2. The Problem: High health care costs
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January 2016 Private and Confidential
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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
3. 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)
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January 2016 Private and Confidential
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Employees face BIG
out-of-pocket money!
4. 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.
Pratter, Inc.
www.pratter.us
January 2016 Private and Confidential
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http://www.stand-upcomedyworkshop.com/
Insurance companies do not
want you to see behind the
curtain!
TM
5. 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.
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January 2016 Private and Confidential
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“Know before you go” with pricing for medical care
6. Sales: The Employer is our Customer
1) Health insurance brokers – 405,075 brokers
2) Third party administrators (TPAs) – 560 TPAs
3) 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.
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January 2016 Private and Confidential
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3 channel partners for distribution
7. 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
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January 2016 Private and Confidential
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8. 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
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January 2016 Private and Confidential
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TM
Only
company…
9. 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
10. 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.
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January 2016 Private and Confidential
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11. Financial Projections - by 2020
Pratter, Inc.
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January 2016 Private and Confidential
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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:
12. 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.
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January 2016 Private and Confidential
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13. 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.
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