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THIS WEEK IN MEDICAL TRAVEL TODAY by Amanda Haar, Editor Greetings, The impact of U.S. health care reform continues to be top of mind for many in the medical travel industry and was the focus of a recent presentation by Medical Travel Today's publisher Laura Carabello. Speaking at the European Medical Travel Conference 2010 in Venice, Carabello examined the ways in which reform might boost medical travel opportunities and how those in the industry might consider taking advantage of those opportunities. To view her presentation, click here. A summary of her presentation and observations from the conference will be included in our next issue. We hope you'll take a moment to read our opening story on a forthcoming film based upon the true, emotional story of the tragic loss of a teenager and the importance of organ donation. The film's director, Rick Bieber, is preparing for a series of screenings and presentations at international and domestic hospitals. Perhaps you will consider a private screening for your own organizations. As always, we welcome your comments, story ideas, and press releases. Cheers, Amanda Haar, Editor
The Fifth Quarter Wins Top Awards at Charleston International Film Festival: Producer, Writer and Director Rick Bieber Launches Private Screening and Seminar Events
The 5th Quarter -- starring Andie MacDowell, Aidan Quinn -- is based upon the true, emotional story of the tragic loss of a teenager (Luke Abbate), and the response of his older brother Jon, who changes his jersey to Luke’s number 5, dedicates the football season to his memory, and leads his underdog Wake Forest Demon Deacons to its ’06 ACC Championship, becoming the most improved team in America. It is a story of faith, family, football, and the gift of life (organ donation) as a young mother is saved when receiving Luke’s heart. Bieber says that films like The 5th Quarter help bring meaning and clarity to our everyday lives, provoking us to consider our own social and spiritual consciousness: “This is a very moving and provocative film, effectively educating the public about organ/tissue donation and tackling the sensitivities of bereavement and commitment to faith and family. Itfollows the traditions of great films that communicate a sense of strong, moral integrity and are embraced by generations of moviegoers." Martha Anderson, executive VP, Donor Services, Musculoskeletal Transplant Foundation, says, “This movie offers the most accurate depiction of the heartbreak of the loss of a child, and the impact of organ and tissue donation on a waiting patient. The family’s grief over their son's death, and eventual decision to allow him to be an organ donor, demonstrate the beauty and hope the gift of life offers." Bieber began his career in the New York offices of Columbia Pictures Industries, owned and operated his own independent companies, served as chief executive of several prominent entertainment companies including HBO Pictures, and Stonebridge Entertainment which he founded with partner Michael Douglas, and was responsible for the production of over 30 feature films, television and cable movies. Special guests may appear with Bieber, subject to availability, including an extensive list of celebrities from film, television, and sports communities whose lives or families have been affected by organ donation. To arrange a private screening of The 5th Quarter and personal appearance by Rick Bieber: Dana Taormina, 201.641.1911 x53, dtaormina@cpronline.com or visit www.rickbieber.com
SPOTLIGHT: Dr. Brian Boxer Wachler
Editor's Note: Medical travel professionals watching the Vancouver Winter Olympic games had an extra reason to cheer this year. In addition to witnessing the power of training and commitment by world-class athletes, those who watched the men's bobsled also witnessed the power of medical travel. In 2007, Steve Holcomb, driver of the U.S. mens’ four-man bobsled, was going blind due to a degenerative eye condition called Keratoconus. He was told the only hope of regaining his vision was a corneal transplant. While offering promising results, a transplant was invasive and the results would be fragile in nature, meaning it would not help Holcomb regain the ability to drive again. However, the U.S. Bobsled Federation wasn't ready to give up its best driver just yet. Instead, they researched and discovered a new, non-surgical procedure called C3-R treatment. As described by Brian Boxer Wachler, M.D., who pioneered the treatment, C3-R "uses vitamin applications and light to strengthen the cornea…and cure the disease without the need for a cornea transplant." The treatment takes 30 minutes and is performed in a doctor's office without anesthesia.
