Todd | Handbook of Medical Tourism Program Development | Buch | sack.de

Todd Handbook of Medical Tourism Program Development



Developing Globally Integrated Health Systems

1. Auflage 2012, 255 Seiten, Kartoniert, Format (B × H): 178 mm x 254 mm, Gewicht: 550 g
ISBN: 978-1-4398-1314-0
Verlag: Productivity Press


Todd Handbook of Medical Tourism Program Development

This handbook prepares readers to build the medical tourism service line, integrate physicians and other service providers, develop a safe and effective quality and patient-centered infrastructure, document processes and workflows, evaluate reimbursement contracts, and measure outcomes.

Zielgruppe


Senior management and board members in foreign and domestic hospitals, physicians, case managers, directors and managers responsible for contracting with third party payers.


Autoren/Hrsg.


Weitere Infos & Material


What is Medical Tourism?Programs within the global healthcare domain Medical Travel options Medical Tourism for elective and cosmetic cases Globalized health sourcing for medically necessary services Case Appropriateness Coordinating the Continuum of CareWho are the stakeholders? PatientsForeign and Domestic Hospitals and PhysiciansHealthcare Accreditation Bodies Many options available from which to chooseInsurance Plans and EmployersSelf-employed individualsGovernment Ministries of Public Health, Economy, Tourism, and Foreign Export Numerous health policy implications Sustainability implications in the local setting Infrastructure concernsUnderwriters, Actuaries, Brokers and Insurance AgenciesLegal counselImmigration officials Medical Tourism Facilitators and Travel /Transportation Providers

The Internationally Integrated Health Delivery SystemElements of the System Quality and Accreditation Provider Credentialing and Privileging Which standard is required? Marketing the Network Print Web-based Service Line Development Revenue Cycle Implications with Third-Party Reimbursement Preauthorization and Precertification Billing, Coding, Claims submission, Follow up Denials and Appeals Management Investigational and Experimental Procedures New Technology to Some; Standard of Care for Others – But Who Pays? Revenue Management Staff Training and Development

Development of the Medical Tourism Network Medical and Hospital Provider Network DevelopmentRepresentative Agreements, Contract Laws, Tax and Currency IssuesReimbursement Agreements with Employers, Insurers and GovernmentsQuality, Safety and Medico-Legal Liability IssuesTort Liability and Negligence

Working with FacilitatorsFee-for-serviceCommission-based arrangements

Developing a Facilitation Agency In-houseThe four domains of Medical Tourism Facilitation Travel Agency Operations Web-based and Traditional Marketing International Business Medical Case Management

Confidentiality and Patient Medical Privacy and SecurityBasics you must know and comply withCase ManagementPrior to DepartureOn ArrivalAt DischargeReturn to the Gateway City and Coordinated AftercareWorking with Health Plans and Insurance SchemesMajor Players United States Australia National Health Service (UK) Canada European UnionOthers

Working Directly with Multinational EmployersWhat is at stake?Employers’ Major ConcernsWhom to Approach and how

Client Satisfaction Issues After the TripSatisfied Customers tell One; Dissatisfied Customers tell Ten Follow up and defining the value outcome Techniques to encourage repeat businessAppendix: BibliographyAdditional Resources


Todd, Maria K.
Maria K. Todd, MHA, PhD, is the CEO of Mercury Healthcare. Dr Todd's background includes postgraduate degrees in Health Administration, and more than 30 years of healthcare industry experience. Her professional experience includes work as a HMO provider relations coordinator, an Independent Practice Association (IPA), Physician Hospital Organization (PHO), and Management Services Organization (MSO) developer and executive director, contract analyst and negotiator, medical group administrator, surgical assistant and EMT, hospital business office manager, health law paralegal and certified mediator. She is the author of the industry's bestselling book, IPA, PHO MSO Development Strategies: Building Successful Provider Alliances (1997, McGraw Hill and the HFMA, Chicago).
Dr. Todd has led the project management of more than 150 integrated health delivery systems, many still in successful operation today, and is a highly-regarded international healthcare industry consultant and contract negotiator who authored hundreds of journal articles, several white papers and nine professional trade books. Since 1989, she has presented more than 2700 US and International educational presentations and keynote addresses on topics ranging from managed care contract analysis, integrated delivery system development, medical tourism, contracted reimbursement, and global healthcare program development.
In her role with Mercury Healthcare, she leads the world's first and only globally integrated health delivery system® making its vast integrated provider network available by contract to a variety of payers of health benefits, including insurers, third party administrators or employers. Mercury also grants access to individual consumers seeking local care and domestic and international health travel for elective healthcare and related services, and manages logistical coordination and medical case management services for clients.


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