Patent Valuation Report MMRGlobal 01/21/2013

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The MichaelBass Group Market Overview: According to The Center for Information Technology Leadership (CITL) PHRs are projected to be a $19 billion dollar market. [1] Several movements are behind the growing popularity of PHRs, including interest in web-based social networking and the Health 2.0 movement. [2] Another concept that promotes the PHR as a tool for patient self-management is the web-based personal medical home model. [3] Many consumers have PHRs through their employers, health insurers, or health providers. Currently, 10 percent of the public takes advantage of PHRs, however, privacy issues and access limitations remain a large concern. [10] Additionally, there are consumers who have PHRs through independent vendors. One estimate indicates that seventy million people in the United States have access to a PHR. [4] The Federal government ruled on August 23rd, 2012 that Stage 2 Meaningful Use taking effect in 2014 requires “electronic or online access” to patient health data versus the previous rule which only required a copy of patient health information. [11] With regard to health benefits, there was a 5.25-point reduction in diastolic blood pressure for patients that used a PHR frequently. [10] Primary factors contributing to the increase in demand for PHRs in 2013 includes 32 million previously uninsured Americans placing increased demands on the health system, the imperative for sharing medical record information with patients in Stage 2 MU and tools like PHRs can potentially play a critical role in preventing re admissions within 30 days of discharge. PHR Facts: Patent Valuation Report Issued January 22, 2013 MMRGLOBAL, INC. MMRF.OB Although only 7% of patients were using a PHR, more than 50% said they would be likely to use one if a physician recommended it. [12] Digitally connecting providers to one another and with patients, experts say, is key to improving patient care, facilitating safety and efficiency, and ultimately reducing costs. [13] An estimated 70 million Americans have access to a PHR, according to the Massachusetts-based Center for Information Technology Leadership, though most have not adopted the technology. For example, Aetna offers its PHR to 9 million members, yet only 1 million use it. [13] Patients who use an interactive personal health record (IPHR) are almost twice as likely to be up to date with clinical preventive services as those who do not, according to a new study led by Alex Krist, M.D., M.P.H. [17] Americans who have access to their health information through personal health records (PHRs) report that they know more about their health, ask more ques- tions, and take better care of themselves than when their health information was less accessible to them in paper records. [24] Twice as many Gen X and Y consumers want to access and maintain their PHRs using a mobile device than do Baby Boomers and Seniors. [26] Approximately six out of ten consumers (57 percent) want to access an on PHR connected to their doctor’s office. [26] * This report uses the U.S. Department of Health and Human Service’s definition of a PHR and patient portal with the terms being synonymous. [28]

description

Patent Valuation Report Issued January 22, 2013

Transcript of Patent Valuation Report MMRGlobal 01/21/2013

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Market Overview:According to The Center for Information Technology Leadership (CITL) PHRs are projected to be a $19 billion dollar market.[1] Several movements are behind the growing popularity of PHRs, including interest in web-based social networking and the Health 2.0 movement. [2]

Another concept that promotes the PHR as a tool for patient self-management is the web-based personal medical home model.[3] Many consumers have PHRs through their employers, health insurers, or health providers. Currently, 10 percent of the public takes advantage of PHRs, however, privacy issues and access limitations remain a large concern.[10] Additionally, there are consumers who have PHRs through independent vendors. One estimate indicates that seventy million people in the United States have access to a PHR. [4] The Federal government ruled on August 23rd, 2012 that Stage 2 Meaningful Use taking effect in 2014 requires “electronic or online access” to patient health data versus the previous rule which only required a copy of patient health information.[11] With regard to health benefits, there was a 5.25-point reduction in diastolic blood pressure for patients that used a PHR frequently.[10] Primary factors contributing to the increase in demand for PHRs in 2013 includes 32 million previously uninsured Americans placing increased demands on the health system, the imperative for sharing medical record information with patients in Stage 2 MU and tools like PHRs can potentially play a critical role in preventing re admissions within 30 days of discharge.

