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Finding Affordable Health Care Arnon Krongrad, MD

Finding Affordable Health Care Arnon Krongrad, MD. Consumer Attitudes About “Medical Tourism”. Deloitte 2009 Survey: 8% sought health care services outside their community 43% would travel if they could save 50% The young are more receptive than the old

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Finding Affordable Health Care Arnon Krongrad, MD

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  1. Finding Affordable Health Care Arnon Krongrad, MD

  2. Consumer Attitudes About “Medical Tourism” • Deloitte 2009 Survey: • 8% sought health care services outside their community • 43% would travel if they could save 50% • The young are more receptive than the old • How many are actuallytraveling?

  3. “Medical Tourism” • Nothing New • Not Medical • Not Tourism

  4. Who Travels? • Patients Travel • Doctors Travel

  5. What Motivates Travel? • Choice • Quality • Cost

  6. Case Study 1: An Individual with Limited Means • A 57-year-old uninsured, unemployed American • His father died of prostate cancer • He was diagnosed with prostate cancer on December 9, 2008 • He is otherwise healthy • He chooses minimally invasive surgery • Offered unaffordable global package for US$50,000 • Affordable options included open surgery

  7. Meeting the Patient’s Needs • The patient’s priorities are • Treatment Choice • Treatment Quality • Cost containment • Risk management • He wants minimally invasive surgery • He cannot afford complications, so … • He needs a highly experienced surgeon • He needs the surgery at an affordable cost, and … • He needs insurance against post-op medical/surgical problems

  8. Addressing the Clinical Needs • MSI coordinated • A highly experienced and highly specialized American surgical team • High quality equipment sourced in an operating room in Trinidad • Transportation of specialized, complementary equipment • An experienced surgical support team

  9. Addressing the Non-Clinical Needs • MSI also coordinated • Transportation to Trinidad and back to the U.S. • Peri-operative accommodations for the patient and his wife • Cancer surgery travel complications insurance • A 60% discount

  10. The Surgical Practicalities • The patient arrived in Trinidad on March 3, 2009 • Inpatient surgery was carried out on March 6 • There were no peri-operative issues • The patient was discharged the next morning • The patient flew home on March 9

  11. Lessons of the Mobile Model • Quality is mobile • America is wasteful • Reduce capital expenses • Permits transparency • Fill gaps in coverage • Uninsured • Self insured • Under-insured • Consumer Directed Plan • Health Savings Accounts • Government

  12. Potential Barriers to Mobile Surgery

  13. Models of Surgical Travel United States Traditional Model:Patient goes to surgeon Patient and surgeon meet at third place Florida Latin America Surgeon goes to patient Caribbean

  14. Domestic and Foreign Service Kansas Florida Trinidad

  15. Facilities and Services

  16. Who Are the Clients?

  17. Fridays Initiative: Service for Uninsured http://FridaysInitiative.com

  18. Fridays Initiative: Service for Uninsured http://FridaysInitiative.com

  19. Who We Are and What We Do Health care is about choice and quality Cost is a barrier to choice and quality Waste drives up cost Patients generally do not want to travel for health care A bundled, surgeon-driven model can partly optimize choice, quality, and cost

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