Volume 2, Issue 13

Dear Colleagues,

Corporations, third party administrators, brokers and others are burdened by issues related to back pain, which eighty percent of individuals will experience by the time they are 55.

To avoid costly surgical interventions, Winifred Bragg, MD, asserts the value of opting for a non-surgical route first, which often leads to lower costs, faster healing and a more rapid return to work. Read on to learn more about back pain and appropriate care methods.

Switching Gears: For employers and providers who are interested in getting involved with direct contracting, who should their first point of contact be? Third party administrators? Benefit advisors?

What about LAWYERS?

I spoke with healthcare lawyers, Lynn Shapiro Snyder and Anjana Patel of Epstein Becker Green, who describe their multidisciplinary roles serving as consultants, and legal and regulatory advisors.

Lawyers may get involved in the early stages of direct contracting, either on behalf of a self-funded employer or a provider, to fully identify the health regulatory issues relevant to direct contracting, and create, negotiate and execute a legal document.

Self-insured employers of all sizes are re-evaluating the size and scope of their networks to ensure that individuals are accessing quality care at the most cost-effective sites. This new trend will be on my mind when, once again, I chair a panel presentation at SIIA's upcoming Annual Meeting in Austin, Texas, September 25-27, 2016.

Judging from the turnout and enthusiasm at last year's event, I am certain that this year will be even better.  Take a look at the speakers - high profile leaders who are positioned to make key decisions for the marketplace.

Whether you are an employer, provider or intermediary, you will want to attend. Look forward to seeing you in September!

Please join me in congratulating our assistant editor, Megan Kennedy, on the birth of her son:
Greyson Ryan - Born on July 29th, 2016, 8 pounds 7 ounces.

We're starting to hear from many hospitals, independent surgi-centers and provider groups that want to be better positioned to serve self-funded employers offering medical/surgical travel options.  If you have a good story to tell us, please be in touch!  We want to boost opportunities for Centers of Excellence nationwide. 

Tell us:
What distinguishes your service offering in terms of cost, patient experience and satisfaction, outcomes, or other quality indicators. 

Send us your descriptor, including photos or charts, and we will evaluate for publication in this newsletter.

"Rising health insurance premiums, lack of transparency and increased awareness of how varied medical costs and quality vary dramatically between hospitals and across regions, have pushed consumers right into the arms of international and domestic medical travel. The growing industry provides the perfect solution for patients to receive the high-quality, cost-effective care that they need AND rightfully deserve!" - Laura Carabello, Executive Editor and Publisher, Medical Travel Today and U.S. Domestic Medical Travel.

READERS: I invite you to send quotes relevant to domestic medical travel to to be featured in upcoming issues of U.S. Domestic Medical Travel.

Thank you for your interest in this exciting, growing market space. Please be in touch with your comments and editorial contributions, which can be sent directly to:

Laura Carabello
Editor and Publisher


SPOTLIGHT: Winifred Bragg, MD, author, KnockOutPain® Secrets to Maintain a Healthy Back

About Winifred Bragg, MD
Winifred Bragg, M.D., FAAPMR, Diplomate, Pain Medicine, author, KnockOutPain® Secrets to Maintain a Healthy Back, is an expert in providing non-surgical treatment for injuries and pain resulting from spinal and orthopedic conditions. She has been featured in numerous broadcast and print media outlets, including ABC, NBC, CBS, FOX, Redbook, Women’s World, and Self magazine.

Click here to read the full story

INTERVIEW: Epstein Becker Green: Leading the Discussion on Direct-to-Employer Contracting

Lynn Shapiro Snyder, Board of Directors and Firm Member

About Lynn Shapiro Snyder
Lynn Shapiro Snyder is a senior member of Epstein Becker Green in the Health Care and Life Sciences and Litigation practices in the firm's Washington, District of Columbia, office, and she is strategic counsel with EBG Advisors, Inc. Ms. Snyder has over 35 years of experience at Epstein Becker Green, advising clients about federal, state and international health law issues, including Medicare, Medicaid, TRICARE, compliance, managed care and FDA issues. Her clients include healthcare providers, payers, pharmaceutical/device manufacturers, and companies and financial services firms that support the healthcare industry. She publishes extensively and is a frequent speaker, particularly on topics related to health reform. Ms. Snyder is founder and president of the Women Business Leaders Foundation.