PHR Facts:

Patent Valuation Report Issued January 22, 2013MMRGLOBAL, INC. MMRF.OB

• Although only 7% of patients were using a PHR, more than 50% said they would

be likely to use one if a physician recommended it.[12]

• Digitally connecting providers to one another and with patients, experts say, is

key to improving patient care, facilitating safety and efficiency, and ultimately

reducing costs.[13]

• An estimated 70 million Americans have access to a PHR, according to the

Massachusetts-based Center for Information Technology Leadership, though

most have not adopted the technology. For example, Aetna offers its PHR to 9

million members, yet only 1 million use it.[13]

• Patients who use an interactive personal health record (IPHR) are almost twice

as likely to be up to date with clinical preventive services as those who do not,

according to a new study led by Alex Krist, M.D., M.P.H. [17]

• Americans who have access to their health information through personal health

records (PHRs) report that they know more about their health, ask more ques-

tions, and take better care of themselves than when their health information was

less accessible to them in paper records. [24]

• Twice as many Gen X and Y consumers want to access and maintain their PHRs

using a mobile device than do Baby Boomers and Seniors. [26]

• Approximately six out of ten consumers (57 percent) want to access an on

PHR connected to their doctor’s office. [26]

Although only 7% of patients were using a PHR, more than 50% said they would

Digitally connecting providers to one another and with patients, experts say, is

key to improving patient care, facilitating safety and efficiency, and ultimately

An estimated 70 million Americans have access to a PHR, according to the

Massachusetts-based Center for Information Technology Leadership, though

most have not adopted the technology. For example, Aetna offers its PHR to 9

Patients who use an interactive personal health record (IPHR) are almost twice

as likely to be up to date with clinical preventive services as those who do not,

Americans who have access to their health information through personal health

records (PHRs) report that they know more about their health, ask more ques-

tions, and take better care of themselves than when their health information was

Twice as many Gen X and Y consumers want to access and maintain their PHRs

Approximately six out of ten consumers (57 percent) want to access an online

* This report uses the U.S. Department of Health and Human Service’s definition of a PHR and patient portal with the terms being synonymous.[28]

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Since this report was last published in January 2012 there have been a number of dramatic changes in the PHR/patient portal market.

According to the Congressional Budget Office, the insurance mandate in the Affordable Care Act means that starting January, 1 2014,

14 million Americans will be insured with the remaining 16 million coming online by 2021. [29] A report from PwC’s Health Research

Institute describes the newly-insured demographic as less educated, more racially diverse, and more than twice as likely to speak a

primary language other than English. Many will also never have been insured before. [30] Given these dynamics providers will need to

identify processes and tools that will help them to successfully get on board this new segment of the population. Tools such as PHRs

will become increasingly important to communicate with and engage this patient population. PHRs that provide channels for providers

and patients to connect digitally is a key factor to improving patient care, facilitating safety and efficiency and reducing costs. [13]

A second, and significant development is Stage 2 Meaningful Use requirements for providers to ensure at least 5% of patients access,

print, share or download their health records. [31] This will most likely spur unprecedented demand for PHRs enabling patients to

access their digital records. With the CMS 30 day readmission rate penalties now in place providers are quickly exploring strategies

and technologies that can help to reduce re admissions. Many studies suggest that better communication and engagement after

discharge leads to lower readmission rates. The University of Colorado at Denver’s Care Transitions Program demonstrated a 20 to

40 percent reduction in overall hospital readmission rates through the use of an innovative transition model that required the use of

a PHR. [32] Given the tailwinds resulting from federal mandates and research that continues to demonstrate the efficacy of PHRs, the

market is positioned for what can be a break-out year.

Significant Developments

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Intellectual Property PortfolioThe following list is a comprehensive up to date compilation of the MMRGLOBAL patent portfolio.

*Please note the patents listed here and considered in the valuation do not include the biotech patents, and additional claims being filed which are a separate part of MMRGlobal’s patent portfolio.

