Asiser is a Spanish healthcare company that provides integrated medical services to both domestic and foreign patients. It operates as a spin-off of the Asisa Group, one of Spain's largest private health insurers. Asiser aims to complement Spain's public and private healthcare systems by offering affordable treatment options without limitations. It facilitates medical tourism through traceable cost control and coordinated care both within and across Spanish hospitals and clinics. Asiser views ethical medical tourism as requiring transparency across providers, protection of patients, and government support for its domestic healthcare system.

1. Global Medicine within a Universal and Transperant Healthcare SystemJana AlexandrovaMarketing DirectorAsiser Servicios Integrales de Salud International Conference on Ethical Issues in Medical TourismVancouver June 24th , 25th 2010

2. IntroductionOverview on the Spanish Private/Public Healthcare SystemsRole of Asisa Group Asiser – spin off health service company of Asisa GroupAsiser ethical model of healthcarePage 2

3. Healthcare Sytem in Spain: dual and complementingPage 3

4. Public/Private Health ExpenditureSpain allocates about 8,5 % of its GDP to health.Page 4Source: OECD Health Data 2009, OECD (http://www.oecd.org/health/healthdata).

5. Public Healthcare Sytem in SpainPage 5Source: OECD Health Data 2009, OECD (http://www.oecd.org/health/healthdata).

6. Private Healthcare Sytem in SpainPATIENTSPage 6

7. Brief description Asisa GroupPage 7

8. Asisa Group – Integrated Delivery SystemPage 8Hospital ASISAHMedical Center ASISACMHCMHCMHCMCMHHHHHHHHHHHCMHSPAIN

9. Asiser – integrated healthcare servicesPage 9Asiser is a spin-off company, 100% property of Asisa Group. It was created in 2006 as a private medical service company, providing quality and affordable healthcare solutions. The health program we offer is not insurance and it is designed to complement any health service model with no contract limitations on the basis of age, pathology or current health status.

10. Asiser – integrated healthcare service modelAssociations and other large organizations Immigrants and health touristsHospitalsPhysiciansMutual insurancesWellbeingEmployeesIndividual clients No access age limits.

11. No exclusions.

12. No waiting periods.

13. Preferential costs

14. Total control of the costs.

15. Guided access Page 10

16. Asiser - foreign patients’ medical facilitatorPage 11TRACEABILITY &COST CONTROL

17. Page 12Ethical issues on medical tourism: Asiser perspective A way to assure the ethics of the medical tourism is through creating a transparent and equal healthcare system, where the foreign patients are both protected and responsible, where the medical tourism facilitator represents the hospital providers but does not prescribe the treatments as in a “health mall”, where the hospitals follow standards and regulations and strive for excellence not only during the treatment, but also become involved in the post surgical process, and where the government guarantees the health assistance for its citizens and it is responsible for investing in its proper health care system.

18. FOREIGN PATIENT Page 13