Destination Pricing Understanding the Costs Peter Lozier CNO Global Corporate Solutions May 17, 2012 Optimum Re Conference

Transcription

1 Destination Pricing Understanding the Costs Peter Lozier CNO Global Corporate Solutions May 17, 2012 Optimum Re Conference 1

2 Agenda Understanding Costs Country Level Spending Physicians Standard of Living Detailed Price Comparisons Overall Costs Structures Focus Thailand Mexico Germany Surgical Cost Analysis Contracting Strategies 2

3 Spend vs. Quality

4 Average Compensation in certain Health Professions, 2004 (in $000 s USD) Country Specialists General Practitioners Netherlands Australia United States Belgium Canada United Kingdom France Ireland Switzerland Denmark New Zealand Germany Norway Sweden Finland Greece Portugal Czech Republic Hungary Mexico Poland AVERAGE AVERAGE excluding US Median 83 80

5 Understand the costs Top Destinations (Countries) Country Visits Per Thousand st visit in clinic 1st home visit Specialist consultation 2nd visit in clinic 2nd home visit ECG Ultrasound X-ray United States 20 million overnight trips; 24.5 million same-day car trips Mexico 1, United Kingdom Dominican Republic NA N/A N/A France Italy Germany China Netherlands Spain Hong Kong

6 Outpatient Contracted Emergency Room Cost USD Australia Austria Azerbaijan Belarus Belgium Bulgaria Canada China Croatia Cyprus Czech Republic Denmark Dominican Republic (USD) Egypt Estonia Ethiopia Finland France Georgia Germany Greece Hong Kong (HKD) Hungary India Indonesia Ireland Italy Izrael Kazakhstan Kirgystan Latvia Lebanon Lithuania Luxemburg Malta Mauritania Mexico (USD) Monaco Netherlands Norway Poland Portugal Romania Russian Federation Saudi Arabia Slovakia Slovenia South Africa (Rep. of) Spain Sweden Switzerland Taiwan Thailand Tunisia Turkey (USD) Ukraine United Arab Emirates United Kingdom (GBP) United States of America Vietnam Yugoslavia (Serbia / Montenegro) Zambia 6

7 Overall US Price Comparison Countries South Africa 30% Singapore 27% Netherlands 21% Costa Rica 25% Dubai (UAE) 53% Czech Republic 48% United Kingdom 58% Turkey 58% Thailand 56% France and Italy 61% India 58% Germany 56% Brazil 60% Belguim 56% Phillippines 68% Mexico 63% Malaysia 69% Jordania 66% Russia 79% % Comparison to US Expenditure

8 Focus on Thailand Country Profile Location Capital Thailand Centre of mainland South East Asia. Bordering countries are Laos, Myanmar, Cambodia and Malaysia Bangkok Biggest Cities (population) Bangkok (5,705,061), Nonthaburi (264,651), Pal Kret (173,622) Inhabitants 63,444,000 Politics Parliamentary Democracy and Constitutional Monarchy Religion Buddhism (94.7%), Islam (4.6%), Christianity (0.5%), other (0.2%) Currency Baht (THB) = GDP Official Language(s) Climate 365,360 million, 0.79% of the world s GDP Thai Tropical, dominated by monsoons. Average temperature ranges from C throughout the year Time Zone GMT +7 Happy Planet Index (HPI) 41

9 Thailand Major Hospital Rates Vejthani Hospital (JCI) Discount Schedule The hospital will offer a special discount on in- and out-patient treatment as follows: 10% for laboratories, medications, room raters, imaging investigations (excluding Doctor s fee, Packaged Medical Charges, special instrument, special medications, outside laboratory, special image). Room Type Room Only Room Nursing Meal Total (THB) Total (USD) Service Service ICU N/A Grand Single Bumrungrad International Hospital (JCI) Room Type Room Rate Nursing Meal Total (THB) Total (USD) Rate Single Room 5,600 1, , ICU Semi 4,400 5, , ICU Private 6,400 5, ,

10 Focus on Mexico Country Profile Mexico Location Capital Central America, bordering Belize, United States and Guatemala Mexico City Biggest Cities (population) Mexico City (8,589,061), Guadalajara (1,797,651), Escatepec (1,688,622) Inhabitants 111,211,789 Politics Federal Republic Religion Catholic (76.5%), Protestantism (6.3%), Atheism (3.1%), other (14.2%) Currency Mexican Peso (MXN) = GDP Official Language(s) Climate 1,034,146 million, 1.8% of the world s GDP Spanish Varies from Tropical to Desert with an average temperature of 22 degrees Time Zone GMT -5 to -7 Happy Planet Index (HPI) 23