COUNTRY REFERENCE# TYPE FILED SERIAL # ISSUED PATENT# STATUS

AGGREGATION OF DATA FROM THIRD PARTY ELECTRONIC MEDICAL OR HEALTH RECORDS SYSTEMS INTO A PERSONAL HEALTH RECORD ACCOUNT

UNITED STATES P10196US00 NEW 5/1/2012 13/461,219 PENDING

Patent Portfolio OverviewPatent Report by Invention

DELIVERY OF ELECTRONIC MEDICAL RECORDS OR ELECTRONIC HEALTH RECORDS INTO A PERSONAL HEALTH RECORDS MANAGEMENT SYSTEM

UNITED STATES P10123US00 NEW 2/20/2012 61/600,868 PENDING

ELECTRONIC HEALTH RECORDS IN CLINICAL TRIALS

UNITED STATES P09605US01 FCA 4/8/2011 13/082,896 PUBLISHED

HEALTH RECORD WITH INBOUND AND OUTBOUND FAX FUNCTIONALITY

UNITED STATES P10275US00 NEW 6/21/2012 61/662,417 PENDING

METHOD AND SYSTEM FOR PROVIDING ONLINE MEDICAL RECORDS WITH EMERGENCY PASSWORD FEATURE

UNITED STATES P07531US01 FCA 3/26/2007 11/690,996 PUBLISHED

UNITED STATES P07531US02 CIP 9/4/2008 12/204,474 PUBLISHED

METHOD AND SYSTEM FOR MANAGING PERSONAL HEALTH RECORDS WITH TELEMEDICINE AND HEALTH MONITORING DEVICE FEATURES

UNITED STATES P10102US01 NEW 1/8/2013 13/736, 384 PENDING

UNITED STATES P10102WO00 NEW 1/8/2013 PCT/US13/20641 PENDING

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Intellectual Property PortfolioThe following list is a comprehensive up to date compilation of the MMRGLOBAL patent portfolio.

*Please note the patents listed here and considered in the valuation do not include the biotech patents, and additional claims being filed which are a separate part of MMRGlobal’s patent portfolio.

COUNTRY REFERENCE# TYPE FILED SERIAL # ISSUED PATENT# STATUS

Patent Portfolio OverviewPatent Report by Invention

METHOD AND SYSTEM FOR PROVIDING ONLINE MEDICAL RECORDS

JAPAN DIV 2/10/2006 2012-196065 PENDING

SOUTH KOREA P07286KR00 DCA 2/10/2006 (PCT)2008-7008445 PUBLISHED

MEXICO P07286MX00 DCA 2/10/2006 MX/a/2008/003495 ISSUED

P07286MX01 DIV 2/10/2006 MX/a/2012/001633 PENDING

NEW ZEALAND P07286NZ00 DCA 2/10/2006 566650 ISSUED

SINGAPORE P07286SG00 DCA 2/10/2006 200801954.9 ISSUED

WIPO P07286WO00 CEQ 2/10/2006 PCT/US06/04867 NAT PHASE

P07286JP01

4/23/2012 298478

MEXICO

12/7/2010 566650

1/30/2009 140830

AUSTRALIA CEQ 5/16/2006 2006202057 ISSUEDAUSTRALIA P07286AU01 DIV 5/30/2008 2008202401 ISSUED

UNITED STATES P07286US02 CON 9/4/2008 12/204,465 ISSUED

P07286US03 CIP 9/4/2008 12/204,498 PUBLISHED

SOUTH KOREA P07286KR01 DIV 11/17/2010 10-2010-7025779 PENDING

UNITED STATES P07286US04 CON 3/7/2011 13/041,809 ISSUEDUNITED STATES P07286US05 CON 1/17/2012 13/352,026 ISSUED

P07286AU00

2/14/2012 8,117,646

UNITED STATES

10/30/2012 8,301,466

P07286US06 CON 1/17/2012 13/352,045 ISSUEDUNITED STATES P07286US07 CON 1/17/2012 13/352,068 ISSUEDUNITED STATES P07286US08 CON 10/29/2012 13/663,101 PENDING

