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iPMI Market Interviews

Interviews

iPMI Global Speaks with Chris Carter, CEO, ExpatInsure

The International Private Medical Insurance (IPMI) sector has long been defined by legacy giants, complex policy jargon and traditional corporate packages. As the modern expat demographic shifts towards digital nomads, independent professionals and micro-multinationals, the industry is being forced to rethink.  In this exclusive iPMI Global Interview, we sit down with Chris Carter, CEO of ExpatInsure, to discuss the company's growth, how it is using technology to strip the complexity out of buying cover, and why the model of the bloated...

18-06-2026 iPMI Global

Interviews

iPMI Global Speaks with Gitte Bach, CEO, New Frontier Group

iPMI Global, the leading business intelligence platform for the international private medical insurance (IPMI) and global assistance sectors, has officially released its latest executive round table report, titled "The Algorithmic Gatekeeper: AI and the Future of IPMI." Featuring crucial insights from New Frontier Group CEO Gitte Bach, “The Algorithmic Gatekeeper” maps the transition from manual administration to intelligent clinical navigation. A primary focal point of the round table is the critical necessity for "explainability" and human accountability as artificial intelligence begins to...

22-05-2026 iPMI Global

iPMI Market Providers

Global Air Travel Demand Continued Its Bounce Back in 2023

The International Air Transport Association (IATA) announced that the recovery in air travel continued in December 2023 and total 2023 traffic edged even closer to matching pre-pandemic demand.

Total traffic in 2023 (measured in revenue passenger kilometers or RPKs) rose 36.9% compared to 2022. Globally, full year 2023 traffic was at 94.1% of pre-pandemic (2019) levels. December 2023 total traffic rose 25.3% compared to December 2022 and reached 97.5% of the December 2019 level. Fourth quarter traffic was at 98.2% of 2019, reflecting the strong recovery towards the end of the year.

International traffic in 2023 climbed 41.6% versus 2022 and reached 88.6% of 2019 levels. December 2023 international traffic climbed 24.2% over December 2022, reaching 94.7% of the level in December 2019. Fourth quarter traffic was at 94.5% of 2019.

Domestic traffic for 2023 rose 30.4% compared to the prior year. 2023 domestic traffic was 3.9% above the full year 2019 level. December 2023 domestic traffic was up 27.0% over the year earlier period and was at 2.3% above December 2019 traffic. Fourth quarter traffic was 4.4% higher than the same quarter in 2019.

“The strong post-pandemic rebound continued in 2023. December traffic stood just 2.5% below 2019 levels, with a strong performance in quarter 4, teeing-up airlines for a return to normal growth patterns in 2024. The recovery in travel is good news. The restoration of connectivity is powering the global economy as people travel to do business, further their educations, take hard-earned vacations and much more. But to maximize the benefits of air travel in the post-pandemic world, governments need to take a strategic approach. That means providing cost-efficient infrastructure to meet demand, incentivizing Sustainable Aviation Fuel (SAF) production to meet our net zero carbon emission goal by 2050, and adopting regulations that deliver a clear cost-benefit. Completing the recovery must not be an excuse for governments to forget the critical role of aviation to increasing the prosperity and well-being of people and businesses the world over,” said Willie Walsh, IATA’s Director General.  

Air Passenger Market in Detail

DECEMBER 2023 (% YEAR-ON-YEAR) WORLD SHARE​1 RPK ASK PLF(%-PT)​2 PLF(LEVEL)​3
Total Market
100%
25.3%
24.1%
0.8%
82.1%
Africa
2.1%
12.1%
18.7%
-4.3%
73.2%
Asia Pacific
22.1%
60.7%
53.4%
3.7%
81.2%
Europe
30.8%
12.5%
12.3%
0.1%
85.1%
Latin America
6.4%
16.3%
10.4%
4.2%
82.7%
Middle East
9.8%
16.4%
17.2%
-0.6%
78.2%
North America
28.8%
10.6%
12.0%
-1.0%
82.9%

1) % of industry RPKs in 2022    2) Year-on-year change in load factor    3) Load Factor Level

International Passenger Markets

Asia-Pacific airlines posted a 126.1% rise in full year international 2023 traffic compared to 2022, maintaining the strongest year-over-year rate among the regions. Capacity rose 101.8% and the load factor climbed 9.0 percentage points to 83.1%. December 2023 traffic rose 56.9% compared to December 2022.

European carriers’ full year traffic climbed 22.0% versus 2022. Capacity increased 17.5%, and load factor rose 3.1 percentage points to 83.8%. For December, demand climbed 13.6% compared to the same month in 2022. December traffic was higher than the corresponding month in 2019 for the first time since the start of the pandemic.

Middle Eastern airlines saw a 33.3% traffic rise in 2023 compared to 2022. Capacity increased 26.0% and load factor climbed 4.4 percentage points to 80.1%. December demand climbed 16.6% compared to the same month in 2022.

North American carriers reported a 28.3% annual traffic rise in 2023 compared to 2022. Capacity increased 22.4%, and load factor climbed 3.9 percentage points to 84.6%. December 2023 traffic rose 13.5% compared to the year-ago period.

