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 reportfrom First ConsultingGroup and the American Nearly one out of every two Boomers – more than 26 million – will be living with arthritis.Hospital Association, titled“When Im 64: HowBoomers Will ChangeHealth 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 SystemFragmentation: 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 HealthCareHealth systems left to drifttowards unregulatedcommercializationIn many, if not most, low- andmiddle-income countries, under-resourcing and fragmentation ofhealth services has accelerated thedevelopment of commercializedhealth care. Source: WHO
The Global Shortage of Healthcare WorkersFifty-seven countriesface a severe healthworkforce crisis.WHO estimates that atleast 2,360,000 healthservice providers and1,890,000 managementsupport workers, or atotal of 4,250,000 healthworkers, are needed tofill the gap.Without prompt action,the shortage will worsen.
Healthcare is a concernPercentage of the population citing health as their mainconcern 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 BenefitsIncreased 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 40Knee 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
Cost Saving in Medical Tourism Heart ByPass Turkey Korea Mexico Costa Rica Singapore Thailand India USA 0 20 40 60 80 100 120 140Heart 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
Cost Saving in Medical TourismNote: 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 acompanion. Travel costs, including airfare and hotelwill 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 • Alzheimers, ALS, Parkinsons, Paralysis, Heart Cosmetic Surgery • Face Lifts, Breast Implants, Corrective Infertility Treatments • IVF, Fertility, Hormonal DisordersRehabilitation & Geriatric • Acute and Chronic Conditions, Geriatric Care
US Medical Tourism Trend & ForecastDeloitte 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 Asia2004 India had 1.8 million inbound medicaltourists at USD$333 million. India’s growth inthe industry is 30% per year projected atUSD$2.2 billion by 2012Singapore targets 1 million foreign patientsand USD$1.6 billion by 2012 Asia’s Growth Industry, 2006Malaysia expects USD$590 million by 2012Thailand and South Korea combined estimateUSD$4 billion by 2012
Terminology Health Tourism • Patients traveling out of a Outbound countryHealth & HealthcareSpa travel Travel Medical Inbound • Patients coming into a country Tourism Intrabound • Patients traveling within aWellness Medical country Travel Travel • Organization / Agency Medical Facilitator providing support services to Value Travel the patient
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 AnalysisPercentage 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
Facilitator Analysis No. of Facilitators Providing Service to Countries Researched by ExHealth33
Facilitator Analysis No. Of Facilitators By Type of Procedure8070605040 Researched by ExHealth3020100 Cosmetic Surgery Dentistry Alternative Medical Spas Infertility Obesity Cancer All Surgery Medicine Procedures
Facilitator Analysis Facilitators offering Service to ALL CountriesFacilitators Offering Service 2 Countries or More Researched by ExHealth Facilitators Offering Single Country Service
Accessing the Patient ~ Facilitators51% used a Facilitator 37% found very helpful 44% N/A
Role of Hotels Package • Transparent Pricing • ServicesCommunication• Sensitizing Staff Modifications• Communication • Dietary / Menu Training • Privacy• Coordinated • Nursing Support Emergency • Entertainment Response Tourism / Concierge • Translators • Personalized Services • Appropriate Tourism • Transportation
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 marketingTransparency in Education CommunicationQuality & Pricing
4th World Medical Tourism & Global Healthcare Congress 2011 www.MedicalTourismCongress.com
2011 Congress SpeakersMultinational 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
Buyers of Healthcare-VIP ProgramInsurance companies, governments, employers and insuranceagents 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 ConferenceTHEME: “Streamlining Benefits and Processes for Multinational Employers and Insurancecompanies”.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 providersVISIT: http://globalbenefitsconference.com
Healthcare Development & Sustainable Healthcare ConferenceSustainable Healthcare (Green Healthcare), Healthcare Development andHospital Development is one of the fastest growing industries in the worldTHEME: Groundbreaking Approaches to Healthcare Design, Management andSustainability.FOCUS: International healthcare and hospital development with case studies fromdifferent parts of the world.VISIT: http://www.healthcaredevelopmentconference.com/
Global Healthcare Investment ConferenceNetwork with investors as they learn about international investmentopportunities in the healthcare sectorTHEME: “Emerging Markets for Healthcare Investment”.FOCUS: Emerging markets and trends showing case studies of investmentopportunities in the healthcare sector.Visit: http://www.healthcareinvestmentconference.com/
Health & Wellness ConferenceMillions of consumers are taking vacations for health, wellness and preventionTHEME: “ Health and Wellness Travel and Tourism”.FOCUS: Growing health and wellness tourism industry. Case studies on how manyregions create strong wellness programs attracting individuals and employers to theirregions.VISIT: http://wellnessconference.com/
For more information and to registerhttp://www.MedicalTourismCongress.com www.EmployerHealthcareCongress.com