THIS WEEK IN U.S. DOMESTIC MEDICAL TRAVEL
Volume 2, Issue 11
As the U.S. domestic medical travel industry continues to flourish, the concept of direct contracting with providers is becoming increasingly popular.
This week, I spoke with Bob Cummings, president, National Association of Professional Benefits Administrators (NAPBA), who explains that the concept of direct contracting with Centers of Excellence in the U.S. is primarily driven through a health plan, and for participants who utilize account-based plans, including Flexible Savings Accounts (FSA) or Health Savings Accounts (HSA), they're paying out-of-pocket expenses that aren't covered by the health plan.
In terms of employer direct contracting, employers can establish a special purpose "Medical Travel Health Reimbursement Arrangement (HRA)," and designate tax-free funds that would be available to reimburse employees or pay for a specific menu of eligible medical expenses as defined by the plan. Read on to learn more!
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 these decisions for the marketplace. http://www.siia.org/
Whether you are an employer, provider or intermediary, you will want to attend. Look forward to seeing you in September!
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.
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 email@example.com 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: editor@USDomesticMedicalTravel.com.
Editor and Publisher
SPOTLIGHT: Bob Cummings, president, National Association of Professional Benefits Administrators (NAPBA)
About Bob Cummings
American Benefits Group delivers innovative on demand benefits administration solutions that combine empowering technology and exceptional customer service while maximizing value and efficiency. We provide a fully integrated and interactive CDHC platform for all pretax account based plans including Flexible Spending Accounts (FSAs) and Health Reimbursement Arrangements (HRAs), Health Savings Accounts (HSAs) to Commuter Parking and Transit Accounts. In addition we are a leading provider of COBRA and Direct Premium Billing Administration Services.
Click here to read the full story
All Expense Paid Trip Anywhere in the U.S. (Complimentary Knee Replacement)
Recently, The Hotel Guide published an article entitled: "All Expense Paid Trip Anywhere in the U.S. (Complimentary Knee Replacement)," authored by Laura Carabello, executive editor and publisher of U.S. Domestic Medical Travel.
The article details a new, innovative platform - DoctorGlobe - which offers online tools that can help consumers find, compare and reserve medical care online. Individuals have a choice of more than 3,000 U.S. domestic hospitals that offer better care for less money -- anywhere from one mile to 2,500 miles away from their home.
To learn more about DoctorGlobe, view The Hotel Guide's latest issue here and flip to page 24 to read the article.
DiagnosticSite Site Network Certification Awarded to 58 U.S. Imaging Organizations
Healthhelp.com-DiagnosticSite is pleased to recognize 58 organizations for their quality network of diagnostic imaging facilities. To qualify for Site Network Certification, imaging networks must demonstrate that at least 70% of their network is certified through the DiagnosticSite Quality Assessment. Organizations with 90% or more certified imaging sites are recognized with Site Network Certification with Distinction.
Click here to read the full story
Cross-Border Health Care in California Expands
by Richard Krasner
In my earlier posts on cross-border health care, "Cross-border Workers' Compensation a Reality in California", "NAFTA, Work Comp and Cross-Border Medical Care: A Legal View", "NAFTA, Work Comp and Cross-Border Medical Care: A Legal View: Update", and "Cross-border Health Care and the ACA", I discussed the way some Mexican workers living in Mexico, but working in the U.S. or traveling between the U.S. and Mexico, have been able to get health care on both sides of the border.
Click here to read the full story
VIP Pass for U.S. Domestic Medical Travel Subscribers to Attend IHC Private Exchange FORUM
YOU'RE INVITED: Attend the 2nd Annual IHC Private Exchange FORUM in Baltimore, MD, September 8-9th as a VIP guest!
Private Exchange FORUM is part of the only industry conference series where you can learn how to benefit from the massive private exchange transition.
According to the latest estimates, over six million Americans already receive their employee benefits via a private exchange - and this number is expected to balloon to over 40 million within the next several years.
Meanwhile, a dizzying amount of information - articles, product announcements, acquisitions and predictions - on private exchanges has flooded employee benefits circles in recent years. As press releases and articles detailing strong enrollment growth have consistently hit industry publications, blogs and social media pages, so too has quite a bit of misinformation on what a private exchange is and what it can (or can't) do.
Private Exchange FORUM is a collaborative environment that brings together all industry stakeholders to explore and truly investigate what's working and what's not in the emerging private exchange market. The goal is to help all stakeholders cut through the clutter by crafting a balanced conference program that eschews misinformation and gets to the heart of the issues around private exchanges and defined contribution. Click here for an offer to gain free registration!
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
201.641.1911 < 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
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.
Telehealth May Aid in Medical Tourism, But Barriers Abound
by Katie Dvorak
FiercehealthIT.com-Medical tourism, with the assistance of telemedicine in the U.S., holds a great many opportunities, as well as myriad challenges, according to Yan Alicia Hong, Ph.D., of the School of Public Health at Texas A&M University.
To view the original article click here.
UnitedHealth to Pay for Kidney Donors' Travel Costs
by Leslie Small
Fiercehealthcare.com-UnitedHealth will reimburse up to $5,000 in travel and lodging expenses for kidney transplant donors, a move that could encourage more donations and in turn, save insurers money if it reduces how long patients have to wait for a kidney.
To view the original article click here.
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