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© 2013 Medical Travel Today

Medical Travel Today is a publication of CPR Strategic Marketing Communications, a public relations firm based near New York City that specializes in healthcare and life sciences, with an international clientele. CPR, its Partners, and clients are at the nexus of where medical travel is today, and where it will be tomorrow.

Laura Carabello

Laura Carabello

Managing Editor
Megan Kennedy

Table of Contents

From the Editor

From the Editor: This week in Medical Travel Today, Laura Carabello

News in Review

2014 Report to Chart Expansion of Medical Tourism Segment

Research and Markets: Middle East Medical Tourism Industry Outlook to 2016 - Medical Tourist Arrivals in Saudi Arabia Projected to Reach 105,000 By 2016

Doctors and Tourism Officials Brainstorm on Medical Tourism

Dental Tourism; Why Costa Rica for Dental Procedures?




The Faith of My Conviction: Integrating Medical Tourism into Workers’ Compensation is Possible -- and not a Pipe Dream
by Richard Krasner

Industry News

Malaysia a Top Venue for Infertility Treatment

Top Travel Destinations for Medical Tourism

Ten Exotic Locations for Your Next Plastic Surgery Procedure

Global Blood Industry to Reach $28.8 Billion in 2017

Former Bumrungrad International Management Team Form Intermedika Consulting Ltd.

Foreigners Face More Charges to Access NHS

U.S. Hospital Maternity Costs Highest in the World

Online Claims Submission Now Available For International Business Travelers Covered by Cigna

Upcoming Events

Wellness and Health Tourism Expo 2013

The Health Tourism Show

Africa Medical Executives & Medical Tourism Conference

Global Connected Care Conference and 4th Meditour Expo

International Medical Tourism Conference & Exhibition – China 2013

Indian Medical Tourism Conference 2013

The Wellness Tourism Congress at the Global Spa & Wellness Summit

4th Medical Tourism Saint Petersburg Exhibition

Mexico: Global Summit on Medical Tourism Business

2nd Malaysia International Healthcare Travel Expo 2013

Health Tourism Expo 2013

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Global Health Voyager


Volume 7, Issue 14

Dear Colleagues:

Medical Travel Today has previously reviewed Aruba’s healthcare system and has chosen this week to interview, Leonid Kozlov, an international ballet dancer who has decided on Aruba as his retirement destination.

As a word traveler, Kozlov notes the desirable healthcare benefits that Aruba’s location has to offer vacationers, medical travelers, and individuals planning on retirement in Aruba.

Please be in touch and let me know how you are surviving and thriving in this emerging marketplace.

Laura Carabello
Editor and Publisher
Medical Travel Today

Global Health Voyager

Log onto Facebook and join the Medical Travel Today Group. Look for recent news, trends, and post discussions in the board. If you would like to see something in Medical Travel Today let us know in the discussion board. If you have a question, post it there!

You can also follow Medical Travel Today on Twitter. For more information log onto www.medicaltraveltoday.com


LEONID KOZLOV www.leonidkozlov.com


Note from the Editor: Leonid Kozlov may not be a medical travel business leader, but he is an internationally prominent ballet dancer who travels the world, has lived in both Russia and the United States, and selected the island of Aruba for his retirement. He and his wife Adriana provided this interview from their home on the island.

Medical Travel Today has reported on Aruba’s healthcare system and its relationship with Baptist Hospital in Florida – a factor which influenced Kozlov’s decision to make the island his home. Should the level of appropriate medical care not be available on the island, Kozlov points to access to care in the United States, a short plane ride to Florida, as very appealing.

This aspect of medical travel is quite important to retirees, and may be a key to helping destinations plan their marketing strategies.

Additionally, it was a draw for me to interview Kozlov: I am a confirmed “balletomane,” and have seen (and admired) Kozlov’s numerous performances at the New York City Ballet.

Plus, for those of you who don’t know, I travel to Aruba every Thanksgiving for the past 30 years – and authored Crude! A Story of Passion in Aruba available on Amazon here: http://www.amazon.com/CRUDE-A-Story-Passion-Aruba/dp/1424126509.

This was an opportunity too good to pass up!

About Leonid Kozlov

Leonid Kozlov was born in Moscow, Russia and trained at the Bolshoi Ballet School. He joined the Bolshoi Ballet Company and quickly rose to the rank of principal dancer, performing leading roles in Swan Lake, Don Quixote, Romeo and Juliet, and The Stone Flower among many others.

In America Mr. Kozlov worked with major choreographers and producers including, George Balanchine, Jerome Robbins, Alvin Ailey, Glen Tetly, and Peter Martins. Mr. Kozlov toured internationally as a guest artist.

