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Technology & Healthcare

Technology & Healthcare

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Technology & Healthcare

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Presentation Transcript

  1. Technology & Healthcare Steve Perroots, VP Claims RazWiniarsky, M.D., CMO

  2. Technology & Healthcare • Technology Today • Marriott’s Technology Initiatives • Healthcare Overview • How Much Did That Really Cost? • Is Newer Better? • A Future Vision in Healthcare

  3. Step One Technology Transformed Our Daily Lives

  4. Greater Access • Informed Consumer • Lower Cost Results

  5. Step Two Technology Transformed The Way We Work

  6. 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)

  7. Step Two • Real-time • Better Collaboration • Lower Cost Technology Transformed Our Business Results

  8. Step Three Marriott & Technology

  9. UNDERSTAND YOUR GOALS • Improve Customer Experience • Improve Collaboration • Improve Quality of Service • Reduce Costs

  10. KPI (2006) • Document Imaging (2007) • Centralized Claims Handling (2008) • Electronic Recorded Interviews (2009) • Electronic Funds Transfer (2011) • Online Incident Reporting (2012) TECHNOLOGY INNOVATIONS

  11. WHY not healthcare?

  12. CHALLENGES IN HEALTHCARE • Reduce Medical Expense • Improve Outcomes / Reduce Disability • Improve Administrative Efficiency

  13. Today’s Healthcare System • Fragmented • Pricing model: confusing, opaque • No mechanism to measure, store, utilize provider outcomes

  14. How do providers/payers communicate today? What is the impact of poor record exchange? Fragmented Healthcare Phone/Fax

  15. Non-Transparent No Universal Price Broker-based Price Models

  16. 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

  17. Let’s Talk About Pricing

  18. What we (don’t) know MRI Provider Cost ADMINISTRATIVE COSTS PROVIDERCOSTS CARRIERCOSTS

  19. What we should know. MRI Provider Cost PROVIDERCOSTS ADMINISTRATIVE COSTS CARRIERCOSTS

  20. Time to PlayName That Price! Cost for Hip Implant $1,000 $4,000 $12,000 $19,000 All of the above

  21. 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

  22. Let’s Talk About Quality

  23. Does Newer Mean Better? How to Understand Innovation • 1.5 versus 3.0 Tesla MRI • Number of Sequences • Joint Implants • Recalls

  24. Grades of Connectivity in Managed Care LOW PHONE / FAX

  25. Grades of Connectivity in Managed Care MED CONNECTED THROUGH INTERMEDIARY

  26. Grades of Connectivity in Managed Care HIGH REAL-TIME DATA EXCHANGE • Leverage Technology • Direct Connection with Providers • Reduce Medical Costs • Quality-driven Referrals

  27. Questions? Thank you.