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

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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.