He staged a new production of “The Nutcracker” for the Australian Ballet, and productions of “ Swan Lake” and “Don Quixote” for the National Ballet of Chile. In London and New York City, he performed in the “Margot Fonteyn Diamond Gala” Mr. Kozlov starred on Broadway, in the revival and the national tour of Roger’s and Hart’s “On Your Toes,” directed by George Abbott and choreographed by George Balanchine.

He was the last dancer invited by Mr. Balanchine to join New York City Ballet, where he was a principal dancer for eleven years. His repertoire included over 30 ballets. Mr. Kozlov also toured his own productions bringing stars of the American dance world to international audiences, including China, Taiwan, Korea, Italy. In 1991, he presented nine performances of “Stars of American Ballet” to capacity audiences of 6,000 at the Kremlin Palace in Moscow. In 1991, Leonid Kozlov organized Kozlov Dance International, a not-for-profit performing arts company.

Mr. Kozlov’s mission is two-fold. He is committed not only to the education of a new generation of dancers to carry on the fine tradition of classical dance into the next century, but also to the production of high-quality performances and workshops of dance.

Several of his student productions have received recognition by Anna Kisselgoff of the New York Times and Robert Johnson of the Star Ledger. Mr. Kozlov’s students have joined professional ballet companies in the United States, including American Ballet Theater, San Francisco Ballet, Colorado Ballet, and New Jersey Ballet. His students have represented the United States in the Tanzolymp Children’s Dance Festival in Berlin, Germany and have medaled at the Youth America Grand Prix.

In 2005, Mr. Kozlov founded and hosted the Annual Youth Dance Festival of New Jersey, in Hackensack, NJ. Since 2008, Mr. Kozlov has been hosting several workshops and performances in Aruba, bringing his Nutcracker, Firebird, Paquita, and Swan Lake, Act II to the island.

Medical Travel Today (MTT): Please tell our audiences why you picked the island of Aruba for your retirement?

Leonid Kozlov (LK): About 20 years ago, after I finished the Nutcracker with my school, I asked one of the moms if they could send me to a nice hot island tomorrow -- and she booked me to Aruba.

I thought, “What a strange place, Aruba.” But when I arrived in Aruba, I loved it and bought a time share. It seemed like every year thereafter, I visited Aruba, which eventually led me to buy a house there.

My profession has led me around the world: I did live in both Russia and Australia and have traveled year-round to anywhere you could put your finger on the map -- from Africa to India, Singapore, Beijing, etc.

Aruba is so cozy and relaxed. I wouldn’t say it’s a picturesque place, but I feel relaxed. The weather is always 100 percent perfect, and the people are very nice. The decision to retire here happened naturally, over time. Little by little, each year we decided to come back to Aruba. I feel younger here, and my wife looks so relaxed. So I said, “Why don’t we just move there?”

MTT: Will you keep dancing or simply sit on the beach?

LK: One critic actually said after seeing my performances in Aruba, “This is not a man who is going to come here and sit on the beach all of the time.”

I’m definitely going to do performances and festivals here -- maybe not as much as I did around the world, but I love what I am doing and I am just never going to just sit at home.

MTT: Are you going to be teaching in Aruba?

LK: Yes, my wife and I are going to be opening a school. It’s going to be the Kozlov Dance Academy. Our website is www.Kozlovdance.com. I also have my own website: www.Leonidkozlov.com.

We are going to try to start a small national troupe of Aruban children. We have been teaching here for the last five to six years, working with the little kids. The way I see it, it will not be as intense or nerve-racking as in the U.S. We competed a great deal, and went to competitions in America throughout the year.

This will be a little bit more relaxed. When I see the little girls, I want to make them ballerinas -- and when I see the little boys, I want to make them Aruban cowboys or something like that.

I am definitely going to do something. I have scenery and costumes, so I want to do something meaningful -- whatever they will allow me to do or want me to do here, I will do that.

MTT: People must always ask, what is your favorite piece to perform?

LK: There isn’t a favorite piece to perform, but particularly in New York City Ballet I did love to perform as a cowboy in Western Symphony – it is so American.

MTT: Now I want to ask you how familiar are you with the healthcare system in Aruba?

LK: I am not really familiar with the healthcare system in Aruba, but we are definitely going to have worldwide insurance considering we still travel and I am going to do my NJ festival every October in the U.S.

My sister lives in Russia, my wife likes to travel to Paris and Switzerland—it is clear we will continue to travel. We definitely need to have insurance in Aruba as well.

I am a really healthy man, but not really familiar about what is going on in the Aruban healthcare system. They appear to have a wonderful hospital here, but if something is very serious, people get on a plane and go to Puerto Rico, Miami or Columbia. But it appears that there is good care right here.

MTT:Have you had any surgery that enhanced your ability to perform?

