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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

Travel Demand Continues Strong in April; Domestic Traffic Fully Recovered

Total traffic in April 2023 (measured in revenue passenger kilometers or RPKs) rose 45.8% compared to April 2022. Globally, traffic is now at 90.5% of pre-Covid levels. At 81.3%, industry load factor was only 1.8 percentage points below pre-pandemic level.

Domestic traffic for April rose 42.6% compared to the year-ago period and has now fully recovered, posting a 2.9% increase over the April 2019 results.

International traffic climbed 48.0% versus April 2022 with all markets recording healthy growth, with carriers in the Asia-Pacific region continuing to lead the recovery. International RPKs reached 83.6% of April 2019 levels.

“April continued the strong traffic trend we saw in the 2023 first quarter. The easing of inflation and rising consumer confidence in most OECD countries combined with declining jet fuel prices, suggests sustained strong air travel demand and moderating cost pressures,” said Willie Walsh, IATA’s Director General.

Air Passenger Market in Detail

APRIL 2023 (% YEAR-ON-YEAR) WOLD SHARE​1 RPK ASK PLF(%-PT)​2 PLF(LEVEL)​3
Total Market
100%
45.8%
39.7%
3.4%
81.3%
Africa
2.1%
47.1%
41.7%
2.6%
70.8%
Asia Pacific
22.1%
170.8%
135.1%
10.3%
78.4%
Europe
30.8%
22.2%
15.6%
4.5%
83.8%
Latin America
6.4%
15.3%
15.8%
-0.4%
81.4%
Middle East
9.8%
36.8%
26.4%
5.8%
76.0%
North America
28.8%
13.9%
13.8%
0.1%
85.6%

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

International Passenger Markets

Asia-Pacific airlines saw a 192.7% increase in April 2023 traffic compared to April 2022. Capacity climbed 145.3% and the load factor increased by 13.2 percentage points to 81.6%.

European carriers had a 22.6% traffic rise versus April 2022. Capacity rose 16.0%, and load factor climbed 4.5 percentage points to 83.3%, which was the second highest among the regions.

Middle Eastern airlines posted a 38.0% traffic increase compared to April a year ago. Capacity climbed 27.8% and load factor rose 5.6 percentage points to 76.2%.

North American carriers’ traffic climbed 34.8% in April 2023 versus the 2022 period. Capacity increased 26.5%, and load factor rose 5.2 percentage points to 83.8%, which was the highest among the regions. North American international traffic is now fully recovered, with RPKs 0.4% above April 2019 levels.

Latin American airlines saw a 25.8% traffic increase compared to the same month in 2022. April capacity climbed 26.4% and load factor slipped 0.4 percentage points to 83.1%.

African airlines’ traffic rose 53.5% in April 2023 versus a year ago, the second highest among the regions. April capacity was up 50.0% and load factor climbed 1.6 percentage points to 69.8%, lowest among the regions.

Domestic Passenger Markets

APRIL2023 (% YEAR-ON-YEAR) WORLD SHARE​1 RPK ASK PLF(%-PT)​2 PLF(LEVEL)​3
Domestic
42.0%
42.6%
42.1%
0.3%
81.1%
Domestic Australia
1.0%
-4.5%
1.1%
-4.4%
76.0%
Domestic Brazil
1.5%
5.7%
6.7%
-0.7%
77.4%
Domestic China P.R.
6.4%
536.2%
377.5%
18.6%
74.4%
Domestic India
2.0%
18.3%
7.8%
7.8%
88.2%
Domestic Japan
1.2%
42.6%
11.8%
15.2%
70.4%
Domestic US
19.2%
5.5%
8.1%
-2.1%
86.1%

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

China’s domestic traffic rose 536.2% in April compared to a year ago and surpassing the April 2019 levels by 6.0%.

US airlines’ domestic demand climbed 5.5% in April and was 3.3% above the April 2019 levels.

APRIL 2023 (% CH VS SAME MONTH IN 2019) WORLD SHARE1 RPK ASK PLF (%-PT)2 PLF (LEVEL)​3
Total Market
100.0%
-9.5%
-7.5%
-1.8%
81.3%
International
58.0%
-16.4%
-15.1%
1.3%
81.4%
Domestic
42.0%
2.9%
6.3%
-2.7%
81.1%

The Bottom Line

Heading into the Northern Hemisphere peak travel season, aircraft and airports are full of people eager to make use of their travel freedoms. Airlines are working hard to accommodate them with a smooth travel experience despite continuing supply chain shortages and other operational challenges. Sadly, some governments appear more keen on punitive regulation than on doing their part to enable hassle-free travel.

The Dutch Government’s high-handed effort to slash capacity at Schiphol airport is a prime example. And then we have a focus on EU-style passenger rights regulation that is spreading like a contagion. Proponents of this approach miss a key fact. EU 261 has not led to a reduction in delays. That’s because penalizing airlines raises airline costs but does not address delays caused by factors over which airlines have no control, such as inefficient air traffic management or staffing shortages at air navigation service providers. The single best thing that Europe could do to improve the travel experience is deliver the Single European Sky. As for other governments contemplating passenger rights regulations, avoiding a repeat of Europe’s mistake would be a helpful starting point.

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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