HEALTHCARE IT OUTSOURCING MARKET

Transcription

1 Healthcare IT HEALTHCARE IT OUTSOURCING MARKET By Application [Provider (EHR, RCM, LIMS) Payer (CRM, Claims Management, Fraud Detection, Billing) Life Science (ERP, CTMS, CDMS) Operational (SCM, BPM) & Infrastructure (IMS, Cloud Computing)] & Industry R e p o r t D e s c r i p t i o n T a b l e o f C o n t e n t s L i s t o f T a b l e s S a m p l e T a b l e s R e l a t e d R e p o r t s A b o u t M a r k e t s a n d M a r k e t s MarketsandMarkets North - Dominion Plaza, 17304, Preston Road, Suite 800, Dallas, TX 75252, U.S. Tel. No.: Website:

2 Report Description Key Take-aways To define and measure the global healthcare/life sciences To analyze the opportunities in the market for stakeholders Information technology outsourcing market and analyze the by identifying high growth segments of the global healthcare market structure by identifying its various segments and information technology outsourcing market sub-segments To strategically profile the key players of the healthcare IT To forecast the revenue of the global healthcare IT market globally and to comprehensively analyze their core outsourcing market and its various sub-markets with competencies respect to four regions: North America, Europe, Asia, and To track and analyze competitive developments such as Rest of the World (RoW) alliances, joint ventures, mergers and acquisitions, new To identify major market trends and the factors driving or product developments, and research and development in inhibiting growth of the healthcare IT outsourcing market the global healthcare information technology outsourcing and its various sub-markets globally market To strategically analyze each sub-market with respect to individual growth trends and contribution to the overall healthcare information technology outsourcing market Report Description Outsourcing is an emerging phenomenon in the healthcare information technology market. It is a screening process wherein an organization selects the most efficient third-party service provider to effectively operate its management and administrative unit. Outsourcing of IT solutions in the healthcare industry has emerged as an efficient solution to mitigate rising healthcare costs and to meet the growing demand for quality care. Over the years, the trend of outsourcing healthcare IT solutions has grown significantly among large organizations and has also attracted mid-sized organizations. In some cases, the entire information management system is outsourced, while in others only key application services such as implementation of EMR, CRM, and billing system are outsourced. For instance, in November 2012, Xerox, Inc., a leading enterprise that offers business process outsourcing and IT outsourcing services to healthcare providers and payers, signed a contract with Harden Healthcare, a leading senior care provider, to enhance the latter's healthcare IT environment and to operate its data centre. Xerox is also working closely with Harden Healthcare to design a technology framework that will improve and simplify patient care tools by implementing electronic medical records (EMR) in each care division. The healthcare IT outsourcing market for this report has been segmented by application and by industry. The application market is further classified as provider IT outsourcing, payer IT outsourcing, life sciences IT outsourcing, operational IT outsourcing and infrastructure IT outsourcing, while the market by industry is segmented as healthcare (including hospitals, diagnostic lab, and clinics), biotechnology, pharmaceutical, clinical research organizations, and health insurance. The global HCIT outsourcing market is forecast to grow at a CAGR of XX% to reach $XX billion by 2018 from $XX billion in. Health insurance, healthcare systems and pharmaceutical are key industries driving the HCIT market. These industries follow the HCIT outsourcing model to enhance their focus on core business, reduce operational and maintenance costs, increase access to IT skilled and trained staff (further reducing hiring and training costs), share risk, and quickly implement new technology. Factors propelling the growth of the market are rise in pressure to curb healthcare costs across the globe and the growing need to manage cash flow in back-office administration and IT management systems of healthcare provider, payers, and the life sciences segment. Lack of in-house IT expertise, rise in 2

