Consumer-driven medical tourism
Philip Brun, CEO, US Networks and Administrative Services at UnitedHealthcare Global, talks to ITIJ about strategies for the successful transformation of medical tourism in the US
As the world becomes increasingly interconnected, the movement of people across borders has never been
higher, especially for those seeking high-quality healthcare. The US healthcare system, popular for its high standards, is also one of the most complex and expensive systems in the world.
In 2017, the US accounted for 36% of global medical tourism at US$4 billion. By 2023, the number had grown to $7.75 billion and is projected to continue to grow1 . However, navigating the US healthcare system can be a daunting task for those travelling for work or visiting to address a healthcare need, as well as for organisations providing insurance coverage.
A challenging system
For those unfamiliar with the US healthcare system, making educated decisions and accessing healthcare services can be
particularly challenging. A strong network and claim management partner with expertise in the US healthcare system can help international payers, organisations and their members
through networks of high-performing providers.
Navigating the US system also requires understanding a vast array of options and managing significant expenses, as even basic medical procedures can be costly. This complexity underscores the importance of having accessible resources and assistance. UnitedHealthcare Global addresses these challenges by guiding clients and their members through the system via our US Networks and Administrative Services business.
The US healthcare system,
popular for its high standards,
is also one of the most
complex and expensive systems
in the world
We leverage the UnitedHealthcare network which identifies top-performing providers and health systems then configures a large network around them, enabling individuals to seek care from reputable sources. With over 2.1 million physicians and healthcare professionals and almost 6,000 hospitals in the US through the UnitedHealthcare network2, clients have access
to one of the largest provider networks in the industry. This allows clients to then encourage individuals to choose these high-performing doctors, which may help improve patient
outcomes, lower costs, and create a better experience for all.
Assisting clients
US Networks and Administrative Services also assist clients in finding the right doctors for their members, evaluating treatment
options, and helping clients understand costreduction strategies in healthcare. We offer access to telehealth services, giving patients immediate access to quality healthcare services
without needing to navigate the complex system in person.
For international insurance carriers, the claims administration process can be burdensome, requiring additional administrative resources. UnitedHealthcare Global claims processing systems offer clear, reliable information and stringent cost management, with robust cost controls and checks for fraud, abuse, and
waste. We ensure the accuracy and reliability of data, offer customised information management, and provide self-serve reports on demand. Skilled claims specialists are available to conduct detailed analyses when needed. Throughout this process, clients maintain full control and continue to adjudicate their own claims, with our systems and specialists providing the support and insights needed to make informed decisions.
By providing clear, upfront cost information, it empowers clients and their members to make informed decisions about their healthcare, potentially leading to substantial savings. However, the true potential of this initiative can only be realised through the synthesis of comprehensive, quality-driven data that builds
trust and facilitates meaningful comparisons.
UnitedHealthcare Global's commitment to leveraging advanced technology and extensive experience in healthcare data positions it as a leader in this transformative journey, setting new standards for transparency and consumer empowerment in the healthcare industry.
Sources:
1. https://www.grandviewresearch.com/industry-analysis/us-medicaltourism-m…
2. 2024 UnitedHealth Group Book of Business Statistics
Philip Brun CEO, US Networks and Administrative Services, UnitedHealthcare Global
Since January 2021, Philip has led the US Networks and Administrative Services at UnitedHealthcare Global. With his extensive background in executive management, strategic
thinking, and leadership, he has been instrumental in addressing the complexities of healthcare pricing and enhancing service efficiencies. His pivotal role ensures the alignment of healthcare services with the economic demands and transparency expectations of today's market.
November 2024
Issue
This month we look at affinity partnerships and ask if online travel agencies are the perfect partners for insurers; we cover the trends around cruising in the Mediterranean; we delve into the specifics of the Austrian healthcare system; plus we examine international healthcare and technology, asking how far can technology go.
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.
