Medical Tourism Services

Medical Tourism Services

Medical Tourism is the act of seeking health care services outside your home country and is becoming increasingly popular in the United States. This phenomenon is due to two trends, the availability of medical information over the World Wide Web and the deregulation of the airline industry, which made it less expensive for middle class residents to travel. My company, Praevalere Inc. provides the following services for medical tourism:

  • Contract Negotiations with medical tourism facilitators and health care providers
  • Contract and Service Audits
  • Quality Assessment and Reporting
  • Strategic Support for Program Design

Compensation

All services are provided on a fee basis and the cost is determined by the scope of services.

Performance Audits

Business Development

  • Grant Writing, Administration, and Reporting
  • Nursing Programs, including nursing school creation
  • Palliative Care program development, measurement
  • Wellness Center development, measurement

Advocacy

  • Policy research and analysis for Medicaid & other health policy areas
  • Constituent Assessment/Consensus Building
  • Political/stakeholder Analysis

Strategic Planning Support

Planning and strategic analysis services in the following areas:

Advocacy

  • Policy research and analysis for Medicaid & other health policy areas
  • Constituent Assessment/Consensus Building
  • Political/stakeholder Analysis

Business Development

  • Grant Writing, Administration, and Reporting
  • Nursing Programs, including nursing school creation
  • Palliative Care program development, measurement
  • Wellness Center development, measurement

Performance Improvement

Performance improvement initiatives include:

  • Research & Integration of Qualitative Measures into Program Development
  • Development of Models to test Performance Improvement
  • Capturing Qualitative and Quantitative Data for Program Measurement
  • Process Analysis for Value Creation & Lean Operations
  • Performance Audits

Policy Research & Analysis

Roberta Winter has published over twenty four health policy articles since 2007. Articles have included the following topics:

  • Supplemental Children’s Health Insurance Funding
  • The Cost to Die; An Insider’s View on Terminally ill Patients and Advanced Directives
  • Death with Dignity Initiatives
  • The True Cost of Health Care in America Insurance
  • Insurance is Not Health Care
  • Analysis of Health Care Reform Platforms of Presidential Candidates
  • The Five Things You Need to Ask Yourself about Health Care Reforms
  • Assessing the Real Cost of Health Care in America
  • Overhauling the United States Health Care System
  • How to Access Health Care without Insurance
  • Pay or Play: Obama versus Baucus Health Plans
  • European Country Goes Back to Private Insurance
  • Cost to Change Breast Cancer Protocols
  • Nursing Shortage in the USA
  • Medical Tourism and Quality Measures
  • How Hospitals will Fare under the Public Health Service Act of 2010
  • How Insurance Companies, Employers, and Individuals fare under the Patient Protection and Affordability Act of 2010
  • 2010 Administrative Guidelines of the Health Care Reform Act

Pharmacy Value Creation – Developed an implementation plan and cost benefit analysis for a Robotic IV Drug Machine to improve patient safety and cut supply costs for the Network Director of Pharmacy. Total ROI for this project was $2.7 million over ten years.

Nurse Staffing Initiatives-Developed Proforma for Seton Nursing School, estimated ROI of $2.4 million over five years. Evidence Based Planning-Analyzed the Coumadin Clinic Performance at an urban trauma center to support expansion of services. Savings were based on a reduced incidence of hospitalization and emergency department use and were estimated at $290,000 over 12 months.

Reporting

Preparation of Form 5500 reports and assistance in the integration of the quality reporting requirements for the Patient Protection and Affordable Care Act of 2010 and other regulatory requirements. Reporting and compliance services include:

  • Form 5500 electronic filing
  • Filing of Material Modifications
  • Quality Measure reporting for Wellness Initiatives
  • Creation of integrated Summary Plan Descriptions
  • Compliance with Transparency Reporting Regulations

    Plan Audits

    Expertise in analyzing both traditionally funded insurance plans and self funded or ERISA exempted plans gives clients an edge for contract negotiations including:

    • Retention or Administrative charges
    • Re-insurance charges/provisions
    • Broker or Consultant fees and commissions
    • Performance contracts

    Library

    • 2010 Health Reform Implementation Guidelines
    • Insurance Changes from the Patient Protection and Affordable Care Act, 2010
    • How Hospitals will fare under the 2010 Public Health Service Act, 2010
    • Medical Tourism and Quality Measures, 2010
    • European Country going back to Private Insurance, 2009
    • Insurance is Not Health Care, 2009
    • Overhauling Healthcare Czarina Style, written 2002, republished in 2009
    • Assessing the Real Cost of Health Care in America, 2008
    • The Cost to Die; An Insider’s View on Terminally Ill Patients and Advanced Medical Directives, 2008
    • The Five Things you Need to Ask Yourself about Health Care Reforms, 2008
    • How to Obtain Health Care Without Insurance, 2008
    • Deficit Reduction Act Implications for Medicaid, 2006
    • Medicaid Reform Initiatives, 2006
    • Clinical Pharmacy Case Management Indigent Care Report, 2006
    • Seton Nursing Retention Initiative Observational Study, 2006
    • Increasing the Engagement of the Public in Health Policy, 2004
    • An Ethical Examination of Oregon Medicaid Transplant Program, 2004
    • Performance Measures for the Kreidler Plan to Reduce the Uninsured Population in Washington, 2004
    • Clinical Ethics and the Santillan Transplant, 2003
    • Single Payer Health System Finance Analysis, 2002