Sunday, June 26, 2011

US healthcare reform offers opportunities for Indian cos

US healthcare reform offers opportunities for Indian cos

Chennai: The US healthcare reform announced by the president Barack Obama has thrown huge opportunities for Indian BPO, KPO, ITeS, revenue cycle management, electronic medical/health records (EMR/EHR) companies as healthcare providers in US are facing a tough time to meet the deadline.

Apart from huge demand for healthcare outsourcing professionals, particularly coding and billing professionals, requirement for professional in EMR implementation and RCM will be huge, said a research done by ValueNotes, a leading consultancy tracking the IT industry in India.

The Obama administration has been spearheading several changes to the US healthcare system. Cost pressures along with the after-effects of the recent economic meltdown have triggered major reforms intended to control healthcare costs and provide universal coverage. The reform, enacted in 2009-10, poses significant challenges for healthcare providers including a potential increase (estimated to be about 30 million) in the volume of records driven by rise in the number...

Infosys chiefs Kris Gopalakrishnan and Sarojini Shibulal on the 'C-Life' and why the future lies in cloud computing - Telegraph

Infosys chiefs Kris Gopalakrishnan and Sarojini Shibulal on the 'C-Life' and why the future lies in cloud computing - Telegraph

Kris Gopalakrishnan and Sarojini Shibulal, the new Infosys co-chairman and chief executive taking over from the legendary Narayana Murthy, talk of the rocky start at India's leading IT company, its stellar growth and why cloud computing is the future.

Walk around the Bangalore and Mysore campuses of Indian IT outsourcing giant Infosys and it’s easy to become despondent about Britain’s competitive future.

It’s not the grand replicas of the White House, the pyramids and Sydney Opera House so much as the numbers that tell the story.

Infosys adds 20,000 Indian IT and engineering graduates to its 150,000-strong workforce each year, paying salaries of just £5,000 and training them, 200 at a time, in huge auditoria.
It’s nearly all aimed at the West with Infosys, India’s fifth largest company, getting 90pc of its $6bn (£3.74bn) turnover from the US and Europe.

Britain accounts for 12pc – about $720m a year. No wonder the Bangalore campus was a key stop on David Cameron’s India tour last year.

Friday, June 24, 2011

Healthcare BPO has good future

Healthcare BPO has good future

If the once much hyped medical transcription is looking down, outsourcing in imaging, disease management and claim processing are the new areas to look up to, as experts say a great opportunity awaits Indian BPO industry in the healthcare sector.

While estimates show that the revenue of medical transcription industry in India is expected to drop from $38 million in 2002 to $26 million in 2006, a nine per cent loss per annum, according to the National Association of Software and Services Companies (Nasscom), by year 2005, Indian BPO companies will be able to grab business worth $800 million from US healthcare companies alone.
Industry analysts say a significant opportunity awaits Indian outsourcing service providers in this field thanks to growing competitive business environment and technological and legislative changes that are taking place worldwide.

"During the early days of the Indian ITeS-BPO revolution major moves were made towards providing transcription services to hospitals and healthcare centres especially in US. However, easy availability of high-end services through healthcare outsourcing is now eating into the share of medical transcription,” says Devashish Ghosh, chief operating officer, Wipro Spectramind.
Experts say while healthcare outsourcing by global organisations has witnessed a rise over the past few years, the segment has remained relatively insulated from the ITeS-BPO wave as compared to other segments.

"However, the recent customer demand for new products and services, increase in competition and a real-time business environment are making BPO an important toll for achieving success for healthcare majors", the Nasscom report says.

"With the global healthcare industry increasingly under pressure due to regulations and the need for cutting cost, there is a huge potential for Indian IT companies to tap this market, particularly in the more advanced areas of healthcare such as imaging, disease management and claims processing", says Ghosh.
While at present there are customers mainly from the United States and UK, industry players say, of late, demand for healthcare outsourcing has also been seen in European countries like Germany and France.
"Till date, USA is the biggest market for healthcare outsourcing but now even the UK based companies are trying to follow the suit, although in a cautious manner. However, it may take some more time for European players to take a big leap because of state-governed health regulatory system in most of these countries,” Ghosh says.

Explaining about the main reason behind India emerging as a favourable destination for medical outsourcing, Anurag Jain, CEO, Vision Healthsource, one of the largest healthcare BPO service provider in the country, says, "India's inherent strength is the quality of our human resource pool. We have the analytical thought process that is required to develop complex applications and manage complex process, which is of utmost importance for healthcare BPO particularly".

"Also, Indian companies have an edge as they can offer a large number of value added services like diagnostic analysis by highly qualified medical professionals at a much cheaper cost,” Ghosh adds.
About the main domains in which BPO companies are eyeing global healthcare companies, Jain says, "The healthcare outsourcing market can be primarily divided into four major blocks of providers (hospitals and physician groups), payers (healthcare insurance companies, third party administration, etc), drug manufacturers (clinical research and bulk drug outsourcing) and pharmacy chains.”
Several Indian companies are presently providing solutions such as customer management systems, maintenance of electronic medical record services, etc. to healthcare service providers, health insurance companies and life sciences and medical equipment firms.

