- 1. International Plan of Mystery: What Self-Insured Employers
Need to Know About Global Health Care Programs PRESENTED BY Victor
Lazzaro, Jr. Chief Executive Officer BridgeHealth International,
Inc. Tom Emerick President, Emerick Consulting Former VP Global
Benefits Wal-Mart Stores, Inc. David Hom Former VP Strategic
Initiatives Pitney Bowes October 6, 2008
2. Presentation Overview Medical Travel and BridgeHealth
- Overview of Medical Travel
- Destinations, Network, Procedures
- The Advantage to Employers
Myths and Realities
- Experience as Mythical Patient
What Could It Have Done For Us?
Discussion
3. Medical Travel & BridgeHealth The Trusted Bridge to
World-Class Healthcare 4. Overview ofMedical Travel One of the
newest, most innovative options for U.S. employers, health plans,
third party administrators, and other health benefits
administrators.
- Innovative health benefit design
- Ensures high quality, cost effective medical care
- Complements consumer-driven programs
5. Overview ofMedical Travel
- A recent Deloitte study put the number of Americans traveling
in 2007 at 750k, and a staggering 15M by 2016
- Many players have entered the space on the B2C level, but few
qualified on the B2B arena
- Top criteria to consider:
-
- Deep Healthcare Experience
-
- Broad Network and Service Offering
-
- Transparent, Cost-Effective Plans
6. Who is BridgeHealth? BridgeHealth International,
Inc.(BridgeHealth) is the premier service provider in the
burgeoning medical travel industrya real company with
infrastructure, expertise, growth capital and industry-specific
experience. 7. maintains aninternational networkof physicians and
accredited hospitals and clinics offerssignificant savings provides
aturnkey solution hassent many Americansabroad for medical travel
BridgeHealth 8. Destinations BridgeHealthInternational has selected
centers of excellence in the following countries: Brazil, China,
Costa Rica, Hong Kong, India, Mexico, Panama, Singapore, South
Korea, Taiwan, Thailand, and Turkey. Additional locations in Europe
and elsewhere are under evaluation. 9. Network
- Just two examples of the high quality network are:
-
- Wockhardt Hospital in Bangalore, India affiliated with
Harvard
-
- Punta Pacifica Hospital in Panama affiliated with Johns
Hopkins
-
- Our Travel Care Coordinators work individually as needed
plus:
-
- Over 160 locations in the U.S. for any follow up that their
usual physicians might not take.
- Pre Travel care and consultation
- The same network is available for discussion and medical review
as needed prior to travel
10. Suite of Procedures
- BridgeHealthprovides prospective patients an all-inclusive,
transparent pricing plan which includes: surgery/procedure costs,
airfare, lodging, transfers and a 24/7 concierge service.
- A suite of medical and dental procedures are available,
including:
- Executive Health Physicals
- Plastic and Reconstructive Surgery
- Weight Loss/Obesity Surgery
11. Care Coordination
- Travel Care Coordinators work with client and their needs
- All U.S. information is treated in HIPAA compliant manner
- Coordination of Pre travel medical records are made for client
to host country hospital and physician
- Pre travel telephone and/or email consultation with client and
their host country physician can be arranged
- Full outcomes data prior to travel is available to client
12. Care Coordination
- Post procedure medical records are translated as needed and
coordination arranged for the client for their medical records to
get to their U.S. physicians
- Any after care needs can be coordinated
- Client satisfaction surveys are done
- Client outcomes are tracked and monitored
13. What Could ItHave Done For Us? The Trusted Bridge to
World-Class Healthcare 14. Source:OECD Health Data 2006 US
Healthcare Spending vs. Peer Countries 8 $2,249Japan 7.8 $2,317U.K.
9.9 $2,998Canada 11.5 $3,847Switzerland 15.2 $5,711U.S. GDP %
Health Care Per Capita Spending (2003) 15. One fifth of all
countries exceed U.S. in life expectancy. Americans are living
longer, but not as long as people in41 other countries. The U.S.
health care system ranks last compared with five othernations on
measures of quality, access, efficiency, equity, andOutcomes. 16.
