Technology & Healthcare
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Transcript of Technology & Healthcare
Technology & HealthcareSteve Perroots, VP Claims Raz Winiarsky, M.D.,
CMO
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Technology & Healthcare
Technology Today Marriott’s Technology Initiatives Healthcare Overview How Much Did That Really Cost? Is Newer Better? A Future Vision in Healthcare
Technology Transformed Our Daily
Lives
Step One
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Greater Access Informed Consumer Lower Cost
Results
Technology Transformed The Way
We Work
Step Two
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)
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Technology Transformed Our
Business
Step Two Real-time Better Collaboration Lower Cost
Results
Marriott & TechnologyStep Three
UNDERSTAND YOUR GOALS
•Improve Customer Experience•Improve Collaboration•Improve Quality of Service•Reduce Costs
TECHNOLOGY INNOVATIONS
•KPI (2006)•Document Imaging (2007)•Centralized Claims Handling (2008)
•Electronic Recorded Interviews (2009)
•Electronic Funds Transfer (2011)•Online Incident Reporting (2012)
WHY not healthcare?
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
Let’s Talk About Pricing
What we (don’t) knowMRI Provider Cost
ADMINISTRATIVE COSTS
PROVIDERCOSTS
CARRIERCOSTS
What we should know.
PROVIDERCOSTS
ADMINISTRATIVE COSTS
CARRIERCOSTS
MRI Provider Cost
Time to PlayName That
Price! Cost for Hip Implant
1. $1,0002. $4,0003. $12,0004. $19,0005. All of the above
How Many People Does It Take to Sell a Hip Implant?
Manufacturer| Distributor| Broker | Surgical Center|Patient$1,500$4,000
$12,000$30,000
$22,000
Let’s Talk About Quality
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
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
Grades of Connectivity in Managed Care
Questions? Thank you.