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Technology & Healthcare. Steve Perroots , VP Claims Raz Winiarsky , M.D., CMO. Technology & Healthcare. Technology Today Marriott’s Technology Initiatives Healthcare Overview How Much Did That Really Cost? Is Newer Better? A Future Vision in Healthcare. Step One.
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Technology & Healthcare Steve Perroots, VP Claims RazWiniarsky, M.D., CMO
Technology & Healthcare • Technology Today • Marriott’s Technology Initiatives • Healthcare Overview • How Much Did That Really Cost? • Is Newer Better? • A Future Vision in Healthcare
Step One Technology Transformed Our Daily Lives
Greater Access • Informed Consumer • Lower Cost Results
Step Two Technology Transformed The Way We Work
Marriot’s History of Implementing Technology • KPI (2006) • Document Imaging (2007) • Centralized Claims Handling (2008) • Electronic Recorded Interviews (2009) • Electronic Funds Transfer (2011) • Online Incident Reporting (2012)
Step Two • Real-time • Better Collaboration • Lower Cost Technology Transformed Our Business Results
Step Three Marriott & Technology
UNDERSTAND YOUR GOALS • Improve Customer Experience • Improve Collaboration • Improve Quality of Service • Reduce Costs
KPI (2006) • Document Imaging (2007) • Centralized Claims Handling (2008) • Electronic Recorded Interviews (2009) • Electronic Funds Transfer (2011) • Online Incident Reporting (2012) TECHNOLOGY INNOVATIONS
CHALLENGES IN HEALTHCARE • Reduce Medical Expense • Improve Outcomes / Reduce Disability • Improve Administrative Efficiency
Today’s Healthcare System • Fragmented • Pricing model: confusing, opaque • No mechanism to measure, store, utilize provider outcomes
How do providers/payers communicate today? What is the impact of poor record exchange? Fragmented Healthcare Phone/Fax
Non-Transparent No Universal Price Broker-based Price Models
Physician selection is often subjective and arbitrary. How can we include provider performance in decision-making? Measure/Record Outcomes Complication Rates Patient Satisfaction Return to Work
What we (don’t) know MRI Provider Cost ADMINISTRATIVE COSTS PROVIDERCOSTS CARRIERCOSTS
What we should know. MRI Provider Cost PROVIDERCOSTS ADMINISTRATIVE COSTS CARRIERCOSTS
Time to PlayName That Price! Cost for Hip Implant $1,000 $4,000 $12,000 $19,000 All of the above
How Many People Does It Take to Sell a Hip Implant? $1,500 $4,000 Manufacturer| Distributor| Broker | Surgical Center|Patient $22,000 $30,000 $12,000
Does Newer Mean Better? How to Understand Innovation • 1.5 versus 3.0 Tesla MRI • Number of Sequences • Joint Implants • Recalls
Grades of Connectivity in Managed Care LOW PHONE / FAX
Grades of Connectivity in Managed Care MED CONNECTED THROUGH INTERMEDIARY
Grades of Connectivity in Managed Care HIGH REAL-TIME DATA EXCHANGE • Leverage Technology • Direct Connection with Providers • Reduce Medical Costs • Quality-driven Referrals