Example: Decisionfor Hip Replacement Assumes a $5000
copay/coinsurance at a US hospital and a variable incentive paid by
employer (ER)to employee (EE) based on provider selected. $5000
Waived Waived $500 Patient co-payment and deductible Impact to
Employee* $0 $3000 $1500 $0 Incentive paid by ER by EE Hospital A
Hospital B Hospital C LocalUS Hospital Underlying Cost of
Procedure, including Airfare and Hotel $15,000 $12,000 $9,000
$50,000 Complication Rate for Procedure 0.5% 1.8% 1.1% 1.2% Travel
time from home (showing flight transfers required.) 4 hrs (0) 22
hrs (2) 30 hrs (1) 0.5 hrs (0) Patient Satisfaction Score (5 point
scale) 4.5 4.1 4.9 4.7 Net benefit to employee with variable
incentive $4500 $6500 $8000 -$5000 17. Sample BenefitDesign &
Savings Hypothetical Company Example:
- Hip replacement done in Asia: U.S. cost ~ $50k, Intl cost
~$9,000 Cost to the Employer: $14,000 ($5k OOP, + $9k incentives
& costs)
- Net Savings to Employer: $27,000.
$3,000 n/a Travel Incentive Additional Benefits: $4,000 n/a
Travel costs, air & hotel Current Insurance International
Insurance BenefitSavings to Employer* $0 $41,000 Deductible $1,000
waived Coinsurance 80/20 waived Max. out of pocket $5,000 waived
Partner air n/a $2,000 18.
Pros & Cons 19. Myths & Realities The Trusted Bridge to
World-Class Healthcare 20.
- Spent 2 days in Mexico to feel the experience as a patient
- Gained deep understanding of the process
- Visited several hospitals as a patient
- Visited a cosmetic surgical center
- Saw it firsthand and had bias pre-visit
My Experience as a Mythical Patient 21.
- Hospitals are state-of-the-art facilities
-
- Many are newly built with an understanding of patient flow for
expedited care
-
-
- Similar principles to just in time production
-
- High touch service for patients
-
-
- English speaking coordinators and forms are in English
- Physicians are often US or western trained
-
- Updated on newest procedures and technologies
-
- Typically are English speaking
- Nursing Staff are trained to handle US patients
-
- Recent graduates with up to date training
Myth 1: Medical Care is Not Quality Focused 22. Myth 2: Only
Cosmetic or Excluded Benefits
- This is shifting to mainstream care for other conditions such
as
- Cosmetic surgeries will continue to grow due to the aging of
the US population
23. Myth 3: Patients Wont GoOutside the US for Care
- Access to additional services will continue to be
important
- Options or choices will remain important to patients
- Individual insurance premiums will continue to increase at high
levels
- Growth of high deductible plans will continue to grow
- Growth of ethnic populations will continue and willingness to
go their home country for care will continue
24. Myth 4: Medical Travel Wont Be Sustainable
- Supply side growth will continue
-
- Hospital beds designated to medical travel will continue to
grow
-
- Physician availability for multiple specialties will grow
- Demand side will grow significantly
-
-
- Ethnic Population growth in the US
-
- Employers will begin to adopt these programs as an additional
choice for employees
-
- Health plans will need to get active as this will serve as a
growth engine for members
25. Myth 5: Malpractice and Liability Barriers Persist
- Demand side of health care will force innovative financing of
health care malpractice for returning patients in the US
- Liability coverage will likely move to shared captives by
hospitals and other systems or companies
- Intake processes to manage patients will need to be automated
and to improve to manage expectations
26. Conclusions
- Venture capital is now entering this market to drive adoption
and sustainability
- Health plans will see the need to invest
- Employers who have specific needs will use these services
- Employees will demand services over time
27. Discussion The Trusted Bridge to World-Class Healthcare 28.
Contact Information www.BridgeHealthInternational.com The Trusted
Bridge to World-Class Healthcare Victor Lazzaro, Jr. Chief
Executive Officer BridgeHealth International, Inc. [email_address]
O: 303.457.5725 C: 303.358.0300 Tom Emerick President, Emerick
Consulting Former VP Global Benefits, Wal-Mart Stores, Inc.
[email_address] O: (479) 957-4902 David Hom Former VP Strategic
Initiatives, Pitney Bowes [email_address] O: (203) 685-6790