Maria K. Todd
Employer's Guide to Medical Tourism Benefit Design
Employer's Guide to Medical Tourism Benefit Design
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Excellent- More about Employer's Guide to Medical Tourism Benefit Design
Health travel, both domestic and international, is a cost-containment option used by the group health benefit sector. Employers are testing the receptiveness of plan participants by offering procedures for up to 75% less than they would pay if treated closer to home. This book provides guidance on designing and launching a health travel benefit pilot program, plan funding options, quality, safety, and logistic considerations, provider selection criteria, and bundled case rate contracting.
Format: Hardback
Length: 230 pages
Publication date: 01 June 2024
Publisher: Apple Academic Press Inc.
Health travel, both domestic and international, has emerged as a proven cost-containment solution primarily utilized by reinsurers, case management firms, and limited to rare, high-cost tertiary care. Employers are now exploring the receptiveness of plan participants by introducing cost-saving benefit design incentives, encouraging them to consider a narrow network of high-performance healthcare providers in targeted locations, potentially further from their homes. This trend has given rise to domestic medical tourism, where patients travel to another city within the U.S. to undergo procedures at significantly lower costs compared to closer-to-home options. Large employers like Wal-Mart, Lowe's, and Pepsi Co are offering employees and dependents heart, spine, and transplant surgeries at renowned medical facilities such as John Hopkins and the Cleveland Clinic, regardless of their location within the country.
This comprehensive book provides valuable insights on designing and launching a health travel benefit pilot program, exploring funding options, addressing quality, safety, and logistical considerations, selecting providers, and implementing bundled case rate contracting both in the U.S. and abroad. The author includes numerous worksheets, checklists, and forms to assist in program design.
By leveraging health travel, employers can effectively control healthcare costs, enhance plan participant satisfaction, and provide access to specialized care options, ultimately improving the overall health and well-being of their workforce.
Dimension: 234 x 156 (mm)
ISBN-13: 9781482229783
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