LK: Yes, Lasik vision correction, and I can’t tell you how happy I am as a result.

New Jersey ophthalmologist Dr. Richard Norden completely opened my eyes, I feel so much younger and stronger. I am a very optimistic person, but am now even more optimistic when I don’t have to look for my glasses every time I need to see better. I also see nature so much better.

Even my wife says it’s like being 20 years younger. I wasn’t even considering the procedure, but she had it done and was so happy with the results. I am never going to regret it – took just five minutes and he does some magic. You see everything better than you’ve ever seen it before.

MTT: Did it impact your ability to perform better?

LK: Yes. I would recommend every dancer and sports performer in the world to do this immediately. It is definitely going to optimize one’s performance.

It is so phenomenal when you see such precision in comparison to the way your vision was prior to surgery.

In fact, I would recommend to the Board of Directors of the NYC Ballet that they sponsor this option for every dancer who needs vision correction. Some good dancers do not have good vision and they are forced to use contact lenses, which could be an issue during a performance.

It is so phenomenal when you get your vision back. My vision is better than 20/20 right now.

MTT: Do you ever have any physical problems that might require orthopedic, chiropractic or podiatric attention?

LK: No, although I did actually have hip replacement surgery some time ago.

Dancers definitely use their bodies in some very challenging ways, and a lot of dancers do undergo hip replacements. We are always trying to jump higher and we want to be better.

But no, I have been extremely healthy since the day I was born. I never even knew the cost of insurance and have been fortunate to be exempt from all of that – I have been extremely lucky.

MTT: You live a healthy lifestyle!

LK: I have to admit that I always took care of my body. Ever since I was little boy, I exercised in the morning for at least 20 minutes -- I religiously do sit ups, pull ups, stretching, standing on my head – all of that. I still do this every day, every morning, and I am very active, too.

MTT: The Minister of Health in Aruba – Dr. Richard Visser – is very concerned about childhood obesity. I think he would very receptive to your activities on the island and perspectives.

LK: Yes, absolutely – you are hitting the point.

My wife is always cooking very healthy foods. We buy only very healthy food, and I have my own garden here in Aruba. It’s perplexing why the Arubans are buying everything instead of growing their own.

All the healthy fruits like guava, bananas, and pomegranates are growing very nicely in the Aruban sun. I don’t know why this is not an agricultural island.

MTT: I believe that they import all their food.

LK: This is ridiculous.

I have a third acre and I can grow everything – tomatoes, cucumbers – whatever you need for your health.

I am doing this not because of an economical reason -- I just love to eat something fresh and I know where it is coming from. There are no chemicals in the soil, and I think that is how I would like the youth in Aruba to be.

It would be very good to have a small garden in the school or a place where they all go and work. They could grow enough produce for a few people in their families. I think it is definitely possible for a small island like this.

I want to educate kids in dance, music, and good manners – and they are actually already very good at this. They speak two to three different languages and they are not spoiled. I have good intentions and look forward to meeting the Minister of Health.

MTT : Historically, Arubans may have felt that their soil was not rich enough and that they did not have enough rain to grow their own vegetables. But your testimony leads to the fact that they could.

LK: Just look at Japan -- they are built on the rocks and yet their country produces everything. So it is only an excuse that these people in Aruba are not producing.


DSC_0226 (2)

Richard Krasner

The Faith of My Conviction: Integrating Medical Tourism into Workers’ Compensation is Possible -- and not a Pipe Dream
by Richard Krasner

About Richard Krasner
Richard Krasner has worked in the Insurance and Risk Management industry for more than 30 years in New York, Florida and Texas in the Claims and Risk Management spheres, primarily in Workers' Compensation Claims, Auto No-Fault and Property & Casualty Claims Administration and Claims Management. In addition, he has experience in Risk and Insurance Business Analysis, Risk Management Information Systems, and Insurance Data Processing and Data Management.

Krasner is available for speaking engagements and consulting.
Phone: 561-738-0458 Cell: 561-603-1685
Email:   richard_krasner@hotmail.com
Skype: richardkrasner


Merrell: “…Can you see a role of medical tourism in workers’ compensation injury?”

Ludwick: “I could, if it were a long-term issue. Many workers’ comp issues are emergent,

so that would take out the medical tourism aspect. However, if it was a long-range issue,

I could see us involving workmen’s comp issues into that, or problems.”

Lazzaro: “I would support that. I don’t know the incidence, for example, of some of the orthopedic procedures that are non-emergent, such as knee or hip replacement, which would fall under workmen’s comp. But theoretically, a case could be made for that…”

Merrell: “I was thinking about it in terms of the chronic back injury and the repetitive action injuries and hernia that are in the workers’ compensation area. An acute injury on the job would probably not be at issue, but a work-associated problem with a potentially surgical solution might be a matter for medical tourism.”

