Insights on Patient Referrals:
The Not-So-Secret Weapon for a Growing
          Physician Practice
Aboutr8oPar8o
 par8o is named after the
  Italian economists, Vilfredo
  Pareto who first defined the
  concept of a “Pareto
  Efficiency” - a system is able to
  maximize resource utilization
  for each and every participant.

 par8o seeks to introduce
  Pareto efficiency to the
  healthcare industry, improving
  patient choice and access to
  healthcare while lowering
  costs.



                                      2012 Confidential | 2
par8o surveyed 200 physicians…

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




                                 2012 Confidential | 3
2012 Confidential | 4
Physicians Understand the
                   Importance of Referrals
 78% of physicians surveyed consider new patient referrals very or extremely important


                               Importance of New Patient Referrals
                                       on a Scale of 1 to 5
                                (1=not at all important; 5=extremely important)
                                                                                  46%


                                                                        32%




                                                      14%

                 4%                  4%


                  1                   2                 3                 4        5
Notes:
Par8o survey, Dec 2011
N = 94 PCPs, 101 Specialists

                                                                                       2012 Confidential | 5
Referrals Important to All MDs
    87% of specialists and 68% of PCPs consider referrals extremely or very important




                                Consider New Patient Referrals
                                  Extremely / Very Important

                                                                87%
                               68%




                               PCPs                         Specialists


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

                                                                           2012 Confidential | 6
2012 Confidential | 7
Nearly All Physicians See Referrals
                96% of physicians see at least one referred patient each week and
                        30% see 41 or more referred patients each week,
                        with specialists seeing more referrals than PCPs



                                              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

                                                                                             2012 Confidential | 8
2012 Confidential | 9
Referrals Are Key to a Growing Practice
             In 41% of practices, more than half of new patients come from referrals




                                     Percentage of Total Patients
                                        Starting As Referrals
                                                             23%
                                 21%
                                               18%                           18%
                17%




              0% to 10%        11% to 25%    26% to 50%    51% to 75%     76% to 100%



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

                                                                                2012 Confidential | 10
2012 Confidential | 11
Specialist Practices Know the Upside
           of Patient Referrals
65% of specialists say their practices generate more than half of new patients from referrals


                                   Percentage of Specialists’ Total
                                    Patients Starting as Referrals
                                                                                         Mostly
                                                                                        Referrals
                                                                35%
                                                                               30%


                                                   18%
                                      15%
   Few
 Referrals

                      0%
              0% to 10%         11% to 25%   26% to 50%   51% to 75%    76% to 100%
 Notes:
 Par8o survey, Dec 2011
 N = 94 PCPs, 101 Specialists

                                                                              2012 Confidential | 12
2012 Confidential | 13
In Larger Practices, More Patients
            Come From Referrals
                 In most practices with more than 20 physicians, more than half of
                                   new patients start as referrals




             Percentage of Total Patients Starting As Referrals

                                30%
             39%                          42%                         50%
                                                        52%

                                                                              51% to 100%
                                                                              0% to 50%
                                70%
             59%                          53%                         50%
                                                        38%



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

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

                                                                                2012 Confidential | 14
2012 Confidential | 15
Referrals Differ by Practice Type
          Physicians working in hospital-based private practices and as employees in
             offices or clinics see more patients coming from referrals than those
                    who work in private offices or as employees at hospitals



             Percentage of Total Patients Starting As Referrals


               36%                                                   38%
                               50%               53%
                                                                                    51% to 100%

                                                                                    0% to 50%

               60%                                                   59%
                               39%               47%



 Hospital-Based Employed
                    Hospital-Based Private
                                       Office/Clinic Employed
                                                            Office/Clinic Private

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

                                                                                    2012 Confidential | 16
2012 Confidential | 17
Average Referral Worth Estimated at
           Almost $5,000
Physicians believe each new patient may generate an average of $4,553 over the course of
    their relationship with the practice, with both PCPs and specialists estimating a lifetime
                                        value of over $3,000

