Industry Voice: How insurers can support travellers seeking cross-border healthcare solutions
Jennifer Milton, CEO and Founder of Compass Point Assist, talks to ITIJ about cross-border healthcare and what insurers can do to help meet the growing demand for it
Travel and health, often seen as separate realms, are becoming increasingly intertwined in our globalised world. This interconnection becomes even more pronounced when one delves into the realms of cross-border healthcare solutions and medical tourism. But it’s vital first to understand the difference between the two.
Cross-border healthcare solutions primarily refer to people seeking medical attention outside their customary living area. This can be driven by a myriad of factors, such as the closeness to another country, the availability of specialised treatments, or even due to established regional agreements like the EU’s directive on cross-border healthcare. This directive is a testament to the growing need for such services, allowing European citizens to get medical treatments in another member state and then be reimbursed. This initiative is not just about convenience but also about reinforcing the rights of EU citizens to access safe and top-quality healthcare across the bloc.
On the other hand, medical tourism is more leisure-oriented. It’s about individuals travelling to other countries primarily to avail themselves of medical treatments, and often they pair these medical trips with sightseeing or vacationing. The reasons might be diverse, ranging from more affordable healthcare options, unavailability of certain treatments in their homeland, or simply the allure of coupling medical procedures with a relaxing break in a tourist destination.
Understanding these distinctions, we see that cross-border healthcare solutions stand as a testament to a globalised, integrated healthcare system that works diligently to bridge regional or national gaps.
Determining the need for cross-border healthcare initiatives
The necessity for cross-border healthcare often surfaces when local medical infrastructures fall short of a patient’s needs. For instance, certain cutting-edge treatments for specific types of cancer, rare surgeries, or therapies for uncommon diseases might not be available locally. There could also be concerns regarding the standard of care in one’s home country, leading many to seek better quality healthcare elsewhere.
Extended wait times can also play a significant role. In regions where public healthcare systems face challenges, waiting durations for surgeries or treatments can be discouragingly long, making cross-border healthcare a timely alternative.
Furthermore, the allure of participating in clinical trials or being part of pioneering research for rare conditions can also motivate patients to explore healthcare solutions beyond their borders.
The approval process for insurers
For cross-border healthcare to be feasible and to ensure patients aren’t left with exorbitant bills, insurance providers usually have a systematic approval process in place. This process starts with a comprehensive medical evaluation, where the patient’s condition, available treatment options in the home country, and the merits of seeking treatment abroad, are weighed.
Cross-border healthcare solutions stand as a testament to a globalised, integrated healthcare system that works to bridge regional or national gaps
Cost considerations also come into play. A detailed cost-benefit analysis ensures that the treatment abroad, inclusive of travel, accommodation, and other related expenses, is financially viable. Legal and compliance checks are equally crucial, with insurers making sure that the sought-after medical procedures are permitted in both the home and destination countries and that the overseas medical institutions adhere to international standards.
A well-defined post-treatment plan is indispensable. It outlines the subsequent stages of care, including follow-up treatments, rehabilitation requirements, and medication, ensuring the patient’s healthcare journey is holistic and comprehensive.
Insurers: facilitators of cross-border healthcare
Insurance providers are more than just financial safety nets in this context. Their role has evolved into that of enablers and facilitators. A robust global healthcare network, maintained by insurers, can offer patients confidence in the quality of care they’ll receive, and simplify the often complex claims process. This network, connecting esteemed hospitals and clinics globally, becomes the backbone of cross-border healthcare.
Moreover, the digital revolution has opened new avenues. Telemedicine, now a cornerstone of modern healthcare, can be seamlessly integrated by insurers to provide pre-travel consultations. This proactive approach often sets the tone for a successful medical trip abroad.
Telemedicine, now a cornerstone of modern healthcare, can be seamlessly integrated by insurers to provide pre-travel consultations
Clarity in communication is paramount. Insurers need to be transparent about what’s included in their coverage and what’s not. With global healthcare solutions becoming increasingly sought after, policies need to be unambiguous, with a focus on clear communication, round-the-clock support, and comprehensive coverage that ensures every facet of the medical journey, from pre-travel assessments to post-treatment care, is addressed.
To conclude, as our world becomes increasingly interconnected, healthcare solutions will continue to traverse borders. Cross-border healthcare offers many the hope of advanced treatments, and the role of insurers is indispensable. By continually innovating and prioritising patient wellbeing, insurers can guarantee that global healthcare access remains a tangible, achievable reality.