This Innovative Startup Is a Lifeline for Patients at Rural Hospitals

Chloe Alpert, the founder of Medinas.


When Jenn Morson Frederick went into labor with her baby in Annapolis, Maryland, she remembers being hooked up intravenously to an infusion pump because she needed antibiotics. She readily admits that the last thing on her mind was what would happen to the pump after she was done with it.

"Ten minutes from where I live, in Oakland, there are children who can't afford care and there are smaller practices just getting eaten up on cost."

In fact, the pump might go on to assist the labor of another new mother at a rural hospital many miles away, thanks to an innovative online marketplace called Medinas Health. Founded last year by a 27-year-old entrepeneur, Medinas Health buys used medical supplies and sells them to under-resourced hospitals who are happy to get functioning equipment at discounted prices.

The startup is built on a machine learning algorithm that uses historical data for medical devices to predict how much longer they can be used and still be sold at optimum prices on the secondary market. This allows hospitals to squeeze the most use out of their supplies.

Such transactions are the lifeblood for rural or critical access hospitals, says Chloe Alpert, the founder and CEO of Medinas. She first came up with the idea when she noticed a glaring discrepancy in the healthcare marketplace: From 2010 to 2016, 79 hospitals had closed their doors and hundreds more were at risk. At the same time, according to the National Academy of Medicine, the United States wastes medical supplies to the tune of $765 billion every year. On a household level, many people are saddled with medical debt: One in six Americans has past due healthcare bills. The numbers shocked Alpert.

What's more, she found that many used medical supplies were being shipped off to developing countries, partly to minimize the hospitals' liability. "[The model was] fundamentally flawed," she says. "I live in San Francisco and ten minutes from where I live, in Oakland, there are children who can't afford care and there are smaller practices just getting eaten up on cost."

Now, through Medinas, hospitals can offload unwanted clinical assets, and other medical offices can buy them at discounted prices. Since its launch in August 2017, the startup has sold just over 100 items, ranging from infusion pumps to an MRI machine.

Typically, hospitals hold onto their medical supplies as long as possible. Proprietary data from Medinas place the life expectancy of something like an infusion pump at ten years.

"Hospitals' biomed departments are going to try to keep that unit going for as long as they can because you have to replace an entire fleet and that's a significant financial overlay," says Suzi Collins, Director of Materials Management at Mountain Vista Medical Center in Gilbert, Ariz.

"I wanted to do something that would actually make an impact. Imagine healthcare costs going down instead of up."

But after many rinse-and-repeat repairs, it might be time to spring for a new unit. Medinas conducts cost-benefit analyses to show whether it's worth the financial cost for a hospital to hold on to old, creaky equipment. In some cases, manufacturers introduce a new version of a pump and discontinue support for older models, forcing hospitals' hands.

That's when Medinas may step in to facilitate the sale of older medical devices to different hospitals, connecting the lives of urban moms like Frederick to rural moms like Kelly Burch, who recently delivered her baby at the Alice Peck Day Memorial Hospital in rural Lebanon, New Hampshire.

At press time, Medinas had recently received more than 700 infusion pumps to sell from an Arizona medical center and was in negotiations with healthcare facilities who might be interested in buying them. For her work with Medinas, Alpert won $500,000 as part of the Forbes 30 Under 30 competition.

"It really blows my mind to see all these inefficiencies in healthcare, to know that Medinas is doing something tangible to address disparities in care," Alpert says. "I wanted to do something that would actually make an impact. Imagine healthcare costs going down instead of up. That is really neat."

Poornima Apte
Poornima Apte is an engineer turned award-winning freelance writer with clips in publications such as OZY, The Week, TechCrunch, JSTOR Daily and more.
Get our top stories twice a month
Follow us on

Robin Cavendish in his special wheelchair with his son Jonathan in the 1960s.

Cavendish family

In December 1958, on a vacation with his wife in Kenya, a 28-year-old British tea broker named Robin Cavendish became suddenly ill. Neither he nor his wife Diana knew it at the time, but Robin's illness would change the course of medical history forever.

Robin was rushed to a nearby hospital in Kenya where the medical staff delivered the crushing news: Robin had contracted polio, and the paralysis creeping up his body was almost certainly permanent. The doctors placed Robin on a ventilator through a tracheotomy in his neck, as the paralysis from his polio infection had rendered him unable to breathe on his own – and going off the average life expectancy at the time, they gave him only three months to live. Robin and Diana (who was pregnant at the time with their first child, Jonathan) flew back to England so he could be admitted to a hospital. They mentally prepared to wait out Robin's final days.

Keep Reading Keep Reading
Sarah Watts

Sarah Watts is a health and science writer based in Chicago. Follow her on Twitter at @swattswrites.

Kirstie Ennis, an Afghanistan veteran who survived a helicopter crash but lost a limb, pictured in May 2021 at Two Rivers Park in Colorado.

Photo Credit: Ennis' Instagram

In June 2012, Kirstie Ennis was six months into her second deployment to Afghanistan and recently promoted to sergeant. The helicopter gunner and seven others were three hours into a routine mission of combat resupplies and troop transport when their CH-53D helicopter went down hard.

Miraculously, all eight people onboard survived, but Ennis' injuries were many and severe. She had a torn rotator cuff, torn labrum, crushed cervical discs, facial fractures, deep lacerations and traumatic brain injury. Despite a severely fractured ankle, doctors managed to save her foot, for a while at least.

In November 2015, after three years of constant pain and too many surgeries to count, Ennis relented. She elected to undergo a lower leg amputation but only after she completed the 1,000-mile, 72-day Walking with the Wounded journey across the UK.

On Veteran's Day of that year, on the other side of the country, orthopedic surgeon Cato Laurencin announced a moonshot challenge he was setting out to achieve on behalf of wounded warriors like Ennis: the Hartford Engineering A Limb (HEAL) Project.

Keep Reading Keep Reading
Melba Newsome
Melba Newsome is an independent science and health journalist whose work has appeared in Health Affairs, Scientific American, Prevention, Politico, Everyday Health and North Carolina Health News. She received the June Roth Award for Medical Journalism for a feature on genetic testing in Oprah magazine. She currently serves as core topic leader on health equity for the Association of Healthcare Journalists.