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Published byMarcella Ury Modified over 9 years ago
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Technology & Healthcare Steve Perroots, VP Claims Raz Winiarsky, M.D., CMO
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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
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Technology Transformed Our Daily Lives Step One
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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) 7
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8 Technology Transformed Our Business Step Two
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Marriott & Technology Step 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) know MRI Provider Cost ADMINISTRATIVE COSTS PROVIDER COSTS CARRIER COSTS
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What we should know. PROVIDER COSTS ADMINISTRATIVE COSTS CARRIER COSTS MRI Provider Cost
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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
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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.
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