From air ambulances to artificial intelligence
Stanley Nkosi, Head of Operations at Alliance International Medical Services (AIMS), talks to ITIJ
You have been in the industry for almost 25 years. Can you tell us what has changed the most in that time?
The industry has undergone significant growth and transformation, with an increase in assistance and insurance providers expanding global capacity to respond to medical needs. The development of more hospitals reflects rising healthcare demand, while public awareness has improved, despite ongoing challenges around affordability. Operationally, the industry has become far more dynamic, with faster air ambulance responses, improved communication across Sub-Saharan Africa, and more efficient airline repatriations reducing MEDIF clearances from several days to approximately 48 hours.
How do you see the role of assistance services evolving in emerging markets over the next five to 10 years?
With increased global awareness of travel insurance and medical coverage, demand for assistance services continues to grow. While the industry has historically remained low profile, it is now evolving rapidly. There is growing collaboration across the sector, with closer alignment between assistance companies, insurers, healthcare providers, and airlines ultimately streamlining processes and improving patient outcomes.
How is AIMS adapting to technological advancements such as artificial intelligence (AI), telematics, and digital platforms in travel assistance?
AIMS is actively embracing technological advancements and aligning itself with the evolving landscape. We benefit from a diverse, multi-generational workforce, which provides a balanced approach to innovation and experience.
Our IT, Human Resource Development and Network departments are making significant progress by upgrading existing systems and implementing new digital solutions. These improvements are already evident in the cases we manage, enabling AIMS to operate more effectively and deliver faster, more reliable services.
How important are partnerships and global networks in ensuring effective assistance services?
Partnerships and global networks are fundamental to delivering effective assistance services. Trust and clear communication are essential components of any successful collaboration. While agreements can be formalised, a lack of trust can undermine even the strongest partnerships.
At AIMS, we are guided by our core values: dignity, humanity and respect. These principles have enabled us to build and maintain strong global relationships. As a result, when AIMS is entrusted with patient transfers from remote areas, clients can be confident that patients will be moved within 12 to 24 hours to a P1 hospital, where comprehensive medical disciplines are available in close proximity, ensuring optimal patient outcomes.
What trends are you seeing in customer expectations, and how should assistance companies respond?
Several key trends are shaping customer expectations:
Fraud in certain regions: in countries such as Nigeria, Uganda, and the Democratic Republic of Congo, there are instances where minor medical cases are exaggerated, with service providers inflating bills in collaboration with patients. As the industry is aware of these highrisk regions and facilities, stricter controls and preventative measures should be implemented to address this challenge.
Private room expectations: many insurers do not explicitly include private room coverage in their guarantees of payment (GOPs). However, patients often expect private accommodation, leading to frustration when approvals are delayed or availability is limited. Greater clarity from insurers regarding coverage would help manage expectations and improve the client experience.
Copayments: while some clients are aware of copayment requirements, others are not, or may refuse to comply. This can create tension between the client, hospital, and assistance provider. Clear communication prior to admission is essential to avoid misunderstandings.
Repatriation expectations: patients, particularly those evacuated from remote areas with accompanying family members, often expect full coverage for accommodation, meals, transportation, and return travel. While AIMS proactively clarifies these aspects with insurers when involved from the outset, gaps can arise when expectations are not clearly communicated. Transparency between insurers and clients is critical in managing these expectations effectively.
About Alliance International Medical Services (AIMS)
Alliance International Medical Services, established in 2002, is a trusted provider of medical assistance solutions across Africa. Leveraging deep regional knowledge, strong hospital partnerships, and an extensive network, AIMS delivers efficient, end-to-end support. Its experienced team ensures reliable, high-quality service across South Africa, the continent, and beyond.
Stanley Nkosi
Head of Operations, AIMS
Stanley has been an integral part of Alliance International Medical Services (AIMS) since its earliest days. Having first worked alongside Bernadette Breton at Sunninghill Hospital, Stanley joined her just three months after the founding of AIMS. Stanley has grown into his role, demonstrating exceptional leadership, dedication, and operational expertise. Now Head of Operations, he leads his department with confidence and precision, making him an invaluable asset to AIMS.
May 2026
Issue
Welcome to your May ITIJ. This month we look into partnerships and affinity deals and we ask where in the world these insurance distribution channels are working most effectively; plus we consider medevac and assistance from Africa – exploring the opportunity for tailored medevac and medical assistance solutions designed specifically for the region.
Editorial Team
The Editorial Team updates the ITIJ website daily, and works on features for the print edition. With expert industry knowledge and years of experience in writing about complex travel insurance issues, the Editorial Team is ready to investigate and report on the topics that matter most to ITIJ's readers.