Other areas which the Indian companies can tap relate to clinical research organisations that conduct various pathology test on patients of new drug development, experts say, adding now, companies are also getting their facilities accrediated by the College of American Pathology (CAP), the global standard for pathological governance.

"We use same quality of chemicals and processes for analysis as are used in developed nations and even the processing technology is same. This is certainly another segment in the medical BPO sector where India is poised to show much growth,” Ghosh says.

On the opportunity for Indian BPO companies in the healthcare sector, Jain says, "Most Indian companies have not yet matured in terms of developing a global outlook. Customers are today looking for service providers who can give them multiple options like a multi-shore model to deliver to any need from applications to consulting and from processes to managing the infrastructure.

"Unless you have the ability to service these multiple needs, a BPO provider would not be viewed as adding value and Indian BPO companies would come of age only when they build these capabilities,” Jain adds.

All said and done, while the healthcare segment, globally acknowledged as a significant IT spender, will continue to present a significant opportunity for Indian IT services and ITeS-BPO companies, going forward, there is still need to do much more.

As the Nasscom report puts it while the India was quick to plunge into ITeS solutions for the healthcare industry in the form of medical transcription, now Indian vendors have to work on improving their know how and domain knowledge to tap into the high potential offered by the global healthcare vertical.

Thursday, June 23, 2011

Insurance News - TriZetto’s Dan Spirek Explains Four Post-Reform Challenges for Healthcare Payers at AHIP’s Institute 2011

Insurance News - TriZetto’s Dan Spirek Explains Four Post-Reform Challenges for Healthcare Payers at AHIP’s Institute 2011

GREENWOOD VILLAGE, Colo.--(BUSINESS WIRE)-- With the passage of the healthcare reform law, healthcare payer organizations must address four challenges to succeed in today’s changing and evolving industry, said Dan Spirek, executive vice president and chief strategy and marketing officer of The TriZetto Group, Inc., in remarks during last week’s Institute 2011 in San Francisco. The Institute is an annual gathering of health insurers and vendor companies staged by America’s Health Insurance Plans.
“In listening to our broad customer base, we believe the four challenges for payers are comply with reform, increase administrative efficiency, improve cost and quality of care and compete to win,” Spirek said. “To comply with reform, health plans need a healthcare IT partner that can provide flexible and scalable enterprise-wide administrative solutions, maximize efficiencies to meet new medical-loss-ratio requirements and help them meet the HIPAA 5010 and ICD-10 mandates and even exploit them for strategic advantage.”

To increase administrative efficiency, payers need enterprise systems that further automate tasks and reduce manual configurations, as well as application hosting and business-process outsourcing services. Spirek said that the right healthcare IT partner can help payers improve the cost and quality of care through innovative value-based strategies that support emerging care delivery models such as patient-centered medical homes and accountable care organizations.

“Technology available today enables value-based insurance design, which incents members to use proven, high-value healthcare services and reimburses providers for the coordinated, quality delivery of care,” said Spirek. “New solutions also enable clinical analytics, which greatly enable the stratification and identification of members by health risk and support the participation of members in programs that can help improve their health.”

Accenture Launches EHR in Singapore - Zacks.com

Accenture Launches EHR in Singapore - Zacks.com

Backed by the Singapore Ministry of Health, technology services and outsourcing company Accenture plc (ACN - Snapshot Report) recently launched a National Electronic Health Record (NEHR) system. The contract for developing the NEHR system was awarded to Accenture in August 2010. Financial terms of the deal were not disclosed.

The NEHR system has been deployed across Singapore, to integrate the country’s health care structure. This also makes Singapore one of the first countries worldwide to use NEHR.

The system, designed by the Accenture team, will enhance the quality of health care services, as well as lower service costs, helping service providers offer enhanced health care policies. The system also seeks to eliminate duplication, needless medical tests and faulty mediation.

Given the extent and demands of the system, Accenture teamed up with technology majors to successfully set it up. Therefore, tech behemoths like Oracle Corp. (ORCL - Analyst Report), Hewlett-Packard Co. (HPQ - Analyst Report) and smaller companies like Orion Health and Initiate Systems Inc. were also involved in the Singapore health project.

Electronic Health Records (EHR) help doctors and hospitals to organize medical records of patients. The system makes it easy for medical practitioners and patients to track clinical histories, without the hassle of storing hard copies.

We believe that the successful implementation of EHR in Singapore will create new business opportunities for Accenture.

In the U.S., the system has been recognized by the government as a core component to national health care reform. The federal government has passed a bill, granting around $19.0 billion in incentives to medical practitioners and hospitals for buying and using EHR systems.

We believe that Accenture has the potential to capitalize on emerging health care deals. However, Accenture may have to face stiff competition from Dell Inc. (DELL - Analyst Report), the key supplier into the health care sector.

We are encouraged by the healthy growth that Accenture registered in its recently concluded third quarter of 2011. However, the economic turmoil in Europe and competitive pressure from IBM Corp. (IBM - Analyst Report) could considerably rationalize the company’s growth prospects.
Accenture has a Zacks #3 Rank, implying a short-term Hold recommendation.