Anjana D. Patel, Firm Member

About Anjana D. Patel
Anjana D. Patel is a member of the firm in the Health Care and Life Sciences practice, in the Newark and New York offices of Epstein Becker Green, and serves on the firm's National Health Care and Life Sciences Steering Committee. She represents a diverse group of healthcare providers, including hospitals and health systems, ambulatory care facilities, post-acute providers, private equity funds, pharmacies and physicians, as well as various other healthcare industry suppliers and businesses. Ms. Patel represents clients in a variety of complex business transactions, including mergers and acquisitions, joint ventures, physician-alignment transactions, value-based and population health management contracting. She also provides guidance and compliance strategies with respect to issues involving federal and state healthcare laws. Ms. Patel is a frequent speaker on a wide array of healthcare issues and has authored numerous articles in various national and local healthcare industry publications.

About EBG Advisors, Inc.
EBG Advisors is a Washington, District of Columbia, based consultancy, affiliated with Epstein Becker Green, that takes a multi-disciplinary approach to helping healthcare and life sciences companies navigate the many obstacles that they face. EBG Advisors is a network of international attorneys, policy analysts, strategists and other professionals who specialize in providing coordinated guidance and solutions across various segments of the healthcare industry.

About National Health Advisors
National Health Advisors (NHA) is a consultancy (affiliated with Epstein Becker Green and the Oldaker Law Group, LLP) dedicated to the provision of legislative and regulatory advocacy. No other consultancy matches NHA’s depth of expertise in helping a wide range of organizations navigate and influence policies that affect the U.S. healthcare system. NHA gives health, education, and not-for-profit institutions a strong voice in the halls of Congress and throughout federal administrative agencies.

Click here to read the full story

Why Health Tourism Destinations Succeed and Fail

...lessons from the Silicon Valley of the Second Industrial Revolution

by Constantine Constantinides, M.D., Ph.D.

Some of the websites cited may, at the time of reading this paper, be temporarily inaccessible.

Policy and Strategy "Bottom Line Executive Briefs"

"Bottom Line Executive Briefs" aim to extract and present the essential information related to specific issues and topics as briefly as possible. For deeper dives, one needs to read the corresponding Policy and Strategy Papers.

Click here to read the full story

Hospitals Expand Their Global Reach
Johns Hopkins, UCLA among the academic medical centers leading efforts to build international partnerships.
by Bob Kehoe many academic medical centers, UCLA Health devotes considerable time and energy to honing its international strategy, both in treating patients from abroad and forging partnerships to deliver care to foreign patients closer to home.

To view the original article click here.

Surgeries at High-Quality Hospitals Cost Less for Medicare
by Paige Minemyer performed at high-quality hospitals cost Medicare less than those performed at lower-quality hospitals, new research has found.

To view the original article click here.

Rising to the Challenge
The Commonwealth Fund Scorecard on Local Health System Performance, 2016 Edition
by David C. Radley, Doug McCarthy, and Susan L. Hayes

Highlights from the Scorecard
This 2016 edition of The Commonwealth Fund’s Scorecard on Local Health System Performance assesses the state of healthcare in more than 300 U.S. communities from 2011 through 2014, a period when the Affordable Care Act was being implemented across the country.

To view the full report click here.

Prescription Drug Costs Around the Globe
by Kelly Gooch 

Becker's Hospital Review is the original producer/publisher of this content.

The International Federation of Health Plans has released its 2015 Comparative Price Report, detailing its annual survey of medical prices per unit.

To view the original article click here.

Ryan Prevails over Trump in Republican Health Policy Platform
by Harris Meyer sooner had I filed a blog post late Monday afternoon asking when the Republican Party planned to release its overdue 2016 policy platform when, lo and behold, it appeared a couple hours before the GOP national convention opened. 

To read the original article click here.