3 Report Description demand for integrating solutions, growing pressure on healthcare providers to meet the Meaningful Criteria set by the U.S. Federal Government, new ICD-10 conversion guidelines for coding, rise in aging population, and growing medical tourism in Asia are also likely to drive the HCIT outsourcing market. However, the fragmented nature of the healthcare system and HCIT outsourcing market, requirement for high investment in outsourcing IT solutions, growing concern for data security, and cultural and language barrier restrain the growth of the market. North America accounts for the largest share - XX% - of the global HCIT outsourcing market and is expected to reach $36 billion by 2018 from $XX billion in. Asia-Pacific and RoW are expected to register CAGRs of XX% and XX% ( to 2018) respectively, followed by North America (XX%), and Europe (XX%). Major players in the market are Accenture Plc (Ireland), Accretive Health, Inc. (U.S.), Allscripts Healthcare Solutions, Inc. (U.S.), Anthelio Healthcare Solutions Inc. (U.S.), Cognizant Technology Solutions (U.S.), Dell, Inc. (U.S.), HCL Technologies (India), Hewlett-Packard Company (U.S.), International Business Machines (IBM) Corporation (U.S.), Infosys Limited (India), McKesson Corporation (U.S.), Siemens Healthcare (Germany), Tata Consultancy Services Ltd. (India), Wipro Ltd. (India), Xerox Corporation (U.S.), Epic System (U.S.), and Computer Sciences Corporation (U.S.). Markets Covered Global Healthcare Information Technology Outsourcing Global IT Infrastructure Outsourcing Market Market, by Application: Infrastructure Management Services Global Provider IT Outsourcing Market Electronic Health Records Revenue Cycle Management System Laboratory Information and Management System Pharmacy Information and Management System Others Cloud Computing Others Global Healthcare Information Technology Outsourcing Market, by Industry: Healthcare Provider System Healthcare Insurance Industry Global Payer IT Outsourcing Market Pharmaceutical Industry Customer Relationship Management System Clinical Research Organization Claim Processing Management System Biotechnology Industry Billing System Others Fraud and Detection System Others Global Life sciences IT Outsourcing Market North America Enterprise Resource Planning Europe Clinical Trial Management System Asia-Pacific Clinical Database Management System Rest of World Research and Development IT services Others Global Operational IT Outsourcing Market Supply Chain Management Business Process Management Others Global Healthcare Information Technology Outsourcing Market, by Geography: 3

4 Report Description Stakeholders Healthcare equipment manufacturers Healthcare consultants Healthcare IT vendors Healthcare associations/institutes Healthcare IT outsourcing players Business research and consulting service providers Healthcare providers Healthcare Payers Research Methodology Market size Global Healthcare Information Technology Outsourcing Market A mix of bottom up and top-down approach was used to The HCIT outsourcing market by geography has been arrive at the global HCIT outsourcing market value derived using a bottom-up approach A bottom-up approach was used to derive the overall HCIT This report considers 2012 as the base year for market outsourcing market based on the market shares of major forecasts. First half reported sales and sales growth players in healthcare IT outsourcing trends have been considered for market estimation A top-down approach was used to derive the market size (segments and sub-segments) of provider, payer, life science, operational, and infrastructure The HCIT outsourcing market by application and by industry has been derived using a top down approach, using percentage split to the concerned segment based on applications areas, usage trend, and future prospect of the HCIT outsourcing in respective sub-segments Key Data Points from Secondary Sources Parameter Market revenue Market revenue of companies Qualitative information (Market dynamics, Market trends) Data Points Company financials, magazines, journals, press releases, paid databases, and MnM data repository Annual reports, company websites, public databases, and MnM data repository Company websites, annual reports, press releases, databases, and MnM data repository 4

5 Report Description Key Data Points from Primary Sources Parameter Global HCIT outsourcing market Data Points Healthcare IT outsourcing market is ~ $XX-XX billion in 2012, growing at a CAGR of ~ XX-XX% Healthcare sector's contribution is ~ XX-XX% of total IT outsourcing Infrastructure outsourcing contribution is maximum with a share of ~ XX-XX% in 2012 Provider IT outsourcing market accounted for ~XX-XX% in 2012 Payer IT outsourcing market accounted for ~ XX-XX% in 2012 Life sciences IT outsourcing market accounted for ~XX-XX% in 2012 Operational IT outsourcing market accounted for ~XX-XX% in 2012 The provider IT outsourcing market is the fastest growing, due to government initiatives to implement HCIT solutions and lack of IT skilled professions The life sciences IT outsourcing market will also grow at a high rate due to growing clinical trial activities Cloud-computing is also a key traction area of the HCIT outsourcing market Geographic Split for the market North America accounted for approximately XX% - XX% of the global HCIT outsourcing market in 2012, followed by Europe (XX% - XX%), Asia (XX% - XX%), and RoW (XX% - XX%) In North America, U.S accounted a share of XX-XX%; and rest by Canada Asia-Pacific will be the fastest growing market, predominantly China, India, Japan, and Singapore. Japan accounted for the highest share of ~XX%-XX%, followed by China and India In RoW, Middle-East countries are lucrative markets for HCIT outsourcing due to upcoming hospitals and government initiatives Global HCIT outsourcing market, by industry The healthcare insurance industry market accounted for the highest share of ~XX-XX% in 2012 Healthcare systems ( including hospitals, clinics, and diagnostic labs) accounted a share of ~ XX-XX% in 2012 The pharmaceutical industry accounted a share of ~XX-XX% in 2012 Biotechnology accounted a share of ~XX-XX% in 2012 Clinical Research Organization (CRO) accounted for ~XX-XX% in 2012 Assumptions Parameter Data Points HCIT outsourcing Market The global HCIT outsourcing market is the sum of provider IT outsourcing, payer IT outsourcing, life sciences IT outsourcing, operational IT outsourcing, and IT infrastructure outsourcing Total market size of global HCIT outsourcing market, by industry has been assumed to be the same as total market size of the global HCIT outsourcing market, by application 5