                                Average Lifetime Revenue Generated
                                        by One New Patient


                                              $5,734
                   $4,553
                                                                      $3,417




                    Total                     PCPs                  Specialists


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

                                                                                  2012 Confidential | 18
2012 Confidential | 19
Referrals Worth Most in the East
With an average revenue of $5,414, new patients have the highest estimated lifetime value in
      the East vs. a low of $2,824 in the South and around $3,000 in the West and Midwest



                                            Midwestern MDs
                                           estimate the lifetime
                                          value of a new patient              Eastern MDs
               Western MDs estimate the                                        estimate the
                value of a lifetime new         at $3,043
                                                                           lifetime value of a
                   patient at $3,346                                          new patient at
                                                                                  $5,414



                                                        Southern MDs estimate the
                                                      lifetime value of a new patient
                                                                 at $2,824




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

                                                                                    2012 Confidential | 20
2012 Confidential | 21
Referrals Translate Into Big Income

                                                              …which means that 1 week’s
                                 …say each newly referred     worth of referral patients has
Physicians working in            patient brings an average   an overall potential value of…*
 practices that see…                 lifetime value of…


1-10 referred patients                     $6k                            $6k-$60k
      per week

11-30 referred patients
       per week
                                           $4k                         $44k-$120k

31-50 referred patients
       per week
                                           $3k                         $91k-$150k

51+ referred patients
      per week
                                           $4k                    $200,000 or more
                                                             *Potential value multiplies average lifetime
                                                             value estimated by number of referred patients
  Notes:                                                     seen per week; Physicians who see lower
  Par8o survey, Dec 2011                                     numbers of referrals per week place a lifetime
  N = 94 PCPs, 101 Specialists                               higher value on each referral

                                                                                     2012 Confidential | 22
Referrals Are Big Business
Savvy physicians place a great emphasis on patient
referrals as a primary way of growing their practices



              Par8o will build on that

     The first step is Referrals. Reinvented.




                                                2012 Confidential | 23
par8o, Inc.
     Thank You

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


                       2011 Confidential | 24

Insights on Patient Referrals: The Not-So-Secret Weapon for a Growing Physician Practice

