Performant Investor Presentation
HEALTHCARE PAYMENT INTEGRITY MARKET SIZING
Expected
2019
Spend
Inaccurate
Payments
%
Inaccurate
Commercial
Employer
Sponsored
$1,086B
~$65B
6.0%
Total U.S. Healthcare Expenditures
expected to exceed $4 trillion by 2020
Performant's addressable market is
approximately $200 billion that
continues to grow annually
Some of the largest commercial and
government entities that are potential
opportunities include:
Medicare
Advantage
$357B
~$29B
8.2%
Medicare
Fee-For-
$390B
~$32B
Centene
8.2%
Service
UHC
Managed
Medicaid
$307B
~$44B
14.4%
Medicaid
Fee-For-
Service
$282B
~$41B
14.4%
6
Blues Network
Centers for Medicare and
Medicaid (CMS)
Anthem
Performant's market opportunity is between 10 and 15% of the total amount of
inaccurate payments
Source: 2018 Medicare FFS Supplemental Report, Dept. of HHS, CMS CERT/PERM Note:
Market-rate fee for comprehensive pre- and post-pay
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