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One City Built to Last

The news is in: On November 7, 2014, the justices announced they would decide on a lawsuit claiming that the language of the Affordable Care Act doesn’t allow the government to provide tax-credits to low-and-moderate-income health insurance consumers using federally funded Obamacare exchanges operating in more than 30 states. Indeed, there’s a medical quagmire. And there is a lack of communication between doctors, staffing and patients. For example, the Affordable Care Act isn’t just about insurance coverage. The legislation is also about transforming the way health care is provided. In fact, it has brought in new competitors, services and business practices, which are in turn producing substantial industry shifts that affect all players along health care’s value chain. Read Amy Armstrongs story on page 16. On page 21, our reporter Judy Magness, profiles companies all over the country making incredible advances. Take a look at Functional Medicine and the driving breakthroughs in breast cancer while

The news is in: On November 7, 2014, the justices announced they would decide on a lawsuit claiming that the language of the Affordable Care Act doesn’t allow the government to provide tax-credits to low-and-moderate-income health insurance consumers using federally funded Obamacare exchanges operating in more than 30 states. Indeed, there’s a medical quagmire. And there is a lack of communication between doctors, staffing and patients. For example, the Affordable Care Act isn’t just about insurance coverage. The legislation is also about transforming the way health care is provided. In fact, it has brought in new competitors, services and business practices, which are in turn producing substantial industry shifts that affect all players along health care’s value chain. Read Amy Armstrongs story on page 16. On page 21, our reporter Judy Magness, profiles companies all over the country making incredible advances. Take a look at Functional Medicine and the driving breakthroughs in breast cancer while

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y rich monetti<br />

NEVER MAKE<br />

the Same Mistake Twice<br />

The Affordable Care Act being firmly entrenched, its gross over-complication of healthcare processes<br />

must eventually give way <strong>to</strong> something more streamlined. Possibly – but his<strong>to</strong>ry shows that when<br />

government is involved, it never comes down <strong>to</strong> just one do-over. Nonetheless, Spencer Silverman of<br />

Rugby Medical knows the real world isn’t so forgiving, and any increase in the number of iterations<br />

<strong>to</strong> get it right could mean the end. “The key is <strong>to</strong> never make the same mistake twice,” says Silverman.<br />

He learned that lesson<br />

over equipment<br />

warranties. Getting<br />

started and eager <strong>to</strong><br />

close deals on the medical<br />

equipment Rugby<br />

provides <strong>to</strong> doc<strong>to</strong>rs, hospitals and clinics,<br />

he left himself vulnerable by offering<br />

clients guarantees beyond what manufacturers<br />

provided. “It ended up coming<br />

out of my pocket,” he said, noting losses<br />

incurred on equipment such as CT scanners<br />

as well as EKG and MRI machines.<br />

Of course the learning curve comes at<br />

a price, but it can emerge from strong<br />

strategic partnerships. “I think if you set<br />

yourself up with the right people, mistakes<br />

can be fixed,” he explained.<br />

Silverman acknowledges co-owner’s<br />

Joe Schulman and the continuing link he<br />

enjoys with Ashley Herschman owner of<br />

Absolute Medical, his previous employer<br />

– all while he searches for new synergies<br />

in China, the Middle East and Europe.<br />

But circumspection begins with standards<br />

set at home. “We biomed-certify<br />

these machines before they go out <strong>to</strong> our<br />

cus<strong>to</strong>mers,” Silverman emphasizes.<br />

Reinforcing the need for quality, Silverman’s<br />

vendors understand that their<br />

success hinges heavily on his, and they<br />

are ready <strong>to</strong> kick a goal for Rugby at a<br />

moment’s notice. “I know if I need their<br />

help, they will be there in a second,” he<br />

said confidently.<br />

Even so, Silverman understands the<br />

importance of reciprocating. “We<br />

don’t run our business on credit,” he<br />

notes. “That keeps our relationships in<br />

good standing.”<br />

The ACA has some clients backing<br />

away from certain medical equipment<br />

as no longer yielding high enough<br />

returns. Still, Silverman predicts that<br />

businesses will make the most of this<br />

new paradigm by eventually finding<br />

new angles. “It will start <strong>to</strong> pick up,”<br />

he asserts.<br />

The evolution of ultrasound machines<br />

could represent the kind of opportunities<br />

alluded <strong>to</strong> above, since 2D,<br />

3D and 4D technology has opened up<br />

business opportunities for lay people<br />

who are willing <strong>to</strong> learn about them.<br />

“Many (of these machines) offer features<br />

like adaptive image processing,<br />

which can make them much easier<br />

<strong>to</strong> use and more accurate for certain<br />

types of diagnostics,” according <strong>to</strong><br />

Rugby Medical’s information.<br />

Nonetheless, Silverman’s main goal<br />

is <strong>to</strong> make a splash using the strength<br />

of some of the larger players in the<br />

pool. “We want <strong>to</strong> have as many big<br />

fish as we can – sort of rolling our business<br />

out <strong>to</strong> become that big player in<br />

the industry,” he concludes.<br />

www.rugbymedical.com<br />

THE SUIT MAGAZINE - NOV 2014

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