Medical Travel Today spoke with Dr. Boxer Wachler about the C3-R treatment and his role in this great Olympic story. Steve Holcomb and Dr. Brian Boxer Wachler just after Steve and the U.S. Bobsled Team won gold in Vancouver. Medical Travel Today (MTT): First, congratulations on your contribution towards helping the United States Bobsled team bring home its first medal, and a gold one at that, in 50 years. Dr. Brian Boxer Wachler (BBW): Thank you. I can't express to you what an absolute thrill it was to be there and witness Steve and his team cross that finish line. I really did cry like a baby when we knew they had taken the gold. And honestly, I was just one of many people who helped the dream come true. MTT: Yes, I understand that it was the bobsled team and Olympic committee that really made the dream possible. BBW: That's right. Steve had actually retired from the sport for two years because of the issue with his eyes. Meanwhile the U.S. Olympic committee was trying to get the team ready for Vancouver. They asked, "what do you need to win?" Steve's teammates basically said, "We need Steve." They recognized that he was the best driver ever in the history of the U.S. team. They told the Olympic committee that their best chance at gold was with Steve. The committee then turned around and charged the team doctor, Dr. Stoll, with finding a way to get Steve in driving form. When Steve was first diagnosed, it was recommended he get a corneal transplant. The procedure can certainly be very effective, but it would not allow him to ever drive a sled again. That wasn't going to work. Dr. Stoll began looking for alternatives and found me. I looked at Steve's records and then examined him and determined he was a good candidate for the C3-R procedure. In reality, he got that procedure paired with a vitamin application and light treatment. Then three months later he received implantable contacts in both eyes just to further refine his vision. MTT: We learned through the media that Steve Holcomb's procedure was not covered by insurance. Is that true for all patients seeking this procedure? BBW: C3-R is typically an out-of-pocket expense. But even so, I perform it on a weekly basis and pretty much have for the past six years. When it comes to sight, people are quite willing to pay what they can and travel as far as they need to retain or regain it. MTT: From where do your patients come and how do they find you? BBW: They literally come from all over the world. Most find me by simply doing research on the web. I do enough papers and presentations on the topic that my name tends to pop up. I've also authored a book, Modern Management of Keratoconus and the Lasik Consumer Report. Once they get my name, they can find my websites (Boxerwachler.com, www.KeratoconusInserts.com). MTT: Do most of your patients work through a facilitator? BBW: No, my office handles many of the arrangements for them. We started treating international patients about seven years ago…even before C3-R. At that time we simply began making arrangements for their travel, lodging, sightseeing, and so on. Now we have a fairly comprehensive system in place. MTT: Do you currently work with medical travel facilitators? BBW: Not presently, but I'd be happy to consider working with them. My focus is on performing procedure to save or regain sight, not facilitating travel. If I can find partners who want to help bring more patients in for procedures, I'm all for it. MTT: What kind of services do you offer pre- or post-care, specifically for patients travelling great distances? BBW: We'll see them for a minimum of three days. Generally one day in advance of the procedure to do a final exam and handle pre-op procedures. Then one day for the procedure and one-day of post-op. That's the absolute minimum. My staff will also arrange for follow-up care at home. That sounds short, but I've typically had a lot of contact before they arrive, reviewing records and imaging. Before they board the plane we've established a preliminary recommendation. MTT: So with C3-R only one procedure is necessary? BBW: In 99 percent of the cases, only one treatment is needed. MTT: What is the typical out-of-pocket expense for C3-R? BBW: We do offer patients financing options through different companies. This way they're in for a few hundred dollars per month versus the whole nut up front. It's something that many, many patients appreciate and access. Of course each case is different but typically it's about $3,100 per eye. About Dr. Brian Boxer Wachler Dr. Brian Boxer Wachler is a leading expert on Keratoconus treatment. He was the first in the United States to report the results of Intacs for keratoconus in 1999. For over 10 years, he has performed many thousands of keratoconus procedures on patients from all over the world. He published the largest study to date on Intacs treatment for keratoconus. Due to his pioneering work, Intacs is now recognized as a treatment for keratoconus.
