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Insights on Patient Referrals:
    It (Currently)Takes an Army
About
 par8ois named after the Italian
   economist, Vilfredo Paretowho
   first defined the concept of a
   “Pareto Efficiency” in which a
   system is able to maximize
   resource utilization for each and
   every participant.

 par8oseeks to introduce Pareto
   efficiency to the healthcare
   industry, improving patient
   choice and access to healthcare
   while lowering costs.




                                       2011 Confidential | 2
par8o surveyed 200 physicians…

You won’t believe what they had to say
      about patient referrals…




                                 2011 Confidential | 3
par8o, Inc.
    Thank You

  media@par8o.com




                    2011 Confidential | 4
Medicine Is a Hectic Business
           49% of physicians surveyed see more than 100 patients each week
                           and only 14% see fewer than 50



                                            Patients Per Week


                                                       37%

                                                                            30%


                                                                                        19%

                                  12%


                2%

        25 Or Fewer Patients     26 to 50            51 to 100            101 to 150    151+
             Per Week

Notes:
Par8o survey, Dec 2011
N = 94 PCPs, 101 Specialists

                               Q4. On average, how many patients do you see per week?      2011 Confidential | 5
Referrals Are the Business
                96% of physicians see at least one referred patient each week and
                        30% see 41 or more referred patients each week



                                                   Referrals Per Week
                                                     17%                                                     17%
                                                                  15%
                                       14%
                                                                                              13%
                           12%



                                                                                 7%

             4%




       0 Referrals Per     1 to 5     6 to 10       11 to 20     21 to 30      31 to 40      41 to 50        51+
           Week



Notes:
Par8o survey, Dec 2011
N = 94 PCPs, 101 Specialists

                   Q5. On average, how many of your patients per week are referrals from other physicians?   2011 Confidential | 6
par8o, Inc.
    Thank You

  media@par8o.com




                    2011 Confidential | 7
Small Office, Big Staff
72% of physicians surveyed work in practices with 20 or fewer physicians, but 70% work in
   practices with at least 6 staff members – practices might be small to mid-sized, but staff
                                    sizes are medium to large


                        Practice Size                                          Admin Staff Size
                                                                                                              45%




          28%
                                                                                 26%            25%
                                23%
                     21%
                                           19%


                                                      9%
                                                                   4%


       1 to 5 MDs   6 to 10    11 to 20   21 to 100   101+    1 Staff Member     2 to 5        6 to 10         11+



Notes:
Par8o survey, Dec 2011
N = 94 PCPs, 101 Specialists
                           Q1: How many physicians are in your medical practice? (Including you)
                     Q3. How many non-medical/administrative staff people are employed in your practice?   2011 Confidential | 8
Every Office Requires a Big Staff
Very few practices are able to make it with just one staff member – even among the smallest
                    practices, only 7% employ just one administrative person



                                                Admin Staff Size
                9%

                                   39%
               39%                                    53%                                                     11+
                                                                          70%
                                                                                                              6 to 10
                                   15%                                                        94%
                                                                                                              2 to 5
                                                      27%
               44%                 39%                                                                        1 Staff
                                                                          24%                                 Member
                                                      20%
                7%                  7%                                     5%                  6%
           1 to 5 MDs            6 to 10            11 to 20           21 to 100             101+

 Notes:
 Par8o survey, Dec 2011
 N = 94 PCPs, 101 Specialists
                            Q1: How many physicians are in your medical practice? (Including you)
                      Q3. How many non-medical/administrative staff people are employed in your practice?   2011 Confidential | 9
More Staff Than Doctors
            About half of small and mid-sized offices have more staff than physicians



                  1-5                                       6-10                                   11-20
               PHYSICIAN                                 PHYSICIAN                               PHYSICIAN
                OFFICES                                   OFFICES                                 OFFICES




                   48%                                      55%                                       53%
                 employ a                                 employ a                                 employ a
                staff of 6 or                            staff of 6 or                             staff of 11
                   more                                     more                                    or more



Notes:
Par8o survey, Dec 2011
N = 94 PCPs, 101 Specialists
                           Q1: How many physicians are in your medical practice? (Including you)
                     Q3. How many non-medical/administrative staff people are employed in your practice?   2011 Confidential | 10
par8o, Inc.
    Thank You

  media@par8o.com




                    2011 Confidential | 11
Specialties Are Built on Referrals
All specialists surveyed see at least one referred patient each week and 44% see 41 or more
      referrals in a week, while 49% of PCPs see fewer than 10 referred patients each week



                                                   Referrals Per Week
                                                       PCPs        Specialists

                                                                                                                     29%


                          21%
                                        19%
                                                      17%18%             18%
                                                                                                    15%
                                                                    13%                          12%
           9%                                 9%                                        9%

                                                                                   4%                           5%
                                3%
                0%

         0 Referrals       1 to 5        6 to 10       11 to 20      21 to 30      31 to 40       41 to 50        51+
          per Week

