MTC is looking to optimize its supply chain to offset a new ACA tax through cost savings. It is considering short, mid, and long-term projects like developing a strategic partnership with a sterilization supplier, reducing sales force and branch offices, a mobile app for medical professionals, and moving to a distributor-only sales model. Financial analysis shows room for improving SG&A expenses relative to revenue growth. Proposed changes aim to reduce lead times, increase visibility, cut overhead costs, and lower inventory levels.