Medical Technologies Corporation is facing challenges from the Affordable Care Act's medical device tax. To offset this, Beth Ross proposes analyzing the supply chain for cost savings. Short-term proposals include bringing sterilization in-house to reduce transportation costs, eliminating sales reps' trunk stock to better manage inventory, and closing a branch or loaner office. Mid-term proposals are implementing smart kiosks for inventory visibility and using RFID tracking more effectively. Long-term, Ross proposes a lean system with inventory aligned to demand and potentially switching to a distributor/GPO model to reduce transportation costs. The goals are to improve lead times, reduce costs, boost sales and earnings to offset the medical device tax.