 Notes:
 Par8o survey, Dec 2011
 N = 94 PCPs, 101 Specialists

                     Q5. On average, how many of your patients per week are referrals from other physicians? 2011 Confidential | 12
Specialties Require Manpower
More referrals mean more staffing needs – 49% of specialists work in practices with 11 or
more staff members and none of the specialists surveyed work in practices with just one
                                administrative employee

                                                 Admin Staff Size
                                                     PCPs        Specialists

                                                                                                                 49%
                                                                                                   41%


                                           26%      27%                26%      25%



               7%
                          0%

            1 Staff Member                    2 to 5                      6 to 10                          11+


Notes:
Par8o survey, Dec 2011
N = 94 PCPs, 101 Specialists
                           Q1: How many physicians are in your medical practice? (Including you)
                     Q3. How many non-medical/administrative staff people are employed in your practice?    2011 Confidential | 13
par8o, Inc.
    Thank You

  media@par8o.com




                    2011 Confidential | 14
Fewest Referrals in the South
     In the South, 77% of PCPs see 10 or fewer referrals each week, while in the East,
                            only 29% of PCPs see 10 or fewer



                                             Referrals Per Week
           5%                     10%                                              10%
                                                           12%         18%
                                                                                   10%           29%        51+
          24%          36%        15%                      12%
                                               39%
                                                                       18%
                                                                                                 15%        31 to 50
                                  29%
                       30%                                                                                  11 to 30
          43%                                  17%                                 60%
                                                                       36%                       38%
                                                           77%                                              1 to 10
                       33%        43%
          15%                                  29%                                                          0 Referrals
                                                                                                 20%
                                                                       27%                                  per Week
          14%                                                                      20%
                       11%         5%          6%                                                10%
           PCP       Specialist    PCP      Specialist     PCP       Specialist     PCP      Specialist
              East                  Midwest                    South                      West
Notes:
Par8o survey, Dec 2011
N = 94 PCPs, 101 Specialists

                   Q5. On average, how many of your patients per week are referrals from other physicians? 2011 Confidential | 15
Few Referrals, Small Staff in the South
  In the South, where 57% of practices see 10 or fewer referred patients each week,
  offices are smallest, with 46% of practices employing only 2 to 5 administrative staff



                                                        38% of Midwestern
                                                     offices employ 6-10 staff
                                                             members                            46% of Eastern
                           52% of offices in                                                     offices employ
                                                            (38% of PCPs,
                           the West employ                39% of specialists)                  11+ staff members
                               11+ staff                                                           (43% of PCPs,
                               members                                                           48% of specialists)
                                 (70% of PCPs,
                               43% of specialists)


                                                                       46% of Southern
                                                                      offices employ 2-5
                                                                        staff members
                                                                           (53% of PCPs,
                                                                         36% of specialists)



Notes:
Par8o survey, Dec 2011
N = 94 PCPs, 101 Specialists

                     Q3. How many non-medical/administrative staff people are employed in your practice?   2011 Confidential | 16
par8o, Inc.
    Thank You

  media@par8o.com




                    2011 Confidential | 17
Small Office, Big Staff
The amount of support staff required to run a physician
 practice is a sign of the extreme inefficiencies in the
                healthcare marketplace



                Par8o will change that

      The first step is Referrals. Reinvented.
par8o, Inc.
     Thank You

      Learn more:
http://www.par8o.com


                       2011 Confidential | 19

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Par8o Insights on Patient Referrals: It (Currently)Takes an Army

