Cigna

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

Strong Air Travel Growth Continues in May

May 2023 traffic data shows continued strong growth in air travel demand.

Total traffic in May 2023 (measured in revenue passenger kilometers or RPKs) rose 39.1% compared to May 2022. Globally, traffic is now at 96.1% of May 2019 (pre-pandemic) levels.

Domestic traffic for May rose 36.4% compared to the year-ago period. Total May 2023 domestic traffic was 5.3% above the May 2019 level. This is the second month in a row domestic traffic has exceeded pre-pandemic levels.

International traffic climbed 40.9% versus May 2022 with all markets recording strong growth, led once again by carriers in the Asia-Pacific region. International RPKs reached 90.8% of May 2019 levels, with Middle East and North American airlines exceeding pre-pandemic levels.

The total industry load factor rose to 81.8%, led by North American carriers at 86.3%.

“We saw more good news in May. Planes were full, with the average load factors reaching 81.8%. Domestic markets reported growth on pre-pandemic levels. And, heading into the busy Northern summer travel season, international demand reached 90.8% of pre-pandemic levels,” said Willie Walsh, IATA’s Director General.

Air Passenger Market in Detail

MAY 2023 (% YEAR-ON-YEAR) WORLD SHARE​1 RPK ASK PLF(%-PT)​2 PLF(LEVEL)​3
Total Market
100%
39.1%
35.0%
2.4%
81.8%
Africa
2.1%
38.6%
36.7%
0.9%
69.9%
Asia Pacific
22.1%
130.4%
109.5%
7.0%
77.3%
Europe
30.8%
19.1%
13.5%
4.0%
84.8%
Latin America
6.4%
16.2%
16.5%
-0.2%
81.1%
Middle East
9.8%
30.1%
23.8%
3.9%
79.9%
North America
28.8%
14.0%
13.6%
0.3%
86.3%

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

International Passenger Markets

Asia-Pacific airlines had a 156.7% increase in May 2023 traffic compared to May 2022, maintaining the very positive momentum since the lifting of the remaining travel restrictions in the region earlier this year. Capacity rose 136.1% and the load factor increased 6.4 percentage points to 80.0%.

European carriers posted a 19.8% traffic rise versus May 2022. Capacity climbed 14.2%, and the load factor rose 3.9 percentage points to 84.4%.

Middle Eastern airlines saw a 30.8% traffic increase compared to May a year ago. Capacity climbed 25.0% and the load factor pushed up 3.6 percentage points to 80.2%. The region is leading the recovery with May traffic at 17.2% above 2019 levels.

North American carriers’ traffic climbed 31.0% in May 2023 versus the 2022 period. Capacity increased 23.2%, and the load factor rose 5.1 percentage points to 85.1%, highest among the regions.

Latin American airlines had a 26.3% traffic increase compared to the same month in 2022. May capacity climbed faster-- up 27.3% -- and the load factor slipped 0.7 percentage points to 83.8%. The region was the only one to see capacity growth exceed traffic growth for the month.

African airlines’ traffic rose 45.2% in May 2023 versus a year ago. May capacity was up 44.2% and the load factor edged up 0.5 percentage points to 68.8%, the lowest among the regions.

Domestic Passenger Markets

MAY 2023 (% YEAR-ON-YEAR) WORLD SHARE​1 RPK ASK PLF(%-PT)​2 PLF(LEVEL)​3
Domestic
42.0%
36.4%
35.3%
0.6%
81.0%
Domestic Australia
1.0%
2.1%
3.4%
-0.9%
73.6%
Domestic Brazil
1.5%
8.6%
6.2%
1.7%
76.5%
Domestic China P.R.
6.4%
312.0%
233.1%
13.9%
72.8%
Domestic India
2.0%
13.6%
2.7%
8.7%
91.6%
Domestic Japan
1.2%
39.0%
7.1%
16.9%
73.8%
Domestic US
19.2%
7.1%
9.6%
-2.0%
86.9%

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

Brazil’s domestic traffic grew 8.6% in May compared to a year ago, and is the latest domestic market to recover fully with traffic at 6.5% above pre-pandemic (May 2019) levels.

Japan’s domestic traffic surged 39.0% in May compared to a year ago, the strongest result after China and at 99.8% of pre-pandemic levels.

Air Passenger Market Overview - May 2023

MAY 2023 (% CH VS SAME MONTH IN 2019) WORLD SHARE1 RPK ASK PLF (%-PT)2 PLF (LEVEL)​3
Total Market
100.0%
-3.9%
-3.9%
0.0%
81.8%
International
58.0%
-9.2%
-11.2%
1.8%
82.3%
Domestic
42.0%
5.3%
9.4%
-3.1%
81.0%

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

The Bottom Line

“People need and love to fly. The strong demand for travel is one element supporting a return to profitability by airlines. In 2023 we expect airlines globally to post a $9.8 billion net profit. It’s an impressive number, particularly after huge pandemic losses. But a 1.2% average net profit margin is just $2.25 per departing passenger. As a return, that is not sustainable in the long-term.

Moreover, it appears that, while the pandemic has changed many things in aviation, it has not righted aviation’s famously unbalanced value chain. The latest indication came last week as European airports announced a EUR 6.4 billion ($7 billion) collective profit in 2022. In comparison, IATA estimates that European airlines made a $4.1 billion profit for the same year. We don’t begrudge any business hard-earned profits. But this does raise an interesting question. Is airport economic regulation effectively defending the public interest when a monopoly supplier (airports) can generate seemingly much healthier returns than the competitive businesses (airlines) they supply? Governments should at least take a look”, 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.

Socials