When I was doing research for a term paper for my Health Law class, which later became my white paper,  Legal Barriers to Implementing International Medical Providers into Medical Provider Networks for Workers’ Compensation , I came across the above discussion, and had a proverbial “light bulb” moment. It was the first time that I actually believed that what I was attempting to write about was actually possible, because of the expert commentary cited. But in the six months since I began this blog, I have been finding that what I so strongly believed at the time was possible, and still do believe is possible, is not possible, according to some other experts in the field of medical tourism.

Yet, in going over in my mind what Dr. Merrell, Ms. Ludwick and Mr. Lazzaro said back in 2008, and weighing the skeptical comments I have encountered about my ideas, it occurred to me that these three distinguished individuals cannot possibly be wrong. Dr. Merrell was at the time, the editor-in-chief of Telemedicine and e-Health, and the chairman of the Department of Surgery at Virginia Commonwealth University’s School of Medicine. Ms. Ludwick is the president of the Health Care Compliance Association, the leading trade association for third-party administrators, and someone intimately knowledgeable about the workers’ compensation claims process from the point of view of third-party administrators. Mr. Lazzaro is the managing director of Tivis Capital and CEO of Bridge Health international, and an expert on surgical and other medical services in China.

In the confusion and frustration that accompanied my doubt and anguish over this realization, I determined to press ahead anyway and write this post in the firm conviction of my faith that such an integration of medical tourism into workers’ compensation is not only possible, but it is also an imperative, not only for the sake of the injured worker’s treatment, the employer or the insurance company’s savings, but for the global medical community. . Integration is the only way forward for the human race if we are to survive. But it won’t be easy. It will take courage, vision, hard work, and a lot of idealistic dreaming, but it will become a reality. Medical care will be global, just as everything else will be, and the time to begin the process is now, not a hundred or two hundred years from now.

One way that integration can be achieved was presented this week in an article on Insurance Thought Leadership.com.

The Integrated Care Management Model

An integrated care management model for workers’ compensation will be a game-changing phenomenon that will improve results throughout the entire system, says Don Duford, chairman of the Board of One Call Care Management, in an article for Insurance Thought Leadership.com . The article,  Game-Changing Strategies To Transform Workers’ Compensation , describes how the workers’ compensation system faces three major challenges, and offers a solution to these challenges.

Duford identifies the three challenges:

·Reducing the spiral of rising costs for claims

·Improving outcomes for medical care, and

·Streamlining efficiencies that impact both care and cost

As I mentioned in my recent post,  Average Medical Claim Costs Still Rising for Workers’ Compensation , and in  my white paper , Duford cites statistics from the National Council on Compensation Insurance (NCCI) that states that workers’ compensation medical costs continue to rise, and now constitute 60 percent of total claims costs, as opposed to the 58 percent I originally mentioned in my white paper two years ago. In addition, the average medical cost of lost-time claims has more than tripled since 1991, as indicated in the table below, and nearly doubled since 2001, ten years later.

The Workers’ Compensation Research Institute (WCRI) reported that outpatient hospital average payments per claim rose 31 percent from 2006 to 2010, and inpatient hospital payments per episode rose 36 percent in the same period.

Some of the drivers of these costs, Duford points out, are:

·The growing opioid epidemic, which I have written about in past posts on this blog and elsewhere.

·Co-morbidities and obesity

·An aging workforce

·Variations in care by provider and by state

·The fragmentation of care management, and

·The impact of providers, which can vary widely, especially if they are not experienced in workers’ compensation cases that use an assertive “sports medicine” approach that deploys and manages treatment from the beginning to achieve rapid recovery and return to work.

Duford’s solution calls for finding and using superior practitioners, which is the key to getting the best care for injured workers, and reducing overall costs. Such outcomes-based networks with superior providers, Duford says, can reduce total claim costs by 20 to 40 percent. Also, rapid interventions, with the right therapies, means that the worker is more likely to recover faster and have a better outcome.

He cites three capabilities currently in today’s marketplace that will enable this change:

·The ability to develop strong networks of specialty “best-in-class” providers who contribute to all elements of care in workers’ compensation, and who receive scrupulous credentialing and consistent quality oversight to ensure an aggressive focus on evidenced-based medicine and fast return-to-work.

·Advanced analytics of claims data that can determine the providers who generate the best outcomes.

·Technology that is easy-to-use and that connects a broad range of providers with claims professionals, leading to the expediting of fast referrals and treatments, overall care coordination and prompt reporting or test and care results.