  • 1. Insights on Patient Referrals: It (Currently)Takes an Army
  • 2. About  par8ois named after the Italian economist, Vilfredo Paretowho first defined the concept of a “Pareto Efficiency” in which a system is able to maximize resource utilization for each and every participant.  par8oseeks to introduce Pareto efficiency to the healthcare industry, improving patient choice and access to healthcare while lowering costs. 2011 Confidential | 2
  • 3. par8o surveyed 200 physicians… You won’t believe what they had to say about patient referrals… 2011 Confidential | 3
  • 4. par8o, Inc. Thank You media@par8o.com 2011 Confidential | 4
  • 5. Medicine Is a Hectic Business 49% of physicians surveyed see more than 100 patients each week and only 14% see fewer than 50 Patients Per Week 37% 30% 19% 12% 2% 25 Or Fewer Patients 26 to 50 51 to 100 101 to 150 151+ Per Week Notes: Par8o survey, Dec 2011 N = 94 PCPs, 101 Specialists Q4. On average, how many patients do you see per week? 2011 Confidential | 5
  • 6. Referrals Are the Business 96% of physicians see at least one referred patient each week and 30% see 41 or more referred patients each week Referrals Per Week 17% 17% 15% 14% 13% 12% 7% 4% 0 Referrals Per 1 to 5 6 to 10 11 to 20 21 to 30 31 to 40 41 to 50 51+ Week Notes: Par8o survey, Dec 2011 N = 94 PCPs, 101 Specialists Q5. On average, how many of your patients per week are referrals from other physicians? 2011 Confidential | 6
  • 7. par8o, Inc. Thank You media@par8o.com 2011 Confidential | 7
  • 8. Small Office, Big Staff 72% of physicians surveyed work in practices with 20 or fewer physicians, but 70% work in practices with at least 6 staff members – practices might be small to mid-sized, but staff sizes are medium to large Practice Size Admin Staff Size 45% 28% 26% 25% 23% 21% 19% 9% 4% 1 to 5 MDs 6 to 10 11 to 20 21 to 100 101+ 1 Staff Member 2 to 5 6 to 10 11+ Notes: Par8o survey, Dec 2011 N = 94 PCPs, 101 Specialists Q1: How many physicians are in your medical practice? (Including you) Q3. How many non-medical/administrative staff people are employed in your practice? 2011 Confidential | 8
  • 9. Every Office Requires a Big Staff Very few practices are able to make it with just one staff member – even among the smallest practices, only 7% employ just one administrative person Admin Staff Size 9% 39% 39% 53% 11+ 70% 6 to 10 15% 94% 2 to 5 27% 44% 39% 1 Staff 24% Member 20% 7% 7% 5% 6% 1 to 5 MDs 6 to 10 11 to 20 21 to 100 101+ Notes: Par8o survey, Dec 2011 N = 94 PCPs, 101 Specialists Q1: How many physicians are in your medical practice? (Including you) Q3. How many non-medical/administrative staff people are employed in your practice? 2011 Confidential | 9
  • 10. More Staff Than Doctors About half of small and mid-sized offices have more staff than physicians 1-5 6-10 11-20 PHYSICIAN PHYSICIAN PHYSICIAN OFFICES OFFICES OFFICES 48% 55% 53% employ a employ a employ a staff of 6 or staff of 6 or staff of 11 more more or more Notes: Par8o survey, Dec 2011 N = 94 PCPs, 101 Specialists Q1: How many physicians are in your medical practice? (Including you) Q3. How many non-medical/administrative staff people are employed in your practice? 2011 Confidential | 10
  • 11. par8o, Inc. Thank You media@par8o.com 2011 Confidential | 11
  • 12. Specialties Are Built on Referrals All specialists surveyed see at least one referred patient each week and 44% see 41 or more referrals in a week, while 49% of PCPs see fewer than 10 referred patients each week Referrals Per Week PCPs Specialists 29% 21% 19% 17%18% 18% 15% 13% 12% 9% 9% 9% 4% 5% 3% 0% 0 Referrals 1 to 5 6 to 10 11 to 20 21 to 30 31 to 40 41 to 50 51+ per Week Notes: Par8o survey, Dec 2011 N = 94 PCPs, 101 Specialists Q5. On average, how many of your patients per week are referrals from other physicians? 2011 Confidential | 12
  • 13. Specialties Require Manpower More referrals mean more staffing needs – 49% of specialists work in practices with 11 or more staff members and none of the specialists surveyed work in practices with just one administrative employee Admin Staff Size PCPs Specialists 49% 41% 26% 27% 26% 25% 7% 0% 1 Staff Member 2 to 5 6 to 10 11+ Notes: Par8o survey, Dec 2011 N = 94 PCPs, 101 Specialists Q1: How many physicians are in your medical practice? (Including you) Q3. How many non-medical/administrative staff people are employed in your practice? 2011 Confidential | 13
  • 14. par8o, Inc. Thank You media@par8o.com 2011 Confidential | 14
  • 15. Fewest Referrals in the South In the South, 77% of PCPs see 10 or fewer referrals each week, while in the East, only 29% of PCPs see 10 or fewer Referrals Per Week 5% 10% 10% 12% 18% 10% 29% 51+ 24% 36% 15% 12% 39% 18% 15% 31 to 50 29% 30% 11 to 30 43% 17% 60% 36% 38% 77% 1 to 10 33% 43% 15% 29% 0 Referrals 20% 27% per Week 14% 20% 11% 5% 6% 10% PCP Specialist PCP Specialist PCP Specialist PCP Specialist East Midwest South West Notes: Par8o survey, Dec 2011 N = 94 PCPs, 101 Specialists Q5. On average, how many of your patients per week are referrals from other physicians? 2011 Confidential | 15
  • 16. Few Referrals, Small Staff in the South In the South, where 57% of practices see 10 or fewer referred patients each week, offices are smallest, with 46% of practices employing only 2 to 5 administrative staff 38% of Midwestern offices employ 6-10 staff members 46% of Eastern 52% of offices in offices employ (38% of PCPs, the West employ 39% of specialists) 11+ staff members 11+ staff (43% of PCPs, members 48% of specialists) (70% of PCPs, 43% of specialists) 46% of Southern offices employ 2-5 staff members (53% of PCPs, 36% of specialists) Notes: Par8o survey, Dec 2011 N = 94 PCPs, 101 Specialists Q3. How many non-medical/administrative staff people are employed in your practice? 2011 Confidential | 16
  • 17. par8o, Inc. Thank You media@par8o.com 2011 Confidential | 17
  • 18. Small Office, Big Staff The amount of support staff required to run a physician practice is a sign of the extreme inefficiencies in the healthcare marketplace Par8o will change that The first step is Referrals. Reinvented.
  • 19. par8o, Inc. Thank You Learn more: http://www.par8o.com 2011 Confidential | 19