Arlen D Meyers, MD, MBAwww.medvoy.com

www.careconnectix.com

What are we talking about? Medical tourism v medical travel v global care

coordination v travel medicine v humanitarian care

Medical travel: Leaving home for care Inbound , outbound, domestic Why?

Cost Availability Access Travel Secrecy

Telemedicine and medical tourismMedical tourism: 35% CAGR into 2010 (outbound

1.6M)Inbound: 561,000 by 2010220 JCI sites in 2008 (76 in 2005)AMA guidelines on medical tourismwww.medvoy.com

Telemedicinewww.cotelehealth.com

The Six Legged Stool A sustainable business model Global healthcare IT connectivity and

integration Global referral networks A global regulatory, socioeconomic and legal

ecosystem Patient awareness and acceptance Measurements of value= quality/price

Physician Referral Networks Barrier is imbalance between benefits to the

non-surgeon and costs Costs: hassle factor, translation services,

unfamiliarity with foreign care systems and providers, lack of support in country for patient and family or escorts, low payment for services, increased work load, interference with work flow

Benefits: potential referral relationship, future revenue stream, enhance global reputation

Barrier is imbalance between benefits to the non-surgeon and costs

Costs: hassle factor, translation services, unfamiliarity with foreign care systems and providers, lack of support in country for patient and family or escorts, low payment for services, increased work load, interference with work flow

Benefits: potential referral relationship, future revenue stream, enhance global reputation

AIDA Awareness

Direct Introduction Marketing

Intention Information, influencers, adoption profile

Decision Cost/Benefit

Action Hard v easy

The Old Model

The New Model

The New New Model:Hybrid

10 Medical Tourism Trends 1. Global healthcare information exchanges

2. Commoditization of healthcare and the disintermediation of professionals3. eBay mechanism to auction global healthcare services4. Erosion and redefinition of professionalism and ethics5. New healthcare insurance products designed to empower patients

10 Medical Tourism Trends

6. Changes in global healthcare workforce7. Global quality and price information exchanges and growth of domestic medical tourism8. Growth of programs offering MBA’s in medical tourism9. Evolution of medical tourism nurses and advocates10. Electronic markets offering unused healthcare capacity.

Deloitte Customer Segments Content and Compliant (28.5%) Sick and Savvy (25.3%) Online and Onboard (8%) Shop and Save (2.4%) Out and About (8.2%) Casual and Cautious (27.6%)

Themes: Medical Travel Index Commoditization of care High volume, low cost Digitally integrated Real estate appreciation Aging demographics Minimal geopolitical risk Global diffusion of innovative technologies Telemedicine and telehealth functionality

Medical Travel Metrics How many? Where? For what? Which providers?

Regional Medical Travel by City in Colorado

Aurora can Attract More Patients from

Aspen, Vail etc.

Market Staging Inc.www.MarketStaging.com

Newport Beach, CA

Source: 2009 CHA Discharges

Regional Medical Travel by Hospital in Colorado

Aurora Hospital can Attract More Patients from Aspen, Vail etc.

Market Staging Inc.www.MarketStaging.com

Newport Beach, CA

Source: 2009 CHA Discharges

Regional Medical Travel by City in Colorado

More Patients & Families Stay in

Aspen or Vail

Patients & Families

Stay Longer in Littleton

Market Staging Inc.www.MarketStaging.com

Newport Beach, CA

Source: 2009 CHA Discharges

Regional Medical Travel by Hospital in Colorado

Aurora Hospital can Attract More

Patients with Web Visibility

Vail Hospital has 15% More Patients with Web Visibility

Market Staging Inc.www.MarketStaging.com

Newport Beach, CA

Source: 2009 CHA Discharges

Regional Medical Travel Dimensions:

1) Geography & Distance

2) Costs

3) Quality

4) Visibility

• by patient & medical service

• by market and facility

• data centric & risk adjusted

• branding with web visibilityMarket Staging Inc.

www.MarketStaging.comNewport Beach, CA

Foreign Healthcare Infrastructure Hospitals and systems Ambulatory surgery centers Clinical labs and imaging centers Disease specific treatment facilities like

cancer centers, stem cell centers, etc International locums placement firms

Example: Fortis Healthcare, Simply Locums

Tools and Support Companies Players in global healthcare information

exchange Data analytics and business intelligence Quality, price and value determinations Companies offering alternative pricing

mechanisms Telehealth and telemedicine

Example: Cisco/Tandberg

Insurance and travel products Trip cancellation Follow up care Emergency evacuation Professional liability Infectious disease management Geopolitical risk insurance

Example: Healthcare insurance products

Travel/hospitality infrastructure Hotels and Surgical Hotels Spas Airport development Tourist attractions

Example: Ritz Carlton, CH2M Hill, Bechtel

Medical Travel Supply Chain Travel medicine clinics Medical travel facilitators and specialty travel

agents Information and marketing Medical concierge ground operators Currency exchange risk managers/FX risk

funds Billing and collection Bid and ask/eBay pricing modelsExample: Medvoy, FaircareMD

Real Estate Development Health Cities Ex-patriot retirement communities

Example: Dell Webb

Healthcare Companies Drugs Devices Diagnostics Healthcare IT Service Platforms

Example: Johnson and Johnson

Global Healthcare Funds www.fasttrack.net : over 100 funds listed and

compared US companies expanding globally www.seekingalpha.com Country Specific Hospital and Healthcare Philippine Hospital Association Foreign Hospital Company Stocks

www.thehindubusinessline.com

Medical Travel Portfolio Fortis Healthcare Limited (Bombay Stock

Exchange) Marriott International (NYSE) Cisco Systems (NASDAQ) Lloyds Banking Group (NYSE) American Express Company (NYSE) Johnson and Johnson (NASDAQ) Global Healthcare Mutual Funds Bechtel/Halliburton/Fluor

3 Big Challenges in Global Care Defining and measuring quality (and therefore

value) by migrating from structure and process to transparent outcomes

Creating a global professional liability infrastructure and process

Creating a global information and telecommunications infrastucture to maintain continuity of care and cross border communication between the referring source and the consultant

Thanks and Questions Contact arlen.meyers@medvoy.com 303-724-1952

www.medvoy.com