Costs of Zika Among the Many Unknowns of the Virus
by Shannon Muchmore buffs and infectious-disease experts have already drawn links between the rubella outbreak in the 1960s and the current spread of Zika

To read the original article click here.

36th Annual National Educational Conference & Expo
September 25-27, 2016 • JW Marriott Austin • Austin, TX

SIIA's National Educational Conference & Expo is the world's largest event dedicated exclusively to the self-insurance/alternative risk transfer industry. Registrants will enjoy a cutting-edge educational program combined with unique networking opportunities, and a world-class tradeshow of industry product and service providers guaranteed to provide exceptional value in four fast-paced, activity-packed days.

Monday, September 26, 2016
TIME: 1:45 p.m. - 3:00 p.m.

"Taking a page from the travel surgery playbooks that the large, high-profile companies have followed over the past few years, mid-size or smaller employers and plan sponsors now recognize that the site of service significantly impacts the quality and cost of care. These are the keys factors in selecting where to have procedures performed - everything from MRIs and diagnostics to complex surgeries. 

Learn how TPAs, brokers and employers are educating and incenting employees to make better choices - from reducing coinsurance to eliminating copayments, paying travel expenses or cash rewards.  The goal is to help employees seek the right care, at the right time, and in the right place - in or out of current networks."

Panel Chair: Laura Carabello

Editor and Publisher


777 Terrace Avenue
Hasbrouck Heights, New Jersey 07674
< DIRECT > x12

Laura Carabello, principal and chief creative officer, CPR Strategic Marketing Communications, is a strategy consultant in healthcare and technology who has more than 25 years of experience in positioning public, private and non-profit entities in medical travel, health information technology, managed care and employee benefits, and life sciences. Carabello presents and chairs numerous industry conferences, and has testified before the U.S. Federal Trade Commission on healthcare advertising and marketing ethics. The recipient of multiple leadership and humanitarian awards, Carabello serves as a member of the Board of Directors of the YWCA of Bergen County. She received a B.S. in Journalism from the Newhouse School of Communications at Syracuse University.

Simeon Schindelman, CEO, Brighton Health Plan Solutions

One Penn Plaza, 46th Floor, New York, NY 10119
Office Phone:  212.485.9017

Combine a commitment to multiple market stakeholders and a passion to empower individuals and families with the healthcare tools that they have long desired, and you'll have an introduction to Simeon Schindelman, CEO, Brighton Health Plan Solutions (BHPS), parent of MagnaCare LLC, MagnaCare Administrative Services, as well as a brand new commercial health plan currently in development.

Simeon is responsible for all aspects of these businesses including current performance, as well as establishing and implementing strategic priorities that will enhance future success.

Effective and transformative innovation is Simeon's personal trademark, and he will draw upon his broad management experience, leadership expertise and deep understanding of the varied participants in the healthcare marketplace to drive the growth of BHPS.

Given his demonstrated success building businesses that transform the traditional approach to healthcare, and proficiency in working with plan sponsors of all size and scope, Simeon is powering a business model that leverages data analytics, consumer service, and advanced technology to deliver personalized healthcare solutions. He is recognized for incorporating high-touch, thoughtful services that people value in virtually every aspect of their lives, but have been missing in their insurance and healthcare experiences. His formula is also designed to serve the targeted, unique needs of providers, employers and brokers, all of whom are key to bringing tomorrow's healthcare solution to the marketplace today.

This brand of forward-thinking management contributed to the success of his most recent leadership role as chairman and CEO of Bloom Health, Minneapolis, Minnesota (2012 - 2015), a leader in designing, building, and operating private exchanges. Simeon drove rapid growth that was catalyzed by a commitment to bringing consumers "knowledge, trust, and confidence."

Previously, he was senior vice president, Commercial Markets (2009 - 2012) at Medica Health Plans, Minnetonka, Minnesota, where he and his team created My Plan by Medica, an exceptional provider-oriented product developed in partnership with health systems. Over the years, he has held senior level management positions at several high-profile healthcare companies including a succession of leadership roles at UnitedHealthcare.

A graduate of Dartmouth College, Schindelman is determined to make a measurable difference in people's lives and bring about positive change. These are the hallmarks of his unique approach and vision for the success of BHPS.