 How medical tourism can be integrated into workers’ compensation

Naturally, Duford does not include medical tourism into this model, but by using this model as a guide we can, and should, include medical tourism into this model by recognizing that like most other processes a workers’ compensation claim has a beginning, middle and end point. The providers in Duford’s model represent links in the supply chain we call a workers’ compensation claim.

If the goal of the process is to get an injured worker back to work faster, with a greater outcome of care, then as the worker moves from one point of the supply chain to another, a decision tree is formed that answers the question: “Is the worker able to return to work, yes or no?” If yes, then there is nothing more that can be done, and the process stops. But if the question is answered with a no, the next step in the chain takes over, until you come to the point at which surgery is required. Then the question is not “Is the worker able to return to work?”, but “Where can the worker get the best medical care, at the lowest cost and highest quality that will save the employer and or the insurance carrier money?”

Duford’s model does not include medical tourism destinations but, if it did, that last question would certainly be part of the model, because to leave out the possibility of lower cost medical care at the same or better quality than what is available in the U.S., is shortchanging the worker, employer and insurer.

Medical tourism can be integrated as part of the end point of the supply chain, but will be dependent upon all the other activities that preceded it, much in the same way that the store that sells a certain product is dependent upon the manufacturers who made the parts that went into making the final product that they sell.

Which brings me back the quotation at the beginning of this article: Dr. Merrell, Ms. Ludwick and Mr. Lazzaro all agree that there is a place for medical tourism in workers’ compensation, and they all agree that non-emergent care, i.e., those injuries that do not require a worker to be rushed to an emergency room or operating room immediately after an injury, are good candidates for medical tourism. And if they are correct, then adding medical tourism to Duford’s model will not only improve the outcomes for patients, but will improve the bottom line of their employers and the insurance companies that pay for medical tourism.

Afterword and Conclusion

I mentioned earlier that I have been receiving skeptical comments about my ideas on medical tourism and workers’ compensation that fly in the face of what Dr. Merrell, Ms. Ludwick and Mr. Lazzaro said previously. As part of these and other comments, the issue of standards and regulations and laws came up that I was told will prevent this integration from ever taking place. I was told that it would take 100 years or so to get international standards, that it was a pipe dream, or that because of politics, custom, culture, etc., these laws are difficult to change. But change they must, because to not change will only lead to stagnation – or worse.

I have even been told that I should cite market research to bolster my argument, which of course is true in certain circumstances, but not here when I am staking my firm faith and conviction on the future course of global medical care for all people, not just those who have money to travel or who have great insurance. Yet, relying here and now on market research reminds me of the three kinds of lies: lies, damned lies, and statistics, so the reader will have to excuse me for not citing the latest market research that says such integration cannot be done or will not be done.

I then realized that behind the comments was something bigger, something that had until then escaped me. It was not who these people were, because I respect them and their accomplishments and their expertise, but rather a form of protectionism that is going on between countries, hospitals and other facilities and providers that, like all other forms of protectionism, not only hinder progress, but also run counter to basic economic truths that goods and services will migrate to those areas where goods and services will be cheaper to produce. Such is the case that, no matter what we personally think of it, with the globalization of jobs and services outside of healthcare today, why should healthcare be any different?

It shouldn’t, and like all visionaries, I take it as a matter of faith, that this will happen in healthcare too. It may take 100 years to do so, but when will we take the first steps towards that goal, now or 100 years from now? The Chinese say that a journey of a thousand miles begins with the first step. Do we in healthcare wait until we take our thousandth step, or do we begin right here, right now? The answer is right in front of us. All we need is vision, courage, faith and hard work -- qualities that are desperately lacking in so many people.

I call it as I see it -- with no apologies to anyone.

Industry News

Malaysia a Top Venue for Infertility Treatment

by Priscilla Prasena

The success rate is 60 percent, contributing significantly to the country’s reputation as a destination for medical tourists.

(freemalaysia.com)— Malaysia’s high success rate in treating infertility is a major factor in making the country one of the world’s top destinations for medical tourists, according to the Malaysia Healthcare and Travel Council (MHTC).

“Our success rate for infertility treatment is 60 percent and this tops the world,” says MHTC chief executive Mary Wong. “Patients flock here from Indonesia, India, Japan, the UK, Bangladesh and Nepal.”

Quoting statistics from the Health Ministry, she said Malaysia received 671,000 medical tourists last year. She did not say how many of them sought treatment for infertility.

Meanwhile, the Medical Travel Quality Alliance, which has offices in Thailand and the U.S., has reported that its most recent annual evaluation placed Malaysia as the fifth most desirable destination for medical tourists.

The same survey named the Prince Court Medical Centre in Ampang as the world’s top hospital for tourists, followed by Asklepios Clinik in Barmbek ( Germany), Clemenceau Medical Center in Beirut and Fortis Hospital in Bangalore.

