treatment in 2005. National Center for Policy Analysis (NCPA) </li></ul><ul><li>500,000 – 700,000 patients a year and savings on the order of $20 billion.  McKinsey Report 2008 </li></ul><ul><li>Cost Advantage for Medical Tourism is 28-88%. Deloitte Center for Health Solutions </li></ul>
  5. 6. Benefits of Medical Travel <ul><li>Significant Savings </li></ul><ul><li>High Quality </li></ul><ul><li>Transparent Costs </li></ul><ul><li>Complements Consumerism </li></ul>
  6. 7. Medical Travel challenges <ul><li>Quality of institutions </li></ul><ul><li>After care coordination </li></ul><ul><li>Malpractice </li></ul>
  7. 8. Accreditation <ul><li>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. </li></ul><ul><li>About 200 and growing </li></ul><ul><li>foreign hospitals now accredited </li></ul>
  8. 9. BridgeHealth International Centers of Excellence Additional locations in Europe and elsewhere are under evaluation. <ul><li>Brazil </li></ul><ul><li>China </li></ul><ul><li>Costa Rica </li></ul><ul><li>Hong Kong </li></ul><ul><li>India </li></ul><ul><li>Mexico </li></ul><ul><li>New Zealand </li></ul><ul><li>Puerto Rico </li></ul><ul><li>Panama </li></ul><ul><li>Singapore </li></ul><ul><li>South Korea </li></ul><ul><li>Taiwan </li></ul><ul><li>Thailand </li></ul><ul><li>Turkey </li></ul><ul><li>U.S. </li></ul>U.S. & International Locations
  9. 10. Medical & Dental Procedures <ul><li>Gastroenterology </li></ul><ul><li>General Surgery </li></ul><ul><li>Gynecology </li></ul><ul><li>Infertility </li></ul><ul><li>Internal Medicine </li></ul><ul><li>Neurosurgery </li></ul><ul><li>Oncology (selective) </li></ul><ul><li>Ophthalmology </li></ul><ul><li>Cardiology </li></ul><ul><li>Cardiothoracic </li></ul><ul><li>CyberKnife® (cancer) </li></ul><ul><li>Dental </li></ul><ul><li>Detox/Rehab </li></ul><ul><li>ENT </li></ul><ul><li>Executive Health Physicals </li></ul><ul><li>Orthopedics </li></ul><ul><li>Pain Management </li></ul><ul><li>Pediatrics </li></ul><ul><li>Plastic and Reconstructive Surgery </li></ul><ul><li>Urology Male/Female </li></ul><ul><li>Vascular </li></ul><ul><li>Weight Loss/Obesity Surgery </li></ul>
  10. 11. Care Coordination <ul><li>Consultation with Travel Care Coordinators </li></ul><ul><li>HIPAA compliant, including medical records </li></ul><ul><li>Coordination of pre-travel communications are made for client to host country hospital and physician </li></ul><ul><li>After care needs can be coordinated </li></ul><ul><li>Client outcomes are tracked and monitored </li></ul>
  11. 12. All-Inclusive Transparent Pricing Plan Which Includes: <ul><ul><li>Surgery/procedure costs </li></ul></ul><ul><ul><li>Airfare </li></ul></ul><ul><ul><li>Lodging </li></ul></ul><ul><ul><li>Transfers </li></ul></ul><ul><ul><li> 24/7 Concierge Service </li></ul></ul>
  12. 13. Sample Benefit Design & Savings <ul><li>HYPOTHETICAL COMPANY EXAMPLE: </li></ul><ul><li> CURRENT INT’L INN </li></ul><ul><li>INN BENEFIT </li></ul><ul><li>SAVINGS to Employer* 0 $41,000 </li></ul><ul><li>DEDUCTIBLE $1,000 WAIVED </li></ul><ul><li>COINSURANCE 80/20 WAIVED </li></ul><ul><li>MAX. OUT OF POCKET $5,000 WAIVED </li></ul><ul><li>ADD’L BENEFITS: </li></ul><ul><li>TRAVEL INCENTIVE N/A $3,000 </li></ul><ul><li>Travel costs, air & hotel N/A $4,000 </li></ul><ul><li>Partner air N/A $2,000 </li></ul><ul><li>Hip replacement done in Asia: U.S. cost ~ $50k, Int’l cost ~$9,000 Cost to the Employer: $14,000 ($5k OOP, + $9k incentives & costs) </li></ul><ul><li>Net Savings to Employer: $27,000. </li></ul><ul><li>A Domestic Network would yield savings in between. </li></ul>
  13. 14. Who is interested <ul><li>Brokers & Consultants </li></ul><ul><li>Insurance Companies </li></ul><ul><li>Union trust funds </li></ul><ul><li>ASOs </li></ul><ul><li>Self-insured companies </li></ul><ul><li>TPAs </li></ul><ul><li>Reinsurers </li></ul><ul><li>Individuals </li></ul>
  14. 15. Ideal for <ul><li>Self Insured Plans </li></ul><ul><li>Fully Insured for uncovered benefits </li></ul><ul><ul><ul><li>Dental Care </li></ul></ul></ul><ul><ul><ul><li>Cosmetic </li></ul></ul></ul><ul><ul><ul><li>Bariatric Surgery </li></ul></ul></ul><ul><ul><ul><li>Infertility </li></ul></ul></ul><ul><li>Limited Benefit Plans </li></ul><ul><li>Procedures not available in U.S - Stem Cell </li></ul><ul><li>Timely access to care - Canada & UK wait times </li></ul>
  15. 16. <ul><li>The American healthcare system has become so expensive that companies are dropping coverage. </li></ul><ul><li>Healthcare is virtually unaffordable for those without insurance. </li></ul><ul><li>American businesses are increasingly unable to compete in a global marketplace due to high costs of health insurance. </li></ul><ul><li>The declining current world economies </li></ul>Opportunity
  16. 17. <ul><ul><li>Reduce corporate costs </li></ul></ul><ul><ul><li>Reduce employee costs </li></ul></ul><ul><ul><li>Sustain or increase benefits </li></ul></ul><ul><ul><li>Offer a new innovative service </li></ul></ul><ul><ul><li>More U.S. competition & transparency </li></ul></ul>Medical Travel Forecast
  17. 18. Contact Information Cade Ross, Account Executive [email_address] O: 303.457.5770 C: 720.231.8780 www.BridgeHealthInternational.com The Trusted Bridge to World-Class Healthcare Víctor Lazzaro, Jr., CEO [email_address] O: 303.457.5725 C: 303.358.0300

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