But one electronic-health entrepreneur will watch the speech with special interest: the President's 36-year-old first cousin, Jonathan S. Bush. That's because he runs athenahealth Inc., a technology outsourcing outfit that will be a huge winner if efforts to improve health-care record keeping through technology take off.
GROWTH SPURT. Watertown (Mass.)-based athenahealth handles billing for small medical practices. It's among the pioneers and chief proponents of technology designed to make sure doctors use the right codes for thousands of different medical procedures and tests, and that they comply with the different methods each insurance company has for making sure doctors get paid. Athenahealth backs up the software with staffers who help doctors find and fix mistakes before they turn into costly delays in payment.
And it helps patients by cutting down on the confusion in bills that most consumers don't understand. "You'll be less likely to be in the middle of a food fight between your doctor and your insurance company," Forrester Research analyst Eric Brown says.
Added reason to pay heed to athenahealth, besides a bloodline to the Oval Office: It's the biggest in its peer group and one of the most swiftly expanding private companies in the country, ranking No. 77 on Inc.'s list of the 500 fastest growing last year. There are rumblings that an initial share sale may be in the offing. The company doesn't disclose profits and losses, but Bush says sales rose to $55 million in 2005, from $39 million in 2004.
His company's bailiwick includes the small medical practices that account for the vast majority of U.S. physicians. It has about 6,000 doctors signed up, a little less than 1% of the U.S. total. Brown says athenahealth takes most of its clients away from local, less-automated small companies that handle outsourced billing for small practices. "I think we'll probably grow another 40% this year, because most of that business is already sold," Jonathan Bush says.
MAKING CONNECTIONS. This Bush is from a younger branch of the family tree than his cousin, and he's not afraid to make critical comments about the President's e-health plans. Last March, Jonathan told BusinessWeek Online that the $125 million the Administration wanted to spend promoting health information technology in 2005 was "a drop in the bottom of the bucket." (See BW, 3/28/05, "Crusader for Clearer E-Info.") The two Bushes' fathers are brothers, and Jonathan is the older brother of TV entertainment reporter and anchorman Billy Bush.
Jonathan Bush says the e-health push the President will talk up in the State of the Union would have happened sooner if not for Sept. 11. He tells of going to the White House in the summer of 2001 for a lunch with a couple of friends on the staff, and being brought to the Oval Office for a drop-by. The President, to Jonathan's surprise, had a spreadsheet in his drawer about the possible benefits of health IT, and told his cousin he thought technology could shave 25% off future health care bills.