To continue reading click here.

Industry News

Top Travel Destinations for Medical Tourism

by Jordan Robertson

Sand, Sun and Surgery

(mobile.bloomberg.com)—Summer's finally here, which means hordes of travelers are packing planes in search of fun and sun. But many others are instead grabbing their passports to get some medical care.

About seven million people travel abroad each year seeking everything from dental work to weight-loss surgery to cancer treatment. That's fueling an industry worth as much as $40 billion, according to Patients Beyond Borders, a publisher of international medical travel guidebooks.

To attract foreign patients, many countries are touting their medical technology, low prices and safety standards. So what are the top destinations for medical tourism?

To continue reading click here.

Industry News

Ten Exotic Locations for Your Next Plastic Surgery Procedure

by Megan Willet

Infinity pool

(businessinsider.com) — Medical tourism is a booming $100-billion industry, and it's only becoming more popular as technology improves and more countries look to cash in on the trend.

But medical tourism is not without risks, and anyone considering going abroad for a procedure should do his research ahead of time. To help medical tourists make smart decisions, the Medical Travel Quality Alliance, an organization that promotes safety and quality for medical tourists, releases an annual list of the best hospitals for medical tourism.

To continue reading click here.

Industry News

Global Blood Industry to Reach $28.8 Billion in 2017

The markets for blood products, blood tests and blood processing equipment are evolving with the help of new products, technologies, and equipment. The key driving forces impacting the blood industry include the cost of collection and processing, technological advances, an aging population, demand for plasma-derived therapeutics, and changes in the incidence of diseases and surgical procedures and catastrophes requiring blood transfusions.

BCC Research has published a report for covering the wide range of products and services that comprise the global blood industry marketplace. According to its report, The Global Blood Industry, the global market for blood products reached $23.5 billion in 2012. The market is expected to reach $28.8 billion in 2017, registering a compound annual growth rate (CAGR) of 4.1%.

Use this report to:

  • Receive an overview of the structure and current market size of the global blood industry, including coverage of such segments such as blood and plasma collection, blood and plasma processing, blood therapeutic products, plasma therapeutic products, and emerging trends and products.
  • Analyze the current markets for blood products, blood tests, and blood processing equipment.
  • Receive analyses of global market trends, with data from 2011 and 2012, and projections of compound annual growth rates (CAGRs) through 2017.
  • Receive information on the major aspects of blood and plasma collection/transfusion such as autologous donations, apheresis, fractionation, blood salvage, and stem cells.
  • Receive information on the federal regulation for blood supply, blood system management, and the companies serving these markets.
  • Receive information on the international developments in blood banking and related areas, as well as research and patents that will affect the future of blood industry.
  • Obtain information on current product lines and examine emerging products and technologies.

A safe and adequate blood supply is essential to the practice of modern medicine. New advances, particularly in the area of automation, have enhanced the safety and availability of blood. With its broad scope and in-depth analyses, this study will prove to be a valuable resource to anyone involved with or interested in the blood industry. This report will prove valuable to a variety of readers, including industry executives, managers and planners, researchers, industry analysts, and investors.

Please click here to place your order.

Explore this detailed report by clicking here for a complimentary download of the ‘ Introduction’ chapter. You can also reply to this email in case you would like to order this report (or any of its chapters) or if you have any questions and need additional information, please feel free to email me at bridgett.hurley@bccresearch.org.

Industry News

Former Bumrungrad International Management Team Form Intermedika Consulting Ltd.

Intermedika Consulting is an international healthcare consulting firm that provides strategic consulting services to hospitals, investors and medical tourism promotion organizations. The principals are senior healthcare executives credited with transforming Bumrungrad International Hospital into one of the world's leading medical tourism destinations.


Four senior executives previously with Bumrungrad International Hospital have formed a new, specialty healthcare consulting firm, Intermedika Consulting, to provide strategic consulting services to hospital operators, healthcare investors and medical tourism promotion agencies around the world.

The principals behind Intermedika Consulting are Curtis J. Schroeder, Lee Chan Yow, Janice Chan and Ruben Toral. Together, they comprised the core senior management team credited with transforming Bumrungrad International Hospital into one of the world’s leading international hospitals and the icon for the medical tourism industry. According to Curtis Schroeder, Bumrungrad International Hospital CEO from 1993-2010, Intermedika Consulting was created “to leverage the team’s considerable experience and success in designing, commissioning, managing, marketing and branding top private hospitals around the world”.

Schroeder says the new company offers expertise in hospital design, management, operations, finance and marketing and is targeting hospital operators, healthcare investors and medical tourism promotion boards that need assistance growing and globalizing their healthcare businesses and brands. Team members are already engaged in projects in the Middle East, South Asia, Eastern Europe and East Africa, where growing demand for private healthcare services is creating new expansion and investment opportunities. The company also assists US hospitals looking to expand their footprint in Asia and the Middle East.

