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

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Technology & HealthcareSteve 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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5

Greater Access Informed Consumer Lower Cost

Results

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)

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Technology Transformed Our

Business

Step Two Real-time Better Collaboration Lower Cost

Results

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) knowMRI Provider Cost

ADMINISTRATIVE COSTS

PROVIDERCOSTS

CARRIERCOSTS

What we should know.

PROVIDERCOSTS

ADMINISTRATIVE COSTS

CARRIERCOSTS

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.