11 Emergency Room Rates - Mexico CHRISTUS MUGUERZA HOSPITAL UPAEP Puebla Medical Care with Urgent Care $ Medical Care in Emergency Room $ Pateint in Critical Care $ 1, Emergency Medical Consultation $ CENTRO MEDICO PUERTA DE HIERRO - Guadalajara Rate without tax Rate incl. tax Bed of Emergency Adult 1 hour $ $ Bed of Emergency Pediatric 1 hr $ $ Isolation Room $ 3, $ 4, Physiologically Room $ 1, $ 1, Elite Suite $ 6, $ 7, Suite Room $ 2, $ 3, Intermediate Neonatal $ 3, $ 3, Intermediate Master $ 5, $ 6, Master Suite $ 4, $ 5, Intensive Therapy $ 4, $ 5, Intermediate Therapy $ 4, $ 4, Neonatal Therapy $ 3, $ 3, Pediatric Therapy $ 4, $ 5, HOSPITAL MEXICO AMERICANO - Guadalajara Adult Room of Intensive care per day (includes medical care 24hrs) $ 5,

12 Mexico Hospital De La Fe (Guanajuato) 12

13 Focus on Germany Country Profile Location Capital Biggest Cities (population) Germany Central Mainland Europe, Borders with Denmark, the Netherlands, Belgium, Luxembourg, France, Switzerland, Austria, Czech Republic and Poland Berlin Inhabitants 82,641,000 Politics Berlin (3,416,255), Hamburg (1,770,629), Munich(1,311,572) Federal Republic Religion Christianity (64%), Atheism (29%), Islam (5%), Judaism (.25%), other (1.5%) Currency GDP Official Language(s) Climate Euro 2,453,8.4 million, 6.04% of the world s GDP German Time Zone GMT +1 Happy Planet Index (HPI) 51 Maritime and Continental. Average temperatature in winter is 3 degrees and in summer is 22 degrees

14 Health care in Germany Strengths High quality of health care Safe Developed infrastructure Top Facilities Kliniken, Berlin Klinikum Chemnitz UKE Hamburg Unilinikum, Freidburg 14

15 Surgical Cost Analysis Country CABG Heart Valve Replacement Angioplasty Hip Replacement (Single) Hip Replacement (Bilateral) Belgium $21, $23, $8, $6, $8, Canada $41, $46, $17, $13, $17, France $18, $20, $7, $5, $7, Germany $20, $23, $8, $6, $8, Mexico $15, $17, $6, $5, $6, Singapore (Excluding Glen Eagles) $11, $12, $4, $3, $4, Spain $21, $24, $8, $7, $9, Thailand $13, $15, $5, $4, $5, Colombia $14, $16, $6, $4, $6, USA $78, $88, $33, $25, $33,498.40

16 Surgical Cost Analysis Country Knee Replacement (Single) Knee Replacement (Double) Spinal Fusion Aortic Aneurysm Repair Nephrectomy Prostatectomy Colostomy Belgium $6, $8, $21, $26, $8, $5, $11, Canada $12, $16, $41, $52, $17, $11, $22, France $5, $7, $18, $23, $7, $5, $10, Germany $6, $8, $21, $26, $8, $5, $11, Mexico $4, $6, $15, $19, $6, $4, $8, Singapore $3, $4, $11, $14, $4, $3, $6, Spain $6, $8, $21, $27, $9, $6, $11, Thailand $4, $5, $13, $17, $5, $3, $7, Colombia $4, $5, $14, $18, $6, $4, $7, USA $23, $30, $80, $100, $33, $22, $43,567.00

17 Now what? Service Destination Activities and Risks Alternate Destinations may have lower medical costs but have higher repatriation costs Alternate Destinations may have riskier activities Network Why are people going there? What are they doing while they are there Cusco may be cheaper but are incidences higher because of altitude and hiking activity? Discounts Cashless Service Air Ambulance partners Regional Hubs for catastrophic care Logistics On the ground support 17

18 Conclusions Can you price destination based insurance? YES Can you service new destinations? Most likely with a good partner Will your distributor sell it? Stay tuned! Has this been tried and what was the result? Stay tuned! Will the consumer make an active choice to buy based on the lower premium? Stay tuned 18