A great blog "The Operations Room" recently reported on the middlemen of a supply chain. One example they gave was Athena Health who has a "Pain in the Butt index" that is worth checking out. It ranks the insurance companies in their ability to process claims fast and effeciently. The difference between the top ranking and bottom ranking is amazing: For the #1 rank 12 days to get a bill payed on average, For the last rank 103 days on average.
I found this video to be a great process improvement / supply chain improvement manifesto.
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