2. The Case
Medical Technologies Corporation (MTC) a medical Device Manufacturer in
Collegeville, PA needs to come up with costs savings large enough to cover
the newly-imposed Affordable Care Act (ACA) Medical Device Excise Tax of
2.3% of revenue. The surgical devices that the firm sells puts them squarely
into the focus of this tax, and after taxes, 2.3% of sales translated into over
10% reduction in MTC’s profits.
3. Executive Summary
Reduce costs by at least 2.3% to account for the new ACA tax
2.3% revenue tax increase translates to 10% reduction in MTC’s
profits
Create supply chain network
Include in house sterilization
Use Smart Kiosks at hospitals
Improve RFID tagging
Use 3PLs to strategically store and position products
Improve forecasting
Reduce safety stock
4. Areas of Improvement
Improve forecasting
Reduce safety stock
Reduce supply chain touch points
Cut out third party sterilization
Develop in house sterilization at manufacturing plant
Build own supply chain network with 3PLs
Allows for selling at market price rather than wholesale
Cut out branch loaner offices for stock
Dedicated Warehouses/DCs
Reduce Sales involvement
Cut out trunk inventory
Replace with kiosks
Utilize sales solely for relationship building and teaching of medical devices
Capitalize on GPO’s
5. Risks
High start up costs
Capital costs
Building/Renting of Warehouses/DC’s
Operational costs
Maintaining Warehouses/DC’s
Hiring new personally to manage supply chain
Lack of experience in creating a self
sufficient supply chain
Seasonal demand trends change
Hospitals not on board to by direct
from manufacturer
• Increased sale profits
• Greater product control through supply
chain
• Quality assurance
• Better relationship with Hospitals
• Lower transportation costs
• Consistently accurate forecasting
• Retail sales price instead of wholesale
Benefits
7. Forecasting
MTCs forecast has a mean square error of 102,587,493 and a
mean absolute % error of 114.64%
Using a Naïve forecast using the previous years demand for
each month reduces the mean square error to 1,219,697 and
the mean absolute % error to 3.17%
This results in a leaner supply chain and reduces costs
Using this new naïve method production could have been
decreased production by 22,437 units
8. MTC Demand vs. Forecast
0
10,000
20,000
30,000
40,000
50,000
60,000
Demand/Forecast
Month/Year
MTC Demand vs. Forecast
Shipped(Demand) Production (MTC Forecast) Naïve(Previous Year)
9. Current MTC Product Flow
Many Touch points
5 day sterilization process
Multiple storage arrangements
Difficult to manage inventory
11. Proposed MTC Product Flow
Less Touch points
In house sterilization
Cut out Loaner offices
Cut out trunk storage
Easier to manage inventory
13. The Numbers
Revenue in 2014 was $5,953.86 and cost of goods sold was $1964.82
New 2.3% tax on 2014 revenue equates to $136.94 in additional taxes
Demand for 2014 was 359,460
New forecasting method forecasted 347,315 units in 2014
22,437 less than MTC produced
Just by reducing production MTC could have saved $122.64
Starting stock in 2014 was 125,767 and ended with 136,058
New method would have an ending stock of 113,622 in 2014
By reducing safety stock by an additional 5000 units MTC can save an additional
$27.33 in 2014
Average demand a month was 29955 in 2014
A safety stock of 108,622 still provides a 3 month safety blanket
14. Can MTC offset the ACA tax?
Yes
Just by improving forecasting and reducing production and safety stock MTC
can offset the cost of the ACA tax
$136.94 ACA Cost increase
Improved Forecasting/Inventory savings of $149.97
MTC can reduce transportation costs by creating an in house supply chain
network.
MTC can increase sales prices with this network by servicing hospitals directly
and selling their product at retail price