Last 3 Years Outgrew the Previous 20 | Executive Interview with Jim Jacobs

October 14, 2026: Jim Jacobs, President and CEO at MediQuant, sits with Bill Russell. Cold storage looks cheap until a team has to open the file. The last 3 years of MediQuant's own archive are greater than the previous 20-odd years, back to 1999. Bill asks what it costs a health system to leave an old system running.

Jim has seen the monthly bill go up after too much data moved to the cheap tier. The use case has to be planned before the data moves. Older revenue-cycle data can sit for retention. Imaging, DICOM, and sleep studies are a different cost decision. Leaving an old system on has a second login, a repeated test, and unpatched software when a team stops paying maintenance.

Guest: Jim Jacobs (MediQuant)

Key Points:

• 0:00 Margin Pressure on Both Lines

• 2:46 Not All Data Is Equal

• 3:25 MediQuant

• 5:09 Get Out Your Checkbook

• 9:28 Last 3 Years

• 11:48 What It Costs to Leave a System On

• 14:14 Just Turn It Off

• 16:56 A Good Engagement

• 19:08 Close

LinkedIn: 229Project

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