6 Table of Contents Chapter Headings...Page No 1 INTRODUCTION Key Take-aways Report Description Markets Covered Stakeholders Research Methodology Market Size Key Data Points From Secondary Sources Key Data Points From Primary Sources Assumptions EXECUTIVE SUMMARY MARKET DYNAMICS Introduction Healthcare IT Outsourcing: Process Model Healthcare IT Outsourcing Market Segmentation Market Dynamics Drivers HCIT Outsourcing is a Viable Solution to Curtail Healthcare Costs in Each Region Shortage of In-House IT Professionals Requirement to Meet the Criteria of Meaningful Use to Receive Incentives by the Federal Government The U.S. Healthcare Mandates Propel the Healthcare IT Outsourcing Market Accountable Care Organizations Reduction in Operational Costs Growing Need to Integrate Healthcare IT Solutions Improved Quality of Care and Clinical Outcomes Restraints Fragmented End-User Market Restricts Development of Standard IT Platforms Rising Incidences of Data Breach and Loss of Confidentiality Cultural Differences and Language Barriers Opportunities Consolidating the Healthcare System and the Role of Software Architecture Oriented Programs

7 Table of Contents Chapter Headings...Slide No Growing Concerns for Data Security Offers Opportunities for Outsourcing Private Cloud Computing Models Emerging Markets Offer a Huge Potential for IT Outsourcing ICD-10 Conversion System Shifting Focus Towards Patient-Centric Systems Growing Medical Tourism in India, Singapore, China and Thailand Offers Opportunities for HCIT Outsourcing GLOBAL HCIT OUTSOURCING MARKET, BY APPLICATION Introduction Provider IT Outsourcing Market Electronic Health Record (EHR) Pharmacy Information System (PIS) Laboratory Information Management System (LIMS) Revenue Cycle Management (RCM) System Others Payer IT Outsourcing Market Customer Relationship Management System Claim Processing System Billing System Fraud Detection Others Life Sciences IT Outsourcing Market Clinical Trial Management System (CTMS) Clinical Database Management System (CDMS) Enterprise Resource Planning (ERP) R&D IT Services Others Operational IT Outsourcing Market Supply Chain Management (SCM) Business Process Management Others IT Infrastructure Outsourcing Market Infrastructure Management Services Cloud Computing Others

8 Table of Contents Chapter Headings...Slide No 5. HCIT OUTSOURCING MARKET BY INDUSTRY Introduction Healthcare Provider System Pharmaceutical Biotechnology Clinical Research Organization (CRO) Health Insurance Others GEOGRAPHIC ANALYSIS INTRODUCTION NORTH AMERICA HCIT Outsourcing: Strategic Solution to Curtail Healthcare Costs in The U.S. and Canada Regulatory Mandates by Patient Protection and Affordable Care act Stimulates the market Hospital Readmissions Reduction Program (HRRP) offers opportunities to the HCIT Outsourcing market Growth in Aging Population Stimulates the market EUROPE HCIT Outsourcing Supports European Government Initiatives Such as e-health to Achieve its target ASIA-PACIFIC New Outline by Japan's Information and Communication Technology Stimulates the market Growth in Medical Tourism and Presence of Skilled IT Professionals at Low Costs in India and China Drives the market Increased Clinical Trial Activities In India, China, And Singapore Propel The Market South Korea: Rapid Transformation from Telemedicine to U-Health offers Opportunities to the market REST OF THE WORLD (ROW) Saudi Arabia: HCIT Outsourcing Supports Strategic Framework Designed for the e-health program Brazil: HCIT Outsourcing Supports Government Initiatives Such as TI Maior, Prosoft, and Lei de Informática and Renuncia Fiscal COMPETITIVE LANDSCAPE INTRODUCTION AGREEMENTS, CONTRACT EXTENSIONS, PARTNERSHIPS, AND COLLABORATIONS NEW PRODUCT LAUNCH ACQUISITIONS EXPANSIONS

9 Table of Contents Chapter Headings...Slide No 8. COMPANY PROFILES (Overview, Products and Services, Financials, Strategy & Development)* 8.1 ACCENTURE PLC ACCRETIVE HEALTH, INC ALLSCRIPTS HEALTHCARE SOLUTIONS, INC ANTHELIO HEALTHCARE SOLUTIONS COGNIZANT TECHNOLOGY SOLUTIONS DELL, INC HCL TECHNOLOGIES LTD HEWLETT-PACKARD IBM CORPORATION INFOSYS LIMITED MCKESSON CORPORATION SIEMENS HEALTHCARE (SUBSIDIARY OF SIEMENS AG) TATA CONSULTANCY SERVICES LTD WIPRO LIMITED XEROX CORPORATION *Details on overview, Products and Services, Financials, Strategy & Development might not be captured in case of unlisted companies. 9