  • 1.
    Insights on PatientReferrals: The Not-So-Secret Weapon for a Growing Physician Practice
  • 2.
    Aboutr8oPar8o  par8o isnamed after the Italian economists, Vilfredo Pareto who first defined the concept of a “Pareto Efficiency” - a system is able to maximize resource utilization for each and every participant.  par8o seeks to introduce Pareto efficiency to the healthcare industry, improving patient choice and access to healthcare while lowering costs. 2012 Confidential | 2
  • 3.
    par8o surveyed 200physicians… You won’t believe what they had to say about patient referrals… 2012 Confidential | 3
  • 4.
  • 5.
    Physicians Understand the Importance of Referrals 78% of physicians surveyed consider new patient referrals very or extremely important Importance of New Patient Referrals on a Scale of 1 to 5 (1=not at all important; 5=extremely important) 46% 32% 14% 4% 4% 1 2 3 4 5 Notes: Par8o survey, Dec 2011 N = 94 PCPs, 101 Specialists 2012 Confidential | 5
  • 6.
    Referrals Important toAll MDs 87% of specialists and 68% of PCPs consider referrals extremely or very important Consider New Patient Referrals Extremely / Very Important 87% 68% PCPs Specialists Notes: Par8o survey, Dec 2011 N = 94 PCPs, 101 Specialists 2012 Confidential | 6
  • 7.
  • 8.
    Nearly All PhysiciansSee Referrals 96% of physicians see at least one referred patient each week and 30% see 41 or more referred patients each week, with specialists seeing more referrals than PCPs 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 2012 Confidential | 8
  • 9.
  • 10.
    Referrals Are Keyto a Growing Practice In 41% of practices, more than half of new patients come from referrals Percentage of Total Patients Starting As Referrals 23% 21% 18% 18% 17% 0% to 10% 11% to 25% 26% to 50% 51% to 75% 76% to 100% Notes: Par8o survey, Dec 2011 N = 94 PCPs, 101 Specialists 2012 Confidential | 10
  • 11.
  • 12.
    Specialist Practices Knowthe Upside of Patient Referrals 65% of specialists say their practices generate more than half of new patients from referrals Percentage of Specialists’ Total Patients Starting as Referrals Mostly Referrals 35% 30% 18% 15% Few Referrals 0% 0% to 10% 11% to 25% 26% to 50% 51% to 75% 76% to 100% Notes: Par8o survey, Dec 2011 N = 94 PCPs, 101 Specialists 2012 Confidential | 12
  • 13.
  • 14.
    In Larger Practices,More Patients Come From Referrals In most practices with more than 20 physicians, more than half of new patients start as referrals Percentage of Total Patients Starting As Referrals 30% 39% 42% 50% 52% 51% to 100% 0% to 50% 70% 59% 53% 50% 38% 1 to 5 MDs 6 to 10 11 to 20 21 to 100 101+ Notes: Par8o survey, Dec 2011 N = 94 PCPs, 101 Specialists 2012 Confidential | 14
  • 15.
  • 16.
    Referrals Differ byPractice Type Physicians working in hospital-based private practices and as employees in offices or clinics see more patients coming from referrals than those who work in private offices or as employees at hospitals Percentage of Total Patients Starting As Referrals 36% 38% 50% 53% 51% to 100% 0% to 50% 60% 59% 39% 47% Hospital-Based Employed Hospital-Based Private Office/Clinic Employed Office/Clinic Private Notes: Par8o survey, Dec 2011 N = 94 PCPs, 101 Specialists 2012 Confidential | 16
  • 17.
  • 18.
    Average Referral WorthEstimated at Almost $5,000 Physicians believe each new patient may generate an average of $4,553 over the course of their relationship with the practice, with both PCPs and specialists estimating a lifetime value of over $3,000 Average Lifetime Revenue Generated by One New Patient $5,734 $4,553 $3,417 Total PCPs Specialists Notes: Par8o survey, Dec 2011 N = 94 PCPs, 101 Specialists 2012 Confidential | 18
  • 19.
  • 20.
    Referrals Worth Mostin the East With an average revenue of $5,414, new patients have the highest estimated lifetime value in the East vs. a low of $2,824 in the South and around $3,000 in the West and Midwest Midwestern MDs estimate the lifetime value of a new patient Eastern MDs Western MDs estimate the estimate the value of a lifetime new at $3,043 lifetime value of a patient at $3,346 new patient at $5,414 Southern MDs estimate the lifetime value of a new patient at $2,824 Notes: Par8o survey, Dec 2011 N = 94 PCPs, 101 Specialists 2012 Confidential | 20
  • 21.
  • 22.
    Referrals Translate IntoBig Income …which means that 1 week’s …say each newly referred worth of referral patients has Physicians working in patient brings an average an overall potential value of…* practices that see… lifetime value of… 1-10 referred patients $6k $6k-$60k per week 11-30 referred patients per week $4k $44k-$120k 31-50 referred patients per week $3k $91k-$150k 51+ referred patients per week $4k $200,000 or more *Potential value multiplies average lifetime value estimated by number of referred patients Notes: seen per week; Physicians who see lower Par8o survey, Dec 2011 numbers of referrals per week place a lifetime N = 94 PCPs, 101 Specialists higher value on each referral 2012 Confidential | 22
  • 23.
    Referrals Are BigBusiness Savvy physicians place a great emphasis on patient referrals as a primary way of growing their practices Par8o will build on that The first step is Referrals. Reinvented. 2012 Confidential | 23
  • 24.
    par8o, Inc. Thank You Learn more: http://www.par8o.com 2011 Confidential | 24