Behind the scenes of a multi-year, complex medical case
A New Frontier Group international patient was facing a serious diagnosis, and medical services were only part of the challenge. Behind the scenes, NFG utilised provider relations, pharmacy support, and care management to ensure the patient’s journey remained on track
When the patient presented with a serious oncology diagnosis, their journey quickly evolved into a complex crossborder medical case requiring specialised treatment, continuous communication, and long-term support.
The advanced medical treatments needed to take place at a highly specialised oncology centre of excellence in the US. Through New Frontier Group’s (NFG) provider relationships, the patient was accepted into a leading facility that could provide the heightened level of care.
The clinical pathway for the patient was only one part of the challenge. Equally complex were the financial approvals, medical treatment logistics, pharmacy coordination, and communication required to keep the treatment moving forward smoothly.
The journey
The NFG team coordinated detailed information gathering and sharing with the centre of excellence, the insurer, the patient, and the patient’s family. Much of this operational work happened quietly behind the scenes, yet it was essential for maintaining uninterrupted treatment and securing the best outcomes at the lowest possible cost.
Medication management was also a critical component of the case. Treatment involved specialty medications that needed to be carefully sourced, timed, and delivered. NFG’s pharmacy team worked closely with treating physicians to coordinate prescriptions and ensure medications were available exactly when and where they were needed.
To reduce stress for the patient and family, medications were delivered directly to the patient’s bedside or to where the family was staying.
The patient and family remained in the US for several months while treatment was completed. Once the patient stabilised, they returned to their home country to continue recovery.
Approximately 15 months after the initial treatment, the patient required follow up care in the US. NFG activated its care management team and process, working with all parties to ensure everything was prepared prior to arrival so the patient could check in smoothly. Additionally, NFG arranged laboratory appointments across multiple states to ensure follow-up testing remained on schedule while the patient travelled.
The outcome
Over a multi-year period, NFG supported the patient’s journey through treatment and recovery.
More than 230 claims were coordinated and processed, and total care managed exceeded US$1.24 million. NFG secured 44.65% in savings (well above the typical discounts centres of excellence allow, which average 20–35%).
Successful complex care management is not simply about reducing expense. It is about ensuring continuity of care, minimising stress for families, and supporting patients through some of the most challenging moments of their lives.
As complex international cases often demonstrate, the real impact lies in the work that happens quietly behind the scenes that eliminates unnecessary cost and administrative burden.
NFG arranged laboratory appointments across multiple states to ensure follow-up testing remained on schedule
Gitte Bach is the Founder and CEO of New Frontier Group (NFG), an independent, woman-owned global cost management firm she launched in 2002 with a bold vision: to bring smarter, more affordable solutions to international healthcare. With more than two decades of experience in international insurance and global assistance, Gitte has built NFG into a trusted partner for insurers, maritime operators, and multinational organisations navigating complex healthcare systems worldwide. A frequent speaker at global industry conferences including IAG Global and ITIC, Gitte is known for challenging conventional models and redefining what cost management should look like. She is focused on compassion, transparency, and strategically driven solutions.
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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.
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