5/29/2008 200620205712/24/2009 2008202401

UNITED STATES

11/27/2012 8,321,240

P07286US09 13/736,339 PENDINGUNITED STATES 13/714,694 PENDINGUNITED STATES 13/714,720 PENDING

UNITED STATES 1/8/2013P07286US10P07286US11

1/8/20131/8/2013

8,352,2878,352,288

UNITED STATES P07286US00LORSCH NEW 9/12/2005 11/225,518 ISSUED

UNITED STATES P07286US01 CIP 12/16/2005 11/305,685 ISSUED

CANADA P07286CA00 DCA 2/10/2006 2,615,128 PENDING

EUROPEAN PATENTP07286EP00 DCA 2/10/2006 06720652.4 PUBLISHEDHONG KONG P07286HK00 CEQ 2/10/2006 08112621.4 PUBLISHED

ISRAEL P07286IL00 DCA 2/10/2006 190,064 PENDING

JAPAN P07286JP00 DCA 2/10/2006 2008-529977 PUBLISHED

2/21/2012 8,121,855

2/14/2012 8,117,045

12/14/201212/14/2012

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Intellectual Property PortfolioThe following list is a comprehensive up to date compilation of the MMRGLOBAL patent portfolio.

*Please note the patents listed here and considered in the valuation do not include the biotech patents, and additional claims being filed which are a separate part of MMRGlobal’s patent portfolio.

COUNTRY REFERENCE# TYPE FILED SERIAL # ISSUED PATENT# STATUS

Patent Portfolio OverviewPatent Report by Invention

MOBILE PLATFORM FOR PERSONAL HEALTH RECORDS

UNITED STATES NEW 1/23/2012 61/589,805 PENDINGP10110US00

MOBILE PLATFORM FOR PERSONAL HEALTH RECORDS

UNITED STATES NEW 2/20/2012 61/600,861 PENDINGP10136US00

PREPAID CARD FOR SERVICES RELATED TO PERSONAL HEALTH RECORDS

UNITED STATES NEW 1/8/2013 13/736,340 PENDINGP10101US01

UNIVERSAL PATIENT RECORD CONVERSION TOOL

UNITED STATES FCA 9/28/2011 13/246,948 PUBLISHEDP09756US01WIPO CEQ 9/28/2011 PCT/US11/53594 PUBLISHEDP09756WO00

WIPO NEW 1/8/2013 PCT/US13/20633 PENDINGP10101WO00

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Valuation AnalysisThe industry accepted patent evaluation method that we used was PatentValuePredictor.com which has been developed and

launched several years ago by Richard A. Neifeld and Dr. Martin Goffman.

Dr. Neifeld holds a JD degree from George Washington University and a Ph.D. in Physics from Rutgers University. Dr. Neifeld is also the founder of Neifeld IP Law, PC. He is a patent attorney registered to practice in the State of Virginia, before the District Court for the District of Columbia, and before the United States Patent and Trademark Office. He is a member of several Intellectual Property as-sociations, and he is the former chair of the Interference Committee of the American Intellectual Property Lawyers Association.

Dr. Martin Goffman holds a Ph.D. in Chemistry from Temple University and has owned and operated small high technology businesses for the past 15 years. In addition to StockPricePredictor.com. LLC, Dr. Goffman maintains his long time passion of information research, particularly in the patent information and related technology fields, and he is the principal of Martin Goffman Associates.Patent Value Predictor reports are based on patented macroeconomic models for automatically valuing patents. The reports are backed by patent and financial databases which record the proprietary statistics used to predict the potential market size, and your patent’s predicted share of this market. Many factors, such as the number of patents in the technology area, profit margins, and the GDP, figure into the statistically predicted valuation.[5]

After using the Patent Value Predictor software we established a base value for the market and then took into account the predicted size of the market (GDP) and the fact that the market has a 7% usage rate of PHRs currently.[6] We adjusted those values to reflect the size of the market (GDP) predicted and the potential value of the patent portfolio accordingly. We recognized that the patents listed here have a remaining enforcement life of approximately 14 years from when they issue. The biggest factors in determining the value of the patent portfolio that we took into consideration were patent significance, the market size, the patent term, and amount of prior art.

