2. contexto del turismo de salud en estados unidos y resultados preliminares del estudio de mercado


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2. contexto del turismo de salud en estados unidos y resultados preliminares del estudio de mercado

  1. 1. How to Attract American MedicalTourists to Colombia:Some Strategic RecommendationsDr. David G. Vequist IVFounder/DirectorCenter for Medical Tourism Research (CMTR)University of the Incarnate Word (UIW)San Antonio, Texas, USA
  2. 2. Agenda Describe the CMTR The Healthcare Situation in the U.S. Some Findings from Our Research Analysis of the Trends How Colombia Can Benefit from Medical Tourism  ROI defined Recommendations
  3. 3. About Us Center for Medical Tourism Research ◦ First and leading academic-based research center in this industry (Medical & Retirement Tourism/Travel) ◦ Non-profit ◦ Focused on the truth ◦ Motivated to spread the word and influence key stakeholders ◦ Key members have years of healthcare and international business experience
  4. 4. Model for Understanding theDrivers of Medical Tourism Globalization Technology Medical Tourism Consumerism
  5. 5. The Healthcare Situation in theU.S. OECD DataCBO Data
  6. 6. U.S. Healthcare Resources OECD Data
  7. 7. Aging Population Census Data Stanford Data
  8. 8. Aging Population: Worldwide Stanford Data
  9. 9. Aging Population: Healthcare AHA Data AHA Data
  10. 10. How Healthcare Reform(PPACA) Affects MedicalTourism- more The increase of the number of insured, the removal of lifetime/annual caps, the reduction of the pre- existing conditions, and patients increasing paying with government „low margin‟ programs will result in greater patient volumes at U.S. facilities and lower profits. Currently, the U.S. overall healthcare capacity (due to increased volumes, lack of human capital, and increased utilization by an aging population) will not be able to handle the increased load (this is the surprisingly under-researched and under-debated issue in the reform debate) thus resulting in longer wait times, reduced quality, „rationing‟ of care, and ultimately the increased need to „outsource‟ extra
  11. 11. How Healthcare Reform(PPACA) Affects Medical Tourism Many of the procedures currently very common in medical tourism will not be significantly affected by health care reform (such as dental, cosmetic, and alternative therapies) and some surgeries (such as ortho, oncology, cardio, and neuro) may be affected by extended wait times. In addition (and probably most importantly), employers will still be faced with increasing healthcare costs, additional pressures on lowering premiums, and required to cover more employees. This is the least served of the stakeholders in the U.S. and therefore one of the most important for medical tourism providers.
  12. 12. Healthcare OutsourcingMarket
  13. 13. Benefits from Healthcare TradeSource: Mattoo and Rathindran (2006)- Health Affairs
  14. 14. Summary of Healthcare Situationin the U.S. Not enough future capacity Not enough call for changes Not enough „political will‟ to change the systemIs outsourcing of capacity going to be anecessity for the U.S. healthcaresystem?
  15. 15. Medical Tourism Growth According to Frost & Sullivan (2010): ◦ The medical tourism industry is currently a $78.5bn industry [end-2010], catering to over three million patients who travel around the globe for medical care. ◦ The sector is growing at a whopping 20-30% annually and is bound to continue its growth pattern in the years to come. ◦ It is expected to be a $100bn industry by 2012. JCI Accreditation (300+ facilities) Growing without traditional advertising (35% CAGR)- Deloitte
  16. 16. Evidence of Medical Tourism Gallup reports that 4% of Europeans received medical treatment in another EU Member State over the past 12 months UCLA forecasted that just under 500k Californians traveled to Mexico for health services Dept. of Commerce reports that over 200k traveled to international destinations for health services Based on a survey of 1,800 Americans- the CMTR forecasts that, in 2009, perhaps1 million citizens went abroad for health services Texas Medical Center receives over 18,000 international patients in 2009
  17. 17. Medical Tourism:Continuum of Health Services
  19. 19. Potential Medical Tourist‟s Viewsof Medical Tourism: Procedures Source: CMTR, 2010
  20. 20. Why Travel? Value, of course! Mappingthe Marketfor Medical Travel- McKinsey 2008
