On a scale of zero (doctors scribbling notes on scraps of paper) to 10 (a seamless, integrated system of interoperability where your medical records are implanted in your earlobe), our country's health-care system is now about a 3, according to Jeff Surges, CEO of Merge Healthcare
In a phone chat yesterday, Surges painted the picture of a company that has benefitted from recent changes in the health-care system -- shares are up roughly 120% over the same time last year -- and that's well-positioned to capitalize on even more profound changes to come. His company's mission is to add a key layer to the portable health record by attaching X-rays, MRIs, CT scans, and other medical images, offering clinical interpretation to those clients who want it. Through a series of niche acquisitions and organic growth, Merge now has 1,500 or so hospitals and health systems as clients, as well as roughly 4,000 stand-alone imaging centers. Merge's goal is to capture the necessary image from all of these venues and attach it to your medical record so that it transports along with you.
A court case
"Let's say you blow out your knee playing basketball," says the personable Surges, who's been CEO since November. "The ER is going to take X-rays, then your regular doctor is probably going to do another set, and then the orthopedist will take a third. That's incredibly inefficient in terms of cost, it's increasing your exposure to radiation, and pretty soon, two of those three X-rays won't be reimbursed."
The industry is in the midst of legislative reform, medical records are moving increasingly to electronic format, interoperability is gaining momentum, and bellwether California is instituting an initiative to monitor radiation dosage. Those trends, along with an ever more active medical consumer who wants his records in hand, mean even better times could be ahead for the industry.
"The companies I watch are the large health-care information technology companies, companies such as Cerner
Interestingly, Surges volunteers that he's also watching a player decidedly not in his immediate field.
"I love watching Apple
While he quickly disavows the idea of making people's X-rays available on iTunes, he thinks the medical field can learn something from other industries, from Apple to those who specialize in cloud computing.
"We're still in the early stages and we are going to find new and better ways to improve the process," says Surges of both his industry and his $440 million-market-cap firm. "I said when I started that I came here to build a $1 billion company. We're on our way."
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