Ruben Toral, who spearheads the new company’s marketing and branding services, says that Intermedika Consulting fills a critical gap in the market by offering clients “a cross-functional team of C-level executives with a proven track record of managing profitable hospitals and building globally recognized brands”. He says that large, multidisciplinary consulting firms typically lack expertise in international hospital management, branding and medical tourism, and US-based healthcare consulting firms do not have the depth or range of international experience offered by the Intermedika Consulting team.

Intermedika Consulting offers services ranging from business reviews to strategic consulting in design, management, finance, operations, marketing and medical tourism.

About Intermedika Consulting

Intermedika Consulting is a Hong Kong registered company that provides corporate advisory services to hospitals, healthcare companies, investors, governments and medical tourism promotion boards around the world. The team is comprised of senior international hospital management and marketing professionals with a track record of building globally recognized healthcare brands, growing profitable businesses, and delivering shareholder value. The company offers a range of services designed to help clients realize, maximize and globalize their healthcare businesses and brands.

Contact Information:  
Ruben Toral  
Email: ruben(at)intermedikaconsulting(dot)com  
Telephone: +6681 8132938  
Website:   http://www.intermedikaconsulting.com

Industry News

Foreigners Face More Charges to Access NHS
Non-EU nationals coming to England for more than six months could be charged £200 a year to access NHS treatment.

Bbc.co.uk.com — The charge, added to visa costs for students, is among proposals unveiled in a government consultation.

Changes may be made to how hospitals reclaim costs from EU patients and free access to GPs stopped for those staying less than six months.

Some doctors say surgeries could be turned into border posts and there are concerns about public health risks.
The government believes some people come to the UK to take advantage of the system and plans to carry out an audit to determine the extent of the problem.

Health Secretary Jeremy Hunt is to unveil a consultation on its plans but has already suggested an additional £200 charge on six-month visas, as well as charging tourists for GP access and moves to recover more healthcare costs from other countries.

To continue reading click here.

Industry News

U.S. Hospital Maternity Costs Highest in the World
Itemized and opaque charges drive up prices
by Ron Shinkman


fiercehealthfinance.com — Maternity care at U.S. hospitals is by far the most expensive in the world, and patients who lack coverage for such services are often left in the dark about what they will have to pay until they receive a bill, the New York Times reported.

One expectant mother, New Hampshire resident Renee Martin, received a cost estimate from a local hospital that ranged from $4,000 to $45,000. "It was unreal. How could you not know this? You're a hospital," she told the NYT.

The price opacity regarding maternity care dovetails with reports earlier this year that hospitals were all but disregarding their chargemasters to charge patients whatever amounts they please.

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Industry News

Online Claims Submission Now Available For International Business Travelers Covered by Cigna

International business travelers covered under a Medical Benefits Abroad ®  (MBA) plan from Cigna Global Health Benefits, a division of Cigna Corporation (NYSE: CI), now have the option to submit their claims online directly through CignaEnvoy.com. The new feature also provides access to an Electronic Funds Transfer (EFT) payment method called ePayment Plus, which adds another electronic option for customers to receive reimbursement from submitted claims.

When traveling on international business, it’s important that customers have access to quality health care when they need it. The Cigna MBA plan provides medical coverage for unexpected illness and injuries that occur while traveling on international business outside of a customer’s home or permanent assignment country.

Any MBA customer who is a registered Cigna Envoy user can file an online claim through a few simple steps. “More and more, customers are going online to learn about products and services, including their health care coverage,” said Sheldon Kenton, director of Cigna's Global Sales and Client Management. “Having the ability to submit a claim quickly, securely and at any time during the day is an absolute necessity for our MBA customers. We want to make it easy to do business with us, and this is just another way we do that.”

Four different plan designs offer the flexibility to choose the appropriate level of coverage. In addition to medical, Cigna MBA plans may offer coverage for prescription drugs and replacement medication for lost prescriptions that are medically necessary, dental emergencies, medical evacuation, and other benefits.

MBA customers can use Cigna Envoy to file online claims and to access other helpful information including country-specific health resources, a list of pre-screened doctors and hospitals that bill Cigna directly, as well as currency and exchange rate information, security alerts and immunization requirements.

For more information, please visit   www.CignaGlobalHealth.com  or call 1.800.796.1156.