The European Medical Travel Conference 2010 Issue “The Venice Declaration on Medical Travel” Editor’s Note: The European Medical Travel Conference 2010 took place last week in Venice. While the conference provided a platform for networking, discussion, and cooperation for the worldwide medical travel industry, it also introduced “The Venice Declaration on Medical Travel.” Prepared by recognized leaders in the global medical travel industry, the declaration focuses on several key areas of medical travel:
The organizers of the conference were kind enough to provide us with the entire document for inclusion here:
Lockton Singapore Launches SCOPE, Insurance for Medical Travelers Lockton Companies (Singapore) Pte Ltd has launched an insurance product to cover the cost of medical complications for medical travelers receiving surgery abroad. This is a result of collaboration with QBE International Ltd, the underwriter of this product. For the past few years, medical tourism has become a phenomenon and the availability of budget airlines has greatly contributed to this trend. Today, it is common to travel half way around the globe to take advantage of surgery available at a fraction of the price at home. However, such surgery will always come with an element of risk which could lead to additional cost, and this new product provides the additional assurance for the traveler. SCOPE, Insurance for Medical Complications covers and reimburses expenses related to medical complications due to surgery. Indeed, it is not uncommon to spend a few more days at the hospital as an operation requires additional care, and often these cases lead to unexpected expenses that may completely negate the financial advantage of seeking treatment abroad. SCOPE , Insurance for Medical Complications covers patients during and after their surgery and for the duration of the stay in the destination country. Patients also have the option to purchase additional cover so as to provide a more comprehensive insurance plan:
This policy is available for individuals from 21 to 69 years old, including those with pre-existing medical conditions such as asthma or high blood pressure. Residents from most countries around the world (excluding the U.S.) travelling to accredited hospitals are eligible. SCOPE, Insurance for Medical Complications covers more than 100 surgical procedures including liposuction, breast augmentation, Lasik, dental implant, and knee or hip replacement just to name a few. Mitchell concludes: "In some cases the probability of medical complications can greatly exceed 10 percent depending on the surgery type, and we want to give opportunity to most to purchase an affordable insurance so as to travel with peace of mind. For instance, an English resident needing a facelift in Thailand will only pay a premium of $389 for a complete package covering up to $100,000 of additional cost arising from medical complications." The product is only available outside of the U.S. About Lockton
All's Well in Thailand – or is it? Editor's Note: Last week the Bangkok Post and Bloomberg Businessweek both took a look at how political unrest and violence is impacting the flow of medical travelers to the country. Interestingly enough, they came away with distinctly different impressions of the current situation and its impact on the country's vitally important industry. From Bloomberg Businessweek: Medical Tourism Not Yet Hurt by Thai Turmoil From the Bangkok Post: Medical tourism operators want political healing SET-listed Bangkok Dusit Medical Services Plc (BGH), the country's largest private hospital operator, said foreign patient visits decreased by 20 percent this month compared with the same period of 2009, according to Pongsak Viddayakorn, the group's executive adviser.
Now U.S. Doctors Traveling Abroad to Treat American Medical Tourists According to Dr. Khoury, an expert in International Finance, this is a sensible option for the safety-conscious medical tourism patient, especially those with limited insurance coverage or high co-payments. The patients will be typically saving about 70 to 75 perecent of the U.S. cost by choosing this option. This new arrangement will surely ease the concerns that patients may have about surgeries in a foreign location. GME is in various stages of negotiation with doctors and will have around 400 doctors in seven major specialties by the end of June. GME provides total care for the patients from the moment they leave the U.S. to the moment they return. Through its affiliated surgeon's network in the U.S., GME ensures excellent pre-operative and post-treatment care for its patients. Emphasizing GME's focus on "Highest Quality," Dr. Khoury further mentioned, "GME is all about options for the American patient irrespective of his/her insurance status. GME maintains an Ethics & Quality Board comprising of eminent surgeons in all the countries where it operates. Unlike any other service provider, GME's in-house doctors are available round-the-clock to answer the queries of our patients. We allow for surgeries only in Joint Commission International (JCI) accredited hospitals, which are equal to or exceeding U.S. standards."
About GME
Premiere Medical Travel Issues White Paper The report can be accessed at the Premiere Medical Travel website or on their LinkedIn page.
Shetty Hospital Agreement Revealed Apart from duty concessions on medical supplies and equipment, the Cayman Islands government will also offer discounted immigration fees and will make the necessary legislative changes to accommodate the Cayman Narayana Health University, Minister of Health Mark Scotland revealed on Friday. The government signed an agreement with Dr. Shetty on April 7, in which it promised to support the development of a large-scale medical tourism facility, medical school, and assisted-living senior's residence. Click here to read the full story.
Medical tourism: Unique benefit can cut costs up to 80 percent HRmorning.com — Picture this: You need surgery. But before going under the knife, you hop on the next flight out of the country. Click here to read the full story.
