Technology & Healthcare

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Technology & Healthcare Steve Perroots, VP Claims Raz Winiarsky, M.D., CMO

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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. - PowerPoint PPT Presentation

Transcript of Technology & Healthcare

Page 1: 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

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Technology Transformed Our Daily

Lives

Step One

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Greater Access Informed Consumer Lower Cost

Results

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Technology Transformed The Way

We Work

Step Two

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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

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Marriott & TechnologyStep Three

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UNDERSTAND YOUR GOALS

•Improve Customer Experience•Improve Collaboration•Improve Quality of Service•Reduce Costs

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TECHNOLOGY INNOVATIONS

•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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WHY not healthcare?

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CHALLENGES IN HEALTHCARE

•Reduce Medical Expense•Improve Outcomes / Reduce Disability•Improve Administrative Efficiency

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Today’s Healthcare System Fragmented Pricing model: confusing, opaque

No mechanism to measure, store, utilize

provider outcomes

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How do providers/payers communicate today?

What is the impact of poor record exchange?

Fragmented Healthcare

Phone/Fax

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Non-Transparent No Universal Price Broker-based

Price Models

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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

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Let’s Talk About Pricing

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What we (don’t) knowMRI Provider Cost

ADMINISTRATIVE COSTS

PROVIDERCOSTS

CARRIERCOSTS

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What we should know.

PROVIDERCOSTS

ADMINISTRATIVE COSTS

CARRIERCOSTS

MRI Provider Cost

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Time to PlayName That

Price! Cost for Hip Implant

1. $1,0002. $4,0003. $12,0004. $19,0005. All of the above

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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

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Let’s Talk About Quality

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Does Newer Mean Better? How to Understand Innovation

✦ 1.5 versus 3.0 Tesla MRI✦ Number of Sequences✦ Joint Implants✦ Recalls

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Grades of Connectivity in Managed Care

LOW PHONE / FAX

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MED CONNECTED THROUGH INTERMEDIARY

Grades of Connectivity in Managed Care

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HIGH REAL-TIME DATA EXCHANGE

Leverage Technology Direct Connection with

Providers Reduce Medical Costs Quality-driven Referrals

Grades of Connectivity in Managed Care

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Questions? Thank you.