Cigna Corporation
Gloria Barone, 215-761-4758

About Cigna

C igna Corporation (NYSE: CI) is a global health service company dedicated to helping people improve their health, well-being and sense of security. All products and services are provided exclusively by or through operating subsidiaries of Cigna Corporation, including Connecticut General Life Insurance Company. Cigna Health and Life Insurance Company, Life Insurance Company of North America and Cigna Life Insurance Company of New York. Such products and services include an integrated suite of health services, such as medical, dental, behavioral health, pharmacy, vision, supplemental benefits, and other related products including group life, accident and disability insurance. Cigna maintains sales capability in 30 countries and jurisdictions, and has approximately 80 million customer relationships throughout the world. To learn more about Cigna®, including links to follow us on Facebook or Twitter, visit   www.cigna.com.

Upcoming Event

Wellness and Health Tourism Expo 2013

July 6-7, 2013 Koramangala Indoor Stadium, Bangalore, India

To learn more or to register click here.

The Health Tourism Show

July 11-13, 2013 – London Olympia Grand Hall, London, UK

To learn more or to register click here.

Africa Medical Executives & Medical Tourism Conference


August 28-30, 2013 - Ivory Coast, Africa

To learn more or to register click here .

Global Connected Care Conference and 4th Meditour Expo

September 9-11, 2013 –Anaheim, CA

To learn more or to register click here.

International Medical Tourism Conference & Exhibition – China 2013



September 12-13, 2013 – Shanghai, China

To learn more or to register click here.

Indian Medical Tourism Conference 2013

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October TBD, 2013 - Bangalore/Ahmedabad, India

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The Wellness Tourism Congress at the Global Spa & Wellness Summit

October 5-7, 2013 – The Oberoi, Gurgaon, New Delhi, India

To learn more or to register click here.

4th Medical Tourism Saint Petersburg Exhibition


October 10-12, 2013 - Lenexpo Exhibition Complex, Saint Petersburg, Russia

To learn more or to register click here .

Mexico: Global Summit on Medical Tourism Business


October 16-18, 2013 - Mexicali, Mexico

To learn more or to register click here.

2nd Malaysia International Healthcare Travel Expo 2013

2nd MIHTE Logo

October 20-22, 2013 - Sunway Pyramid Convention Center, Malaysia

To learn more or to register click here.

Health Tourism Expo 2013


December 19-22, 2013 Istanbul Expo Center, Istanbul, Turkey

To learn more or to register click here.

Medical Travel Today: Opinions and Perspectives on an Industry in the Making

Medical Travel Today - the authoritative newsletter for the worldwide medical travel industry - is pleased to announce publication of a new book, "Medical Travel Today: Opinions and Perspectives on an Industry in the Making.

Featuring 40 of the newsletter's most compelling interviews from the first five years of publication, the volume chronicles the explosive growth of international medical tourism as witnessed and experienced by some of the key stakeholders and players. A must-read for anyone interested or involved in the industry.

News in Review

2014 Report to Chart Expansion of Medical Tourism Segment

Ameinfo.com — Dubai's plans to introduce new regulations governing healthcare and roll out a compulsory insurance scheme are expected to boost investment across the sector by producing significant partnership opportunities, the d irector g eneral of the Dubai Health Authority (DHA) Essa Al Haj Al Maidoor said .

Research and Markets: Middle East Medical Tourism Industry Outlook to 2016 - Medical Tourist Arrivals in Saudi Arabia Projected to Reach 105,000 By 2016

Online.wsj.com — Research and Markets has announced the addition of the "Middle East Medical Tourism Industry Outlook to 2016 - Advanced Medical Infrastructure Paving the Way for Future Growth" report to their offering.

Doctors and Tourism Officials Brainstorm on Medical Tourism

Cyprus-mail.com — Medical tourism could contribute towards extending the tourist season in Cyprus, bringing in money and providing jobs during these financially trying times for the island, officials heard yesterday.

Dental Tourism; Why Costa Rica for Dental Procedures?

Costaricantimes.com — Taking care of your gums and teeth are just as important as taking care of the other parts of your body. Untreated dental decay may lead to infection, serious damage to the bone and nerves, tooth loss, and in severe cases may cause death. However, though most people understand the importance of having healthy teeth and gums, not everyone can afford to undergo expensive dental treatments and operations.


Do you know of any available job openings relative to the medical travel industry? We encourage readers to submit any available, relevant job opportunities along with its descriptions and requirements for fellow readers and industry professionals to consider. All submissions are appreciated.


Editor's Note: The information in Medical Travel Today is believed to be accurate, but in some instances, may represent opinion or judgment. The newsletter's providers do not guarantee the accuracy or completeness of any of the information and shall not be liable for any loss or damage caused - directly or indirectly - by or from the information. All information should be considered a supplement to - and not a substitute for - the care provided by a licensed healthcare provider or other appropriate expert. The appearance of advertising in this newsletter should in no way be interpreted as a product or service endorsement by the newsletter's providers.