Topics:

Misaligned Incentives
Price Variation
Price Transparency
Commodity Care
Outpatient Care
Employee Incentives
Medical Cost Savings

In this episode, Michael introduces you to Dr. Bill Hennessey, Founder, and CEO of Pratter, Inc. Join us as we discuss Pratter’s mission to help millions save billions via their medical cost saving and transparency tool that incentivizes employees to access lower cost, high-quality outpatient healthcare.
Here’s a glance at what we discuss in this episode:

Dr. Hennessey’s clinical and entrepreneurial experience and why he founded Pratter
How price variation, misaligned incentives, egregious hospital pricing and lack of transparency has contributed to increasing healthcare costs
The price variation that exists in a routine outpatient care setting and why insurance carriers don’t do a better job guiding people to lower cost, higher quality providers
How Pratter’s tool identifies lower cost services and facilities in a searchable format within in a given zip code within any carrier provider network
How Pratter secures outpatient pricing data from third-party administrators and asks outpatient facilities for their best price regardless of network discounts
Three different pricing structures in healthcare; and why providers and facilities are incentivized to accept cash rather than in-network discounts
Pratter’s geographic reach across the country
Why existing price transparency tools have such low utilization
How employees are incentivized to use the transparency tool through the Pratter Mastercard that provides instant gratification by rewarding the employee for accessing the affordable care with cash incentives and/or shared savings
Pratter’s engagement and utilization results range from 15% – 40%
How Pratter identifies a list of cost drivers by conducting a cost analysis on historical data during initial employer engagement
How misaligned incentives in compensation structures have been an obstacle that Pratter seeks to overcome when implementing their service
Pratter has identified that on average there is a 30% price variation (waste) on in-network medical spend
How Pratter was just approved to participate as a Medicare vendor with over 100 million outpatient Medicare claims permitted to show the...

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