Based on our analysis, the range of value for these patents could reach $600 million to $1.1 billion in revenue based on very con-servative estimates that the market will reach the full GDP value of $19 billion in the next 10 years.[1] The risk factors for these patent values not realizing their predicted range of value include, adoption rate of PHRs, the claims granted in the patent are not enforce-able and widely used, the market doesn’t grow as quickly as predicted, the prices for PHRs drop substantially, and or government/regulatory forces. This valuation does not take into account the international patents which have issued in the MMRGlobal portfolio.

Conclusions & Opportunities Looking Ahead

The world’s healthcare IT market is expected to grow

from $99.6 billion in 2010 to $162.2 billion in 2015, representing

a CAGR of 10.2% from 2010 to 2015.[19] There

are approximately over 150 PHRs [27] and 750 EMR’s[7] that have been identified as active in the marketplace.

These 900 providers are potential license targets as well

as potential infringers of MMRGlobal’s patent portfolio. There

are over 5,500 hospitals and 56,000 pharmacies in

the United Sates. MMRGlobal will pursue licensing agree-

ments with Hospitals, Providers, Payors, Pharmacies and

Software Vendors. Additionally MMRGlobal continually files

claims with the US Patent Office on a regular

basis to enhance the patent portfolio.

PHRs will continue to evolve and will become more standard-

ized as regulations and legislation governing them go into effect.

As outlined in the Federal Strategic Health IT Plan published in

September 2011, the government has a stated goal to empower

the individual and offer incentives around giving patients access

to their health information in an electronic format or (PHR). [8] A

key tenet of Stage 2 Meaningful Use, which takes effect in 2014,

will rely heavily on the functionality that PHRs afford providers

to engage patients and their families in their care. [8] In 2012,

estimates are that the government paid out $1.2 billion in the

month of December alone, with an estimated total of $10.3

billion in EHR incentive payments since the start of the program

in 2009. [33]

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References and Sources1. Jones, D.A., Shipman, J. P., Plaut, D.A., Selden, C.R. (2010). Characteristics of personal health records: fi ndings of the Medi-

cal Library Association/National Library of Medicine Joint Electronic Personal Health Record Task Force. Journal of Medical Library Association. (98)3 243-249

2. Coffi eld, RL, DeLoss, GE, Mooty GP. The rise of the personal health record: panacea or pitfall for health information. Health Lawyers News. 2008 Oct; 12 (10): 8–13.

3. Scherger, JE. Future vision: is family medicine ready for patient-directed care?. Family Medicine. 2009 Apr; 41 (4): 285–8.

4. Kaelber, DC, Jha, AK, Johnston D, Middleton B, Bates DW., A research agenda for personal health records (PHRs). Journal of American Medical Information Association. 2008 Nov–Dec; 15, (6): 729–36. DOI10.1197/jamia.M2547.

5. Neifeld, R. A., Martin, G., (n.d.). Retrieved from http://www.patentvaluepredictor.com

6. Singer, E. (2010, April 14). Use of Personal Health Records Is Growing. Technology Review. Retrieved from http://www.tech-nologyreview.com/blog/editors/25047/

7. Douglas, M., Eisenberg, C. (2011, September 22). Electronic Medical Records: A Silicon Valley Gold Rush. Bloomberg Businessweek. Retrieved from http:// www.businessweek.com/magazine/electronic-medical-records-a-silicon-valley-gold-rush-09222011.html

8. United State Department of Health and Human Services. (2011, September 12). Retrieved from http://healthit.hhs.gov/strate-gicplan

9. United State Department of Health and Human Services, Centers for Medicare and Medicaid. (2011, December 31). State Breakdown of Payments to Medicare and Medicaid Providers through December 31, 2011. Retrieved from http://www.cms.gov/EHRIncentivePrograms/ 56_DataAndReports.asp#TopOfPage

10. “Health Information Technology.” Research Activities, November 2012: : Study Finds Personal Health Records Do Not Impact Hypertension Care. N.p., n.d. Web. 29 Nov. 2012. <http://www.ahrq.gov/research/ nov12/1112RA26.htm>

11. “MMRGlobal Brings Retail Prepaid Personal Health Record Card to Healthcare Professionals.” Blogspot.com . N.p., n.d. Web. 29 Nov. 2012. <a. http://yourpersonalhealthrecord. blogspot.com/2012_02_01_archive.html

