Health Insurance & Medical Tourism

Target Audience

Medical and Health Sciences students

Hospital Management and Health Economics students

Health insurance professionals

Medical tourism staff

Individuals interested in remote work in Revenue Cycle Management (RCM)

???? Learning Outcomes

By the end of this course, learners will be able to:

Understand the academic framework of medical tourism

Analyze the role of health insurance in supporting cross-border healthcare

Differentiate between international health insurance coverage models

Understand revenue cycle management and medical coding in medical tourism

Evaluate legal and economic challenges

Explore employment and investment opportunities in the Gulf region

???? Detailed Course Structure

???? Unit 1: Introduction to Medical Tourism

(1.5 hours)

Content:

Global evolution of medical tourism

Difference between Medical Tourism and Health Tourism

Key global growth drivers

Map of leading countries

???? Activity: Global market map analysis

???? Unit 2: Health Insurance – Fundamentals and Models

(2 hours)

Content:

Concept of health insurance

Types of coverage

Local vs. international insurance

The role of insurance in treatment travel decisions

???? Short Quiz

???? Unit 3: Models of the Relationship Between Insurance and Medical Tourism

(2 hours)

Content:

International health insurance

Out-of-network treatment

Prior authorization

Treatment packages (Package Pricing)

Role of insurance companies in directing patients

???? Applied Case Study

???? Unit 4: Revenue Cycle Management & Medical Coding

(2.5 hours)

Content:

RCM concept

ICD-10 / CPT / DRG

International coding variations

Clean Claim in medical tourism

Reasons for international claim denials

???? Hands-on application on a real claim

???? Unit 5: Legal and Regulatory Aspects

(2 hours)

Content:

International health regulations

Contracts between hospitals and insurance companies

Cross-border insurance disputes

Patient rights protection

???? Guided academic discussion

???? Unit 6: Case Study – Saudi Arabia & the Gulf

(2 hours)

Content:

Saudi Vision 2030

Mandatory health insurance

Hospital accreditation

NPHIES platform

Employment and investment opportunities