pratter pitch customer 022916

Pratter, Inc.www.pratter.us

Bill Hennessey, MD Founder and [email protected]

TM

America’s Medical Cost Savings Company

The Problem: High health care costs


January 2016 Private and Confidential

Insurance companies do not want you to see behind the curtain!

Unaffordable medical care is a crisis here and now! With high deductibles, consumers now are responsible for the first $5k to 10k before insurance kicks in dollar one!

TM

The Problem Part II:

• $17,000 average family health insurance premium (Kaiser)

• $5,000 average family high deductible (Aon)

• 1.4 million medical bankruptcies. #1 cause of bankruptcy each year in the US. (Nerdwallet.com)

• 80% of employer-sponsored health care plans will be high deductible plans in 2016! (Mercer)



TM

Employees face BIG out-of-pocket money!

The Cause: Secret Pricing of Medical Care

• Hospitals hide what they charge for medical care

• Insurance companies hide what they pay hospitals for medical care

• Health care is the only sector of our economy with secret pricing – before the time of service.

• In network pricing varies by $1,000s for the SAME care.



http://www.stand-upcomedyworkshop.com/

Insurance companies do not want you to see behind the curtain!

TM

The Solution: Pratter.us

1) Pratter.us - search and compare medical costs by procedure and zip code before you purchase care.

2) Concierge cost service - speak with our medical billers for cost assistance before receiving care.

3) Medical cost savings email tips monthly.4) Employer dashboard of costs searched and

percent employee engagement.5) Medical cost saving report by procedure for self-

insured companies.Pratter, Inc.www.pratter.us


TM

“Know before you go” with pricing for medical care

Sales: The Employer is our Customer

1) Health insurance brokers – 405,075 brokers2) Third party administrators (TPAs) – 560 TPAs3) Associations – eg, 52 Business Groups on Health

with 36 million lives under the National Business Coalition on Health (NBCH) and also Integrated Benefits Institute (IBI) with 11,000 companies and 20 million lives.

Note: Per employee per month (PEPM) pricing model. Channel partners receive commission. Pratter sales force “sells” to channel partners.Pratter, Inc.www.pratter.us


TM

3 channel partners for distribution

Market size: 130 million working Americans 27 to 64 years old• 36 million lives represented by 52 Business Groups on

health throughout the US• 60 million American small business employees• 26 million sole proprietors• 7.4 million private union members



TM

Pratter’s competitive advantage in the cost transparency space

• 600 item search engine by zip code• Employer dashboard with searches and percent

engagement data• Hospital portal to upload costs• Medical billers for cost concierge service• Displaying charges and reimbursements• Not tied to an insurance company (aka

independent)• And also 1/3 the cost of competitors



TM

Only company…

Pratter Vitals. com Castlight Change Healthcare

Pricing $2.50 PEPM

All size employer

$5 - $7 PEPM $7 PEPM > 1,000 employee co

Serves only >5,000 employee co

Company alliance Consumer Insurance Co BlueShield

Blue Shield

Employer product ✔ ✔ ✔ ✔

Employer cost data ✔ ✔

Insurance company cost data ✔ ✔ ✔ ✔Employee landing page ✔ ✔ ✔Markets to employers with 1,000 or less employees

✔ ✔

Medical biller concierge service ✔

Search and compare engine ✔

Displays actual charges and reimbursements

✔TM

Medical Cost Data Acquistion Expertise

• Pratter is a health care big data company.• Secret pricing makes the data Pratter

collects that much more valuable.• Multiple intellectual property techniques for

data collection, deciphering, interpretation and uploading to Pratter.us.

• Over 4,500 and a growing number medical facilities’ pricing across the U.S. is online.



TM

Financial Projections - by 2020



2016* 2017 2018 2019 2020**Revenue $706,500 $3,769,640 $13,107,158 $38,120,742 $104,289,26

8

EBITDA ($1,048,034) $731,986 $7,970,364 $26,940,254 $80,139,480

Lives 50,400 199,724 662,792 1,863,952 5,016,397

TM

• 4% of 130 million working Americans

• 6% of small business/sole proprietors

• 9% of TPA market• 0.24% of health broker market

2020 revenue based on:

Team Pratter Management

• Bill Hennessey, MD, CEO – has successfully built and operated several companies, including a medical billing company.

• Rich Kozakiewicz, MD, BOD; – practicing physician. Co-founder of two companies.

• Jodi Forlizzi, PhD, CIO – Human Computer Interaction Professor at Carnegie Mellon University

• Pat Kalnas, VP, Sales & Mtkg – former CEO of benefits software company sold to Aetna in 2012.

• Denny Kennedy, CFO – senior financial management experience with companies such as Deloitte and 84 Lumber, private consultant CFO for diversified clients ranging from start ups to large, established companies.



TM

Team Pratter Management

• Doug Crawford, VP of Corporate Development – C level executive, former VP, president and BOD member of companies with IPO exits or on pathway to acquisition, former venture forum executive director and board member.

• Patty DeDominic, Chief People Officer - President Emeritus of the National Association of Women Business Owners (Los Angeles), 2015 Lifetime Achievement Award from POTUS for volunteer services in economic development, owned, scaled from one to 600 employees, and sold her successful HR business.

• Stan Bikulege – BOD; Chairman, CEO of NOVOLEX. Grew NOVOLEX from $450M to $2B. Extensive experience in operational efficiency as well as strategic growth acquisition experience.

• Dennis Cagan – BOD; seasoned tech/med director (53) and CEO. Deep experience in governance & high technology: IT, SaaS, Internet, social media, cyber security.



TM

pratter pitch customer 022916

Documents