Mark Kendall, Senior Partner, HUB International Midwest Limited

55 East Jackson Boulevard Chicago, Illinois 60604
Direct Dial: 312-429-2287
Mobile: 312-848-8298

With 30 years' experience in the corporate employee benefit industry, Mark has a proven record in consulting corporations. His core competencies include alignment of strategic and tactical objectives of Fortune 500 corporations to enhance their own future financial position with their total rewards plans and with the insurance carrier. Starting his 16th year in consulting, Mark has created over $150 million in documented savings for large corporations and their employees relative to their plans.

Mark is a senior partner at Hub International located in their Chicago office. Hub International is the largest privately held brokerage in the U.S. with over 8,500 employees serving customers in North America. Mark has worked with many of the Fortune 500 companies over his consulting career, including Accenture, W.W. Grainger, Gannett, HCR ManorCare, HSBC, JohnsonDiversey, ArcelorMittal, Presence Health, United Airlines, Union Pacific Railroad and Reyes Holdings.

Prior to his consulting career, Mark's carrier background includes leading the Chicago operation of Unum and leading Prudential Financial's Midwest operation. Throughout his career, Mark's experience also includes extensive training to the industry, product innovation and development specifically directed towards national account sized multinational companies.

Carrie Hatch, Chief Operating Officer, AmeriBen

3449 Copper Point Drive Meridian, Idaho 83642
Office Phone: (208) 947-9229

Carrie has been with AmeriBen since 2004. As chief operating officer, she is responsible for Operations and is a member of AmeriBen's Executive Leadership Team. She oversees the Claims and Customer Care Centers, Provider Relations, Client Accounting, Plan Build, and Support Services. Carrie's exceptional attention to detail and ability to understand the complexities of the TPA business have been instrumental in the quality of AmeriBen's operations.

Prior to joining AmeriBen, Carrie served seven years as a project coordinator for a large executive consulting firm. Previous capacities she has served in here at AmeriBen include Accounting, Technology Services Center Analyst, and EDI Services Coordinator. Her internal advancement and contributions to the organization truly embody our Core Purpose as it pertains to developing great leaders.

Carrie received her Bachelor's degree in Accounting from the University of Phoenix in Arizona.


Help Save a Life and Support MatchingDonors
100 percent of all donations on go to help people get organ transplants on

MatchingDonors is a 501c3 nonprofit organization and the nation's largest online living organ donor organization finding living organ donors for people needing organ transplants. In conjunction with various health organizations throughout the United States we have created a very successful Public Service Announcement campaign to help people recognize that they can save lives by being a living organ donor, to encourage them to register as an altruistic living organ donor, and to make them realize they can help save the lives of people needing organ transplants by donating other things. This MatchingDonors Living Organ Donor Initiative program has already saved thousands of lives.

Do you know of any available job openings relative to the U.S. domestic 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.


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Copyright © 2016
U.S. Domestic Medical Travel™

About U.S. Domestic Medical Travel
U.S. Domestic Medical Travel, a sister publication to Medical Travel Today, is a newsletter published by CPR Strategic Marketing Communications, an international marketing and public relations agency based near New York City that specializes in healthcare and life sciences. In the new era of health reforms, U.S. Domestic Medical Travel discusses the growth of domestic medical travel and its importance to hospitals, employers, insurers, health plans, government, TPAs, brokers and other intermediaries.

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Find Us Online Facebook Twitter LinkedIn Pinterest Google+ YouTube
Spotlight Interview

Winifred Bragg, MD, author, KnockOutPain® Secrets to Maintain a Healthy Back

Epstein Becker Green: Leading the Discussion on Direct-to-Employer Contracting

News in Review

Why Health Tourism Destinations Succeed and Fail

Hospitals Expand Their Global Reach

Surgeries at High-Quality Hospitals Cost Less for Medicare

Rising to the Challenge

Prescription Drug Costs Around the Globe

Ryan Prevails over Trump in Republican Health Policy Platform

Costs of Zika Among the Many Unknowns of the Virus

36th Annual National Educational Conference & Expo


Help Save a Life and Support Matching Donors