International Medical Tourism Journal announces the results of the Medical Tourism Climate Survey 2010 Keith Pollard, Managing Director of Intuition Communication, publishers of the International Medical Travel Journal revealed the results of the 2010 Medical Tourism Climate Survey at the European Medical Travel Conference 2010 in Venice, 5th May. The Medical Tourism Climate Survey 2010 was funded by the International Medical Travel Journal, the world’s leading journal for the medical travel sector and was completed online by 257 representatives of medical tourism businesses from 55 different countries. A cross section of medical tourism agencies and facilitators, hospitals and business consultants were surveyed with dental treatment, cosmetic surgery and orthopedic surgery among the most common services provided by respondents. The survey examines key issues, current activities, the state of the market and predicted business growth including the understanding and perceived impact of EU Cross Border Healthcare and other challenges and opportunities in the medical travel sector today. The results reflect the fragmented nature of the medical tourism sector and its recent growth, with 20% of organizations surveyed only in business for one year; 63% of the organizations have been in business for more than two years. Seventeen percent of the respondents handle more than 500 medical tourists annually. Key highlights include: Top destinations and patient sources According to medical tourism facilitators the leading medical tourism destinations are India, Thailand, USA, Hungary and Malaysia. The USA, UK and Russian Federation are seen as the leading source of patients both now and in the future. Countries rated as providing the best overall service to patients are Thailand, India, and Singapore. Respondents predicted that India, Thailand, and Singapore would also be the leading medical tourism destinations in five years time. Current trends and predictions for growth There are mixed views about the current market, with over half believing that the market has declined or remained static in the past twelve months. Around half of the organizations have seen no growth or a decline in their business over the past year although 47% state that their current business situation is good or very good. A third of respondents report a growth in their medical tourism business of 10% or more last year. The vast majority are confident about future business prospects with 76% expecting the overall market to grow in the next twelve months. Opportunities Respondents are most optimistic about the dental and cosmetic surgery markets. The majority of organizations surveyed have little understanding of the European Union Directive on Patient Mobility but nevertheless believe that the ratification of the Directive will increase the number of medical tourists with Europe. Competition and marketing issues are seen as the major problems facing organisations involved in medical tourism. Other key issues are:
Patient Choice The main factors considered to influence patient choice are:
Keith Pollard says: “The survey gives a realistic and current view of the industry. It is an invaluable insight in to what is happening throughout the world of medical travel today and is a useful tool for planning and strategy for the industry and individual businesses”. The full survey is available from IMTJ for €150. Asia Medical Tourism & Wellness Congress Kuala Lumpur, Malaysia will be hosting an international event next year in Berjaya Times Square. Medical Tourism & Wellness Congress (GLOW 2010) will be an international trade exhibition running concurrently with a multi-stream conference session. GLOW 2010 will gather senior-level decision makers across the health care, wellness, and corporate executive sectors from around the world to brainstorm on issues concerning their industry. The objectives of the Congress are:
GLOW 2010 will bring together our clients who are key corporate professionals in the medical, spa, and wellness sectors across the Asia Pacific and Middle East region to provide an exciting platform for vendors and solution providers to position themselves effectively. We estimate in excess of 100 to 150 senior-level decision makers for the exclusive conference in addition to walk-in trade visitors of over 1,500 for the exhibition. A wide variety of sponsorship opportunities are available. Visit http://www.glow2010.com/ to learn more.
Central and Eastern Europe Medical Tourism and Healthcare Summit
Destination Health Rescheduled for June 26-27, 2010
Destination Health, a consumer event for the growing numbers of people Visitors can come to the show for free if they pre-register on the Destination Health website www.destinationhealth.co.uk. All the original exhibitors will be attending the event, which will give potential medical tourists the opportunity to meet doctors and personnel from around the world, compare and discuss treatment options and attend seminars on all aspects of medical tourism including fertility treatment, tips and advice on everything the medical traveler needs to know, medical travel insurance and many other subjects. Destination Health has been launched to help the increasing numbers of British medical tourists find out all they need to know about travelling aboard for health and medical treatment. The two-day event will showcase top hospitals, clinics, and spas from around the globe giving visitors the opportunity to meet doctors and medical specialists, get free advice, and explore various treatment options abroad including cosmetic surgery, dental treatments, the growing trend for obesity surgery and fertility treatments -- among others. With a large amount of exhibitors at the event it will be easy for potential patients to easily find the type of medical specialists they are looking for. The event is divided into different areas to include sections for dentistry and cosmetic surgery, fertility and conception, medical spa and wellness and general treatments and procedures and the organizers, Bluewater Events, are expecting a large audience. Nav Mann, event director says: “Interest from exhibitors and consumers in the event indicates that we expect a high turnout and hope that Destination Health will become a popular annual event for the medical tourism businesses and consumers alike.”
