Todd Handbook of Medical Tourism Program Development

Developing Globally Integrated Health Systems
1. Auflage 2012
ISBN: 978-1-4665-1615-1
Verlag: Taylor & Francis
Format: EPUB
Kopierschutz: Adobe DRM (»Systemvoraussetzungen)

E-Book, Englisch, 255 Seiten

Explaining how to develop a patient-centered medical tourism program, the Handbook of Medical Tourism Development is the ideal guide for any hospital, clinic, hotel, spa, or ancillary facility wishing to become a medical tourism provider. From high-cost surgery, transplants, diagnostics, and preventive wellness checkups, to medical and wellness spa retreats, patient follow up, and outcomes measurement, this book covers the gamut of related issues.

- Details the elements necessary for a successful system

- Addresses contracting issues likely to arise

- Includes access to additional resources on the book’s website

Maria K. Todd prepares readers to build the medical tourism service line, integrate physicians and other service providers, develop a safe and effective quality and patient-centered infrastructure, document processes and workflows, determine pricing, evaluate reimbursement contracts, and measure outcomes. She offers useful nuts-and-bolts guidance on confidentiality, documentation, quality and safety, hospital accreditation schemes, revenue implications, and contracting. Sharing time-tested insights, the book will help readers avoid common pitfalls when working with U.S. and international health insurance companies, case managers, professional facilitators, and multinational employers.
Read a recent press release about the Handbook of Medical Tourism Program Development:

http://www.prlog.org/11757451-medical-tourism-expert-breaks-down-step-by-step-medical-tourism-program-development-for-providers.html

Zielgruppe

Senior management and board members in foreign and domestic hospitals, physicians, case managers, directors and managers responsible for contracting with third party payers.

Autoren/Hrsg.

Todd, Maria K.

Fachgebiete

• Medizin | Veterinärmedizin Medizin | Public Health | Pharmazie | Zahnmedizin Medizin, Gesundheitswesen Gesundheitssystem, Gesundheitswesen
• Wirtschaftswissenschaften Finanzsektor & Finanzdienstleistungen Finanzsektor & Finanzdienstleistungen: Allgemeines
• Wirtschaftswissenschaften Betriebswirtschaft Management

Inhaltsverzeichnis

What is Medical Tourism?
Programs within the global healthcare domain
Medical Travel options
Medical Tourism for elective and cosmetic cases
Globalized health sourcing for medically necessary services
Case Appropriateness
Coordinating the Continuum of Care

Who are the stakeholders?
Patients
Foreign and Domestic Hospitals and Physicians
Healthcare Accreditation Bodies
Many options available from which to choose
Insurance Plans and Employers
Self-employed individuals
Government Ministries of Public Health, Economy, Tourism, and Foreign Export
Numerous health policy implications
Sustainability implications in the local setting
Infrastructure concerns
Underwriters, Actuaries, Brokers and Insurance Agencies
Legal counsel
Immigration officials
Medical Tourism Facilitators and Travel /Transportation Providers

The Internationally Integrated Health Delivery System
Elements of the System
Quality and Accreditation
Provider Credentialing and Privileging
Which standard is required?
Marketing the Network
Print
Web-based
Service Line Development
Revenue Cycle Implications with Third-Party Reimbursement
Preauthorization and Precertification
Billing, Coding, Claims submission, Follow up
Denials and Appeals Management
Investigational and Experimental Procedures
New Technology to Some; Standard of Care for Others – But Who Pays?
Revenue Management Staff Training and Development

Development of the Medical Tourism Network
Medical and Hospital Provider Network Development
Representative Agreements, Contract Laws, Tax and Currency Issues
Reimbursement Agreements with Employers, Insurers and Governments
Quality, Safety and Medico-Legal Liability Issues
Tort Liability and Negligence

Working with Facilitators
Fee-for-service
Commission-based arrangements

Developing a Facilitation Agency In-house
The four domains of Medical Tourism Facilitation
Travel Agency Operations
Web-based and Traditional Marketing
International Business
Medical Case Management

Confidentiality and Patient Medical Privacy and Security
Basics you must know and comply with

Case Management
Prior to Departure
On Arrival
At Discharge
Return to the Gateway City and Coordinated Aftercare

Working with Health Plans and Insurance Schemes
Major Players
United States
Australia
National Health Service (UK)
Canada
European Union
Others

Working Directly with Multinational Employers
What is at stake?
Employers’ Major Concerns
Whom to Approach and how

Client Satisfaction Issues After the Trip
Satisfied Customers tell One; Dissatisfied Customers tell Ten
Follow up and defining the value outcome
Techniques to encourage repeat business
Appendix: Bibliography
Additional Resources

Über Autor(innen)

Maria K. Todd, MHA, PhD, is the CEO of Mercury Healthcare. Dr Todd's background includes postgraduate degrees in Health Administration, and more than 30 years of healthcare industry experience. Her professional experience includes work as a HMO provider relations coordinator, an Independent Practice Association (IPA), Physician Hospital Organization (PHO), and Management Services Organization (MSO) developer and executive director, contract analyst and negotiator, medical group administrator, surgical assistant and EMT, hospital business office manager, health law paralegal and certified mediator. She is the author of the industry's bestselling book, IPA, PHO MSO Development Strategies: Building Successful Provider Alliances (1997, McGraw Hill and the HFMA, Chicago).
Dr. Todd has led the project management of more than 150 integrated health delivery systems, many still in successful operation today, and is a highly-regarded international healthcare industry consultant and contract negotiator who authored hundreds of journal articles, several white papers and nine professional trade books. Since 1989, she has presented more than 2700 US and International educational presentations and keynote addresses on topics ranging from managed care contract analysis, integrated delivery system development, medical tourism, contracted reimbursement, and global healthcare program development.
In her role with Mercury Healthcare, she leads the world's first and only globally integrated health delivery system® making its vast integrated provider network available by contract to a variety of payers of health benefits, including insurers, third party administrators or employers. Mercury also grants access to individual consumers seeking local care and domestic and international health travel for elective healthcare and related services, and manages logistical coordination and medical case management services for clients.