  21. 21. Don‟t Forget Cost!Potential Medical Tourist: Reasons
  22. 22. What Do Medical Tourism Patients Want? (Deloitte, 2008) (1)
  23. 23. What Do Medical Tourism Patients Want? (Deloitte, 2008) (2)
  24. 24. What Do Medical Tourism Patients Want? (Deloitte, 2008) (3)
  25. 25. Consumerism Information more readily available Driven by the internet ◦ Yelp/Angie‟s List models springing up everywhere in healthcare Employers/Governments are seeing some of the benefits of free market economics in healthcare (retail clinics?) Porter‟s Five Factors Lesson- ◦ Consumer Choice can bend the price
  26. 26. Potential Medical Tourists:Research Internet was #1 by a wide margin Source: CMTR, 2010
  27. 27. Social Media Usage 60% of e-patients, or one-third of adults, access social media related to health. ◦ In sum, 60% of e-patients, or 37% of U.S. adults, have done at least one of these eleven social media activities related to health and health care.  As health economist Jane Sarasohn-Kahn writes, health-related social technologies capture “the exchange of health information and personal stories in a way that transcends both medical textbooks and chatting with a Source: friend on the phone – yet offers some of thePew, benefits of both.” 2009
  28. 28. On-line Health Tools Source: Pew, 2008
  29. 29. Potential Medical Tourists:How to Arrange Source: CMTR, 2010
  31. 31. Type of Employer‟s Insurance
  32. 32. Employer‟s Views: EmployeesAbroad
  33. 33. Employer‟s Views: Comfort
  34. 34. Employer‟s Views:Perceptions
  35. 35. Employer‟s Views: Tourism?
  36. 36. Employer‟s Views:Procedures
  37. 37. Employer‟s Views: Reasons
  38. 38. Employer‟s Views: Timing
  39. 39. Employer‟s Views: Arrange
  40. 40. Possible Trendlines in AmericanMedical Tourism
  42. 42. Colombia‟s Strengths &WeaknessesStrengths Close proximity to a $2.5 trillion USD market Increasing perception in U.S. of quality Low cost infrastructure (personnel, legal, etc.) Positive cosmetic surgery perception (Mrs. Universe & Super Models)Weaknesses Infrastructure issues and perceptions of these issues (violence, poverty, disease, views on business, etc.) Waiting for the Government to act Difficulties in coordinating stakeholders
  43. 43. Offer a Continuum of Services
  44. 44. Medical Tourism Country Investments (Potential) Investments in High Tech andHigher Commercial Research (e.g., Pharma, Energy, etc.) Higher Higher Investments in HC & Medical/Retirement Tourism Investments in Technology Manufacturing/ High-end Consumer/Commercial Products Intensity of Investments in Service Outsourcing the Intensity of the CurrentROI Regulatory Competitive Investments in Basic Changes Environment Required Tourism Activities Investments in Low-end Consumer/Commercial ProductsLower Lower Lower Estimates based on the CMTR
  45. 45. Colombia: ROI and Investments ROI described: ◦ Job growth (great jobs too!) ◦ Brings opportunities for new direct (and indirect) revenue streams ◦ Fills a community need Ask yourselves, based on the economic and environmental factors- “Will there be a time in the next 20-30 years when great healthcare will not be in demand?”
  46. 46. My HumbleRecommendations Government- ◦ Create a good business environment!  Tax incentives, tax holidays, prioritize infrastructure and regulatory improvements Private Industry- ◦ Prioritize investments in this area and invest!  Healthcare facilities and particularly retirement tourism- aligned developments  And, new technologies/procedures/treatments in healthcare Education- ◦ Get involved (and private industry- get them involved!)
  47. 47. Finally! Carpe Diem ◦ Don‟t wait for the U.S. stakeholders  Physicians  Hospitals  Government ◦ Don‟t wait for the Colombian Government ◦ Research, decide, and invest! ◦ And don‟t forget the „Gray Gold‟ trend!
  48. 48. Good News! The CMTR and Stackpole & Associates are working with ProExport Colombia to conduct specific research on possible medical tourism from the U.S. so as to develop specific strategies for Colombian facilities ◦ In some previous work for the country of Korea, the CMTR helped to develop strategies that increased American medical tourism by 52% and led to a total of $23 million in medical tourism revenues
  49. 49. Don‟t Believe Me?IFC is:• the private sector arm of the World Bank• invests in private sector projects in developing countries• world‟s largest multilateral investor in the private health sector
  50. 50. Questions Thank you!Contact me at vequist@uiwtx.edu