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Technology & Healthcare Steve Perroots, VP Claims Raz Winiarsky, 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
Technology Transformed Our Daily Lives Step One
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) 7
8 Technology Transformed Our Business Step Two
Marriott & Technology Step 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) know MRI Provider Cost ADMINISTRATIVE COSTS PROVIDER COSTS CARRIER COSTS
What we should know. PROVIDER COSTS ADMINISTRATIVE COSTS CARRIER COSTS MRI Provider Cost
Time to Play Name That Price! Cost for Hip Implant 1.$1,000 2.$4,000 3.$12,000 4.$19,000 5.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.
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AHCPR 1 Using the Electronic Age to Improve Health Outcomes J. Michael Fitzmaurice, Ph.D. Agency for Health Care Policy and Research April 28, 1999.
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1 Results Based Monitoring (RBM) It is better to be approximately right than precisely wrong - John Maynard Keynes -
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