Old models are out and new models on the rise. International referrers of patients are changing the models of care inbound to the U.S. and Europe. Whether it’s a value-based care design, centers of excellence model or a preferred narrow network, a focus on both patient experience and quality outcomes opens new doors for international healthcare relationships. This open discussion between governments, insurance companies and U.S. healthcare providers offers an opportunity to understand what is being sought by referrers to be included this new network model – quality, technology, bundling, service selection, and more.