The Second Malta Medical Tourism Summit by Europe Business Assembly The second Malta Medical Tourism Summit, June 26, 2010, St. Julians (Malta) at the Corinthia San Gorg Hotel and Business Centre, is set to bring together many senior figures within the industry. The events of the forum will be held under intellectual and organizing support of the Government of the Republic as well as leading medical institutions of Malta - St. James and St. Phillip Hospitals. The official organizer of the summit Europe Business Assembly (United Kingdom) under the auspices of 'Malta Enterprise' Corporation (Malta). The Europe Business Assembly (EBA) is an independent international project-development and management organization. Our international panel of expert speakers will be sharing their thoughts and experiences on topics such as: -The dynamics of the current medical tourism marketplace To view the current agenda and speaker list, visit: www.ebaoxford.co.uk/Malta_Medical_programme_06_10.html.
Asian Countries Unite for Medical Tourism in IMWell Summit “Without question, medical travel has significantly transformed the face of global health care,” says Undersecretary Cynthia Carrion, who heads the Department of Tourism’s Office for Sports and Wellness. “The pool of patients around the world seeking medical treatment abroad has grown, with increasing cost efficiency and adoption of advanced medical technology overseas. This presents a huge opportunity for us, and it is only fitting that the Philippines is hosting the IMWell Summit, as we have already proven our country to be an emerging powerhouse as a health and wellness destination.” “The IMWell Summit demonstrates that the Philippines is at the forefront of this ‘sunrise’ industry, which has been a key driver in our economic growth. As a pioneering initiative in the whole region, it also establishes our pro-active stance in cooperating with our neighboring countries and making them partners in medical tourism,” says Joyce Alumno, Conference director. The four-day event features a full agenda that includes plenary sessions on Industry Perspectives, Opportunities and Risks; Regional Presentation of Best Practices; Global Opportunities in the Retirement Industry; Marketing and Branding for Global Markets; Quality Management and the Continuity of Care; and the Future of Medical Tourism and Healthcare Travel Industry. The IMWell Summit also includes Executive Workshops about Balanced Score Card in Healthcare Organization and Effective Leadership Styles in Healthcare Organization. Four break-out conference tracks will be presented: Quality in Healthcare, Marketing, Investment and Capacity Building, and Retirement, giving an in-depth look at each specific aspect of medical and wellness tourism. “We have ensured that the program of the IMWell Summit is comprehensive and at the same time attuned to the needs and gaps in information of this growing field. By gathering the region’s leading policy makers, decision makers, and solution providers, we aim to redefine, redesign, and refine health care delivery around the world,” stated Sanjiv Malik, M.D., a renowned international guru in medical tourism, who sits as the Conference Honorary chairman. The Advisory Board and Speakers of the IMWell Summit include prominent leaders in their fields of expertise, including David Vequist, M.D., of the Center for Medical Tourism Research (USA), Dato Jacob Thomas of the Association of Private Hospitals in Malaysia, Nipit Piravej, M.D., of Bangkok Chain Hospital (Thailand), Ares Leung, M.D., of Union Hospital (Hong Kong), Sam Bernal, M.D., of Cedar Sinai and The Medical City (USA and Philippines), Samie Lim of Philippine Chamber of Commerce and Industries, Girdhar J. Gyani, M.D., of the National Accreditation Board for Hospitals and Healthcare Providers (India), Jeff Staples, M.D., of Parkwayhealth (China), Tony Gibson of the Australian Human Resource Institute, Henry Schumacher of the European Chamber of Commerce, and others. “Aside from our powerhouse line-up of speakers and advisors, what makes the IMWell Summit truly exceptional is the fact that it’s a pioneering event in regional cooperation. It is the first of its kind to present the global state of health care, explore current and future opportunities in medical tourism, and map out a strategy for the growth of the entire industry,” adds Alumno. The IMWell Summit is produced and organized by HIM Communications, in collaboration with the Department of Tourism as Host, and supported by the Department of Health, Department of Trade and Industry, Retirement and Healthcare Coalition, Philippine Chamber of Commerce and Industry, and Spa Association of the Philippines, with HealthCORE and Asian Academy for Healthcare Executives as Knowledge Partners. For more information about the event, please visit www.IMWellSummit.com, or call (63 2) 910.8030 or 468.9999, or email info@himcommunications.com
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