12. “Study Identifi es Patients Most Willing to Use Personal Health Records.” - Amednews.com. N.p., 29 Feb. 2012. Web. 29 Nov. 2012. <http:// www.ama-assn.org/amednews/2012/11/12/bisa1112.htm>

13. “Personal Health Records.” AARP. Christopher J. Gearon, 29 July 2010. Web. 30 Nov. 2012. <http://www.aarp.org/technol-ogy/innovations/ info-07-2010/ Digital_Personal_Health_Records.html>

14. “Take Control of Your Medical Information: Personal Health Records and Your Privacy.” Privacy Rights Clearinghouse. N.p., 26 Oct. 2012. Web. 29 Nov. 2012. <https://www.privacyri ghts.org/take-control-of-your-medical-information-alert-2012>

15. “Making Personal Health Records More Usable.” IU Communications. N.p., 5 Jan. 2012. Web. 29 Nov. 2012. <http://commu-nications.medicine.iu.edu/ newsroom/stories/2012/making-personal-health-records-more-usable/>

16. “Personal Health Records Could Spur Patients To Obtain Preventive Care - IHealthBeat.” Personal Health Records Could Spur Patients To Obtain Preventive Care - IHealthBeat. N.p., 13 July 2012. Web. 29 Nov. 2012. <http:// www.ihealthbeat.org/articles/2012/7/13/personal-health-records-could-spur-patients-to-obtain-preventive-care.aspx>

17. “Interactive Personal Health Records Increase Clinical Preventive Services.” - Massey News. N.p., 10 July 2012. Web. 29 Nov. 2012. <http://blog.vcu.edu/ massey_news/2012/07/interactive-personal-health-records-increase-clinical-preventive-services.html>

18. “Electronic Personal Health Records That Promote Self-Management in Chronic Illness.” Electronic Personal Health Records That Promote Self-Management in Chronic Illness. N.p., 20 July 2010. Web. 29 Nov. 2012. <http:// www.nursingworld.org/MainMenuCategories/ANAMarketplace/ANAPeri odicals/OJIN/TableofContents/Vol152010/No3-Sept-2010/Articles-Previously- Topic/Electronic-Personal-Health-Records-and-Chronic-Illness.html>

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References and Sources

19. “MMRGlobal Receives Fifth Patent Expanding Rights to Control of Online Medical Records.” Yahoo! Finance. N.p., 26 Nov. 2012. Web. 29 Nov. 2012. <http://fi nance.yahoo.com/news/mmrglobal-receives-fi fth-patent-expanding-133500755.html>

20. Siegal, Gil. “Virginia Journal of Law & Technology.” Enabling Globalization of Health Care in the Information Technology Era: Telemedicine and the Medical World Wide Web 17.1 (2012): 1-34. Web. 29 Nov. 2012. <http:// www.law.virginia.edu/pdf/fac-ulty/siegal/vajlawtech2012_siegal.pdf >

21. “Personal Health Records (PHRs).” Medicare.gov: The Offi cial U.S. Government Site for Medicare. N.p., n.d. Web. 30 Nov. 2012. <http:// www.medicare.gov/ manage-your-health/personal-health-records/personalhealthrecords.html>

22. “The Benefi ts & Advantages of Personal Health Records.” The Benefi ce and Advantages of Online Medical Records, Us-ing Access Health Records, the Leader in Personal Health Records, Phr. N.p., n.d. Web. 30 Nov. 2012. <http:// www.ac-cesshealthrecord.com/advantages.html>

23. “What Are the Key Challenges to PHR Adoption?” What Are the Key Challenges to PHR Adoption? N.p., n.d. Web. 30 Nov. 2012. <http:// www.hrsa.gov/ healthit/toolbox/HealthITAdoptiontoolbox/Personal HealthRecords/ keychallenges.html>

24. * Sherman, Spencer A. “New National Survey Finds Personal Health Records Motivate Consumers to Improve Their Health - CHCF.org.” New National Survey Finds Personal Health Records Motivate Consumers to Improve Their Health - CHCF.org. California HealthCare Foundation, 13 Apr. 2010. Web. 30 Nov. 2012. <http://www.chcf.org/media/press-releases/2010/ new-nationalsurveyfi nds-personal-health-records-motivate-consumers-to-improve-theirhealth>

