Medcare International

What Medcare International does

Medcare International Inc., founded in 1996 and headquartered in Coral Springs, Florida, is a privately held boutique provider of cross-border medical cost containment services for European health insurance carriers, travel insurance companies, and international assistance companies, with a particular emphasis on German-speaking markets. The company delivers its services through a PPO network spanning the United States, Mexico, and the Caribbean, supplemented by directly contracted hospitals and physicians. Its core capabilities include medical referral and authorizations, medical bill reduction, case management, bill audit and review, banking and provider payment services, and specialized tertiary care programs, all coordinated by an in-house managed care team with clinical backgrounds.

The business model is performance-based: Medcare charges clients a percentage of achieved savings on medical bills, with no case opening fees, telephoning fees, complexity fees, or fees when savings are not realized. Reported outcomes include 30-40% average savings through PPO network contract rates, 22-32% average savings through out-of-network negotiations, and 40%+ potential savings across the network. Communication is delivered in the client's language of choice (German and English), with customized reporting, fraud investigation, and subrogation support. The company is founder-owned by Kathleen Rohrer, with Ines Lacroix serving as CEO since joining in 1997, and holds EU-US Data Privacy Framework certification (effective January 17, 2024) to lawfully process personal data received from the European Union.

Name

Medcare International

Legal name

MedCare International Inc.

Website

https://medcareinternational.com

Company type

Private

Founded year

1996

Operating status

Operating

Headcount range

51–100 employees

Short description

Medcare International provides boutique medical cost containment services to European health insurers and assistance companies, using a PPO network across the USA, Mexico, and the Caribbean to negotiate reduced rates and audit bills on a performance-based fee structure.

Ownership category

akta.pro rank

Product category

Medical Cost Containment Services

SIC

Hospital & Medical Service Plans (6324), Services-Health Services (8000)

akta.pro primary industry

Medigap Plan Administration (Enrollment, Billing & Member Services) (HLAEADAC)

akta.pro secondary industry

Medigap Member Support & Care Navigation (Advocacy/Concierge) (HLAEADAH)

Keywords

• Medical cost containment
• PPO network access
• Medical bill negotiation
• Healthcare claims management
• International health insurance

Headquarters

HQ city

Coral Springs

HQ country

United States

HQ region

North America

Offices1 record

Markets served

GTM type

B2B

Offering type

Services

Cost components

Personnel, Operations, Technology or R&D, Marketing or Sales, Others

Revenue model

1. Performance-Based Savings Fees: MedCare's fees are calculated as a percentage of achieved savings for the insurer. If no reduction in medical bills is obtained, no fee is charged. This aligns incentives between MedCare and insurance clients.

Pricing tiers

Go-to-market motion1 record

Distribution channels1 record

Marketing channels2 records

Core offering

MedCare International provides medical cost containment services for assistance companies and non-US health insurance carriers. Through a comprehensive PPO network across the USA, Mexico, and the Caribbean, MedCare directs insured members to participating providers at reduced rates and negotiates lower charges with out-of-network providers when needed. Services encompass bill reduction, case management, bill audit, medical referral/authorization, specialized programs, and customized reporting, all delivered by in-house managed care professionals.

Product overview

Medcare International offers a unified platform of medical cost containment services for assistance companies and non-US health insurance carriers. The core offering combines PPO Network Access with multiple service modules including Medical Referral and Authorizations, Medical Bill Reduction, Case Management, Bill Audit and Review, Specialized Medical Programs, Banking and Provider Payment Services, and Customized Services. All services operate through a centralized model with no flat fees per case, delivered by an in-house managed care professional team that handles communications in German or English.

Differentiator

Problem solved

Functional benefit

Products and services

• Medical Cost Containment Services Boutique-level medical cost containment solutions that streamline and improve the interaction between the medical community and the paying financial community for assistance companies and non-US health insurance carriers.
• PPO Network Access

Quantifiable outcome

• 30-40% average savings on medical expenses through PPO network rates
• +2 more outcomes

Named customers4 records

Segments3 records

Ideal customer profiles3 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature5 records

Partnerships

One partnership is on record.

• International Assistance CompanycoreOthersMedCare maintains an affiliate relationship with a prominent international assistance company. When clients require 24/7 assistance services, MedCare facilitates contact with the appropriate staff at this partner organization.

Scale indicators6 records

Recent moves4 records

Expansion highlights3 records

Broad incumbents

• International SOS: Global medical and travel assistance firm providing case management, provider referrals, and medical cost management for multinational insurers and assistance partners; broader scope than MedCare but overlapping on cross-border case management.
• AXA Partners: International assistance and travel insurance arm of AXA providing medical referral, cost containment, and assistance services worldwide; overlaps with MedCare's European-carrier assistance and cost containment offerings at much larger scale.
• UnitedHealthcare Global: International division of UnitedHealth Group providing health insurance, provider networks, and assistance for expatriates and globally mobile populations; broader and better capitalized but overlaps with MedCare on US provider access for international insureds.
• MultiPlan: Large US-focused PPO network and cost-containment company offering network access, bill negotiation, and claims services to insurers; comparable to MedCare but operating at much greater scale and primarily in the US domestic market.
• Allianz Partners: Worldwide travel insurance and assistance provider (formerly Allianz Global Assistance) offering medical case management, provider networks, and claims handling; competes with MedCare for the same European insurer and assistance company clients.

Direct peers

• GeoBlue (Blue Cross Blue Shield): US-based provider of international health insurance and cost containment for travelers and expatriates, offering provider network access and claims management; closely comparable to MedCare's PPO access and bill reduction services for international insureds.
• Healix International: UK-based international medical cost containment and case management provider serving insurers, assistance companies, and corporates; direct peer in the niche of cross-border bill review and provider negotiation for European insurers.
• Global Excel Management: Canadian-headquartered cost-containment and claims management provider for international travel and health insurers; directly comparable in cross-border cost containment for non-US carriers, including bill reduction and provider negotiation services.

Regional players

• Europ Assistance (Generali Group): Major European assistance company providing 24/7 medical referral, authorization, and cost containment for travelers and policyholders abroad; comparable to MedCare on the European-insurer-into-Americas assistance flow.
• Coris (now part of BNP Paribas Cardif ecosystem): European travel and health insurance assistance/cost-containment firm focused on cross-border claims; comparable to MedCare's European-client-to-foreign-provider assistance and bill reduction model.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat4 records

Key risks6 records

Key highlights7 records

Customer concentration

• Facebookfacebook.com/MedCareInternationalAl
• LinkedInlinkedin.com/company/medcare-international-inc

Compliance1 record

Revenue estimate

Valuation estimate

Number of profiles

Profiles4 records

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about Medcare International