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Medstat makes money by helping companies save.

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Author: Dietderich, Andrew1

Medstat makes money by helping companies save


Reducing health care costs prompts big growth for information firm

When Ernest Ludy started Ann Arbor, Mich.-based Medstat Group Inc. in 1981, he had $330,000 from friends and business contacts and a simple plan: Cut health care costs for employers.

Twenty-three years later and the mission of the company-now owned by Thomson Corp.-remains unchanged. The difference between then and now? Medstat is bigger.

Analysts estimate Medstat's annual revenue to be about $100 million. A spokesman for Medstat declined to provide figures but confirmed that the estimates were close.

Medstat's client portfolio includes more than 1,400 companies. Medstat employs 700, with about 400 in Ann Arbor. It offers about 30 health care cost-cutting products and services and it's armed with the resources of well-capitalized parent, Stamford, Conn.-based Thomson.

And Medstat continues to land big employers: Wal-Mart Stores Inc. contracted with Medstat in November, New York-based aluminum giant Alcoa Inc. did the same in September. General Motors Corp. renewed its contract in July.

Medstat plans to push three new product lines in 2004: one designed to help midsize companies cut health care costs, one to collect and analyze medical errors for investigative purposes and one to analyze the use of brand-name medications.

``Our information capabilities are designed to try and help industries manage the cost and quality of health care more effectively,'' said Chief Executive Officer Larry Hagerty. ``As economic pressures have grown, it's created great demand for our products and services."

In mid-2000 however, Medstat's future was uncertain: Thomson announced plans to sell it, saying it didn't fit in with the Thomson Scientific & Healthcare Group. Thomson changed its mind five months later and still owns the company.

``Being for sale creates uncertainty. It wasn't like, `Isn't this great? We've got this great motivational tool,''' Mr. Hagerty said. ``The strength of the organization really shows though because we met all our results during that period and didn't get distracted."

Medstat announced Nov. 3 that it landed a multiyear deal with Wal-Mart to help the retailer cut health care costs for 500,000 employees. Terms were not disclosed.

``We selected Medstat because of its record of success integrating data from large, complex organizations,'' said Greg Goggans, director of benefits for Wal-Mart. ``Their expert team and data-management tools will make it much easier to analyze large amounts of information and to make appropriate decisions. Medstat also provided the best value in terms of consultative service and overall analytic support."

How has Medstat become what it is today?

By sticking to its core business, Mr. Hagerty said, while adapting quickly to always-evolving client needs and technology.

Mr. Ludy started Medstat in 1981 with seed capital supplied by friends and business contacts. He said he took the company public in 1983 with revenue of $500,000 and no earnings.

Mr. Ludy said Medstat targeted employers with more than 10,000 employees. Medstat collected insurance claims from employers and built databases. Employers could then pinpoint if costs were rising because of increased illness, higher doctor fees or medicine costs.

Medstat promised to cut an employer's projected growth in health care costs by half, Mr. Ludy said. If costs were projected to rise 10%, Medstat promised 5%.

Chevron Corp. became Medstat's first customer, at an annual rate of $100,000.

Ford Motor Co.; Sears, Roebuck & Co.; General Electric Co.; Marriott International Inc.; and United Parcel Service Inc. soon followed.

Mr. Ludy said insurance companies then began asking for the same information, with the idea of offering a similar service to companies with fewer than 10,000 employees. Medstat couldn't justify serving the smaller companies, he said, but it could justify serving the insurers.

Mr. Ludy said the company saw another huge potential pool of new clients at the state level, both in the number of employees most states have and in Medicaid programs. By 1988, Medstat had contracts with 25 states.

Between September 1990 and September 1991, Medstat shares rose from $12.50 to $36.50. Revenue had risen to more than $31 million by 1992.

In 1992, Medstat bought the research operations of SysteMetrics, a subsidiary of McGraw-Hill. SysteMetrics had proprietary methods to evaluate medical practices and quality of care along with extensive experience in the management and analysis of large-scale Medicaid and Medicare claims databases. Medstat then set its sights on hospitals and physicians. Mr. Ludy said health care providers could improve their services by having access to Medstat's database. A physician could find out what the average cost was to have an appendix removed in a specific region; a hospital could predict how much would be spent on product lines in specific ZIP codes.

Medstat Systems became The Medstat Group on Feb. 25, 1993, when shareholders approved its merger with Inforum Inc., which had a system that forecast demand for hospital services.

``I expected that at least one of the product lines would have problems,'' he said. ``But that didn't happen. They all grew like crazy."

Medstat continues to grow today and is part of Thomson's Scientific & Healthcare Group, which had 2003 revenue of $760 million, up from $692 million in 2002.

``It's been one of their best divisions,'' said Vince Valentini, analyst at TD Newcrest. ``They've had annual growth of about 10% over the past two years and in an area they continue to have success."

'Our information capabilities are designed to try and help industries manage the cost and quality of health care more effectively.'

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By Andrew Dietderich



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