25. Goel, MS etal “Disparities in enrollment and use of an electronic patient portal” J Gen Intern Med. 2011 Oct;26(10):1112-6. Epub 2011 May 3. http://www.ncbi.nlm.nih.gov/pubmed/21538166

26. Keckley, Paul etal “The Mobile Personal Health Record” Deloitte Center for Health Solutions 2010 http://www.deloitte.com/view/en_US/us/Insights/ centers/ center-for-health-solutions

27. Lewis, Nicole “Google Health Dies, But PHR Market Still Growing” Information Week http://www.informationweek.com/health-care/electronic-medical-records/google-health-dies-but-phr-market-still/231000876

28. http://www.healthit.gov/providers-professionals/faqs/what-patient-portal

29. http://www.ama-assn.org/amednews/2012/10/22/bil21022.htm

30. “Health Insurance Exchanges: Long on options, short on time,” PwC, Oct. 8 (www.pwc.com/us/en/health-industries/publica-tions/public-private-health-industry-exchange-models.jhtml)

31. http://www.ama-assn.org/amednews/2012/09/17/bisb0917.htm

32. http://www.innovations.ahrq.gov/content.aspx?id=1833

33. http://www.modernhealthcare.com/article/20130108/NEWS/301089956/whopping-1-22-billion-in-ehr-payments-in-december)

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About The MichaelBass Research GroupThe MBG research group looks at economic, market, industry and company data relevant to the healthcare sector to help companies

set their strategic direction. The MBG’s primary goal in research is to provide in-depth, domain knowledge and deliver specialized

analysis to our client base. We seek to fi nd strong, well-managed public and private companies that represent both value and growth

opportunities to investors. As a result, MBG is considered to be an invaluable resource among boutique investment banks, recognized

for our breadth and depth of insight and timeliness of service. Our clients receive detailed, up to date information that they rely on.

The MBG research department is powered by a team of highly experienced analysts focusing on more than 400 growth companies in

HCIT. Our analysts aim to uncover industry and company developments before they are widely known, understanding events as they

evolve and disseminating the facts as soon as they are verifi ed, including policy changes, market shifts and valuations.

Disclaimers:

THIS REPORT IS TIME-DEPENDENT AND STATISTICAL IN NATURE, AND DOES NOT TAKE INTO ACCOUNT PATENT VALIDITY,MARKET CONDITIONS, BUSINESS CONDITIONS, OR LEGAL, BUSINESS OR FINANCIAL FACTORS, WHETHER OTHERKNOWN OR UNKNOWN, ANY OR ALL OF WHICH MAY AFFECT THE ACCURACY OR COMPLETENESS OF THIS SERVICE. THEINFORMATION CONTAINED IN THIS REPORT WILL CHANGE FROM TIME TO TIME DEPENDING ON THE ISSUANCE OF NEWPATENTS OR PUBLISHED APPLICATIONS, THE EXPIRATION OF PATENTS, PATENT INVALIDITY OR REISSUES, ACCURACYOF PUBLISHED PATENT DATA, OR OTHER CONDITIONS OVER WHICH THE MICHAELBASS GROUP HAS NO CONTROL. THEMICHAELBASS GROUP ASSUMES NO RESPONSIBILITY FOR ERRORS OR OMISSIONS IN THIS REPORT, AND MAKES NO, ANDEXPRESSLY DISCLAIMS ANY, REPRESENTATIONS OR WARRANTIES, EXPRESS OR IMPLIED, REGARDING THIS REPORT.

for our breadth and depth of insight and timeliness of service. Our clients receive detailed, up to date information that they rely on.

The MBG research department is powered by a team of highly experienced analysts focusing on more than 400 growth companies in

HCIT. Our analysts aim to uncover industry and company developments before they are widely known, understanding events as they

evolve and disseminating the facts as soon as they are verifi ed, including policy changes, market shifts and valuations.