Latin American airlines posted a 28.6% traffic rise in 2023 over full year 2022. Annual capacity climbed 25.4% and load factor increased 2.1 percentage points to 84.7%, the highest among the regions. December demand climbed 26.5% compared to December 2022.

African airlines’ annual traffic rose 38.7% in 2023 versus the prior year. Full year 2023 capacity was up 38.3% and load factor climbed 0.2 percentage points to 71.9%, the lowest among regions. December 2023 traffic for African airlines rose 9.5% over December 2022.

Domestic Passenger Markets

DECEMBER 2023 (% YEAR-ON-YEAR) WORLD SHARE​1 RPK ASK PLF(%-PT)​2 PLF(LEVEL)​3
Domestic
41.9%
27.0%
22.9%
2.7%
82.3%
Domestic Australia
1.0%
6.6%
4.1%
1.9%
82.1%
Domestic Brazil
1.5%
5.9%
0.7%
4.0%
81.4%
Domestic China P.R.
6.4%
147.1%
105.0%
13.4%
78.4%
Domestic India
2.0%
8.2%
6.1%
1.8%
90.6%
Domestic Japan
1.2%
0.9%
-2.4%
2.4%
73.8%
Domestic US
19.2%
9.6%
10.2%
-0.5%
83.4%

1) % of industry RPKs in 2022    2) year-on-year change in load factor    3) Load Factor Level 

China’s full year domestic traffic rose 138.8% versus 2022, and is now 7.1% above the 2019 level.

Australia (-4.2% compared to 2019) and Japan (-3.2% compared to 2019) are the only major domestic markets yet to recover pre-pandemic traffic demand.

Air Passenger Market Overview - December 2023

DECEMBER 2023 (% CH VS SAME MONTH IN 2019) WORLD SHARE1 RPK ASK PLF (%-PT)2 PLF (LEVEL)​3
Total Market
100.0%
-5.9%
-5.6%
-0.3%
82.3%
International
58.1%
-11.4%
-12.3%
0.8%
82.8%
Domestic
41.9%
3.9%
6.5%
-2.1%
81.5%

1) % of industry RPKs in 2022    2) year-on-year change in load factor    3) Load Factor Level 

The Bottom Line

“Our push to connect our world even more strongly than before the pandemic must not come at the expense of our environment. The industry’s goal to reach net zero CO2 emissions by 2050 remains steadfast. To accelerate the transition, we need governments and fuel suppliers to step up and do more. We saw a strong increase in the use of SAF in 2023, but SAF is still only 3% of all global renewable fuels production. That is unacceptable. Aircraft have no option but to rely on liquid fuels, whereas other transport modes have alternatives. A massive collective effort is needed to increase SAF output as a proportion of overall renewable fuel production as quickly as possible,” said Walsh.

 

iPMI Global Network Directory

iPMI Global Launches July 2026 Global Provider Network Directory to Streamline B2B Sourcing and Glob…

14-07-2026 Network Directory iPMI Global

iPMI Global, the preeminent business intelligence resource for the international medical insurance sector, today announced the official release of the July 2026 edition of its Global Provider Network Directory. This directory serves as a mission-critical infrastructure tool for senior executives navigating the increasingly complex landscape of global B2B healthcare sourcing. Engineered to function as the definitive online B2B buyer’s guide, the directory eliminates the friction inherent in international partnership identification, providing a standardized, high-impact framework for insurers, hospitals, assistance companies, and third-party administrators (TPAs).

iPMI Global Unveils June 2026 Provider Network Directory: The Authoritative B2B Guide for Internatio…

19-06-2026 Network Directory iPMI Global

iPMI Global, the leading provider of business intelligence for the International Private Medical Insurance (iPMI) sector, today announced the launch of the June 2026 edition of its Global Provider Network Directory. Serving as the definitive online B2B buyer’s guide, this resource is engineered to streamline the identification of global partnerships for insurers, hospitals, assistance companies, and third-party administrators. In an industry where "right place, right time" care delivery is critical, iPMI Global provides a high-impact solution for industry payers looking to expand their service capabilities. The directory centralizes comprehensive company intelligence, offering a single, authoritative platform for executives to navigate the complex international healthcare ecosystem and secure seamless global reach. Discover the June 2026 iPMI Global Provider Network Directory—the definitive B2B buyer's guide for international healthcare sourcing, partnership identification, and market intelligence.

Welcome To iPMI Global

iPMI Global is the leading business intelligence provider for international private medical and expatriate healthcare insurance markets worldwide. Due to the nomadic nature of the international private medical insurance (iPMI) market, iPMI Global is an internet based business intelligence  service for worldwide insurance and medical assistance professionals, who need to understand the impacts of insurance and healthcare policy, regulatory, and legislative developments.

For the past 15 years senior level business executives, in over 120 countries, rely on iPMI Global to stay 1 step ahead of the risk and on the inside track of international private medical insurance.

Covering business travellers, high net worth individuals, expatriate and leisure travel markets, iPMI Global is the only international news source covering the most exciting sector of international health insurance: international private medical insurance.

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