10 List of Tables Table Titles...Slide No 1 GLOBAL HCIT OUTSOURCING MARKET, BY APPLICATION, ($MILLION) HCIT OUTSOURCING MARKET, BY GEOGRAPHY, ($MILLION) PROVIDER IT OUTSOURCING MARKET, BY APPLICATION, ($MILLION) PROVIDER IT OUTSOURCING MARKET, BY GEOGRAPHY, ($MILLION) EHR OUTSOURCING MARKET, BY GEOGRAPHY, ($MILLION) PIS OUTSOURCING MARKET, BY GEOGRAPHY, ($MILLION) LIMS OUTSOURCING MARKET, BY GEOGRAPHY, ($MILLION) RCM OUTSOURCING MARKET, BY GEOGRAPHY, ($MILLION) OTHER PROVIDER IT OUTSOURCING MARKET, BY GEOGRAPHY, ($MILLION) PAYER IT OUTSOURCING MARKET, BY APPLICATION, ($MILLION) PAYER IT OUTSOURCING MARKET, BY GEOGRAPHY, ($MILLION) CRM OUTSOURCING MARKET, BY GEOGRAPHY, ($MILLION) CLAIM PROCESSING OUTSOURCING MARKET, BY GEOGRAPHY, ($MILLION) BILLING SYSTEM OUTSOURCING MARKET, BY GEOGRAPHY, ($MILLION) FRAUD DETECTION OUTSOURCING MARKET, BY GEOGRAPHY, ($MILLION) OTHER PAYER IT OUTSOURCING MARKET, BY GEOGRAPHY, ($MILLION) LIFE SCIENCES IT OUTSOURCING MARKET, BY APPLICATION, ($MILLION) LIFE SCIENCES IT OUTSOURCING MARKET, BY GEOGRAPHY, ($MILLION) CTMS OUTSOURCING MARKET, BY GEOGRAPHY, ($MILLION) CDMS OUTSOURCING MARKET, BY GEOGRAPHY, ($MILLION) ERP OUTSOURCING MARKET, BY GEOGRAPHY, ($MILLION) R&D IT SERVICES OUTSOURCING MARKET, BY GEOGRAPHY, ($MILLION) OTHER LIFE SCIENCES IT OUTSOURCING MARKET, BY GEOGRAPHY, ($MILLION) OPERATIONAL IT OUTSOURCING MARKET, BY APPLICATION, ($MILLION) OPERATIONAL IT OUTSOURCING MARKET, BY GEOGRAPHY, ($MILLION) SCM OUTSOURCING MARKET, BY GEOGRAPHY, ($MILLION) BPM OUTSOURCING MARKET, BY GEOGRAPHY, ($MILLION) OTHER OPERATIONAL IT OUTSOURCING MARKET, BY GEOGRAPHY, ($MILLION) IT INFRASTRUTURE OUTSOURCING MARKET, BY APPLICATION, ($MILLION) IT INFRASTRUTURE OUTSOURCING MARKET, BY GEOGRAPHY, ($MILLION) INFRASTRUCTURE MANAGEMENT SERVICES MARKET, BY GEOGRAPHY, ($MILLION) CLOUD COMPUTING OUTSOURCING MARKET, BY GEOGRAPHY, ($MILLION)

11 List of Tables Table Titles...Slide No 33 OTHER IT INFRASTRUCTURE MARKET, BY GEOGRAPHY, ($MILLION) HEALTHCARE IT OUTSOURCING MARKET, BY INDUSTRY, ($MILLION) HEALTHCARE PROVIDER IT SOLUTIONS HEALTHCARE PROVIDER INDUSTRY IT OUTSOURCING MARKET, BY GEOGRAPHY, ($MILLION) PHARMACEUTICAL IT SOLUTIONS PHARMACEUTICAL INDUSTRY IT OUTSOURCING MARKET, BY GEOGRAPHY, ($MILLION) BIOTECHNOLOGY IT SOLUTIONS BIOTECHNOLOGY INDUSTRY IT OUTSOURCING MARKET, BY GEOGRAPHY, ($MILLION) CLINICAL RESEARCH ORGANIZATION IT SOLUTIONS CRO IT OUTSOURCING MARKET, BY GEOGRAPHY, ($MILLION) HEALTH INSURANCE IT SOLUTIONS HEALTHCARE INSURANCE INDUSTRY IT OUTSOURCING MARKET, BY GEOGRAPHY, ($MILLION) OTHER HCIT SOLUTIONS OTHER INDUSTRY IT OUTSOURCING MARKET, BY GEOGRAPHY, ($MILLION) HCIT OUTSOURCING MARKET, BY GEOGRAPHY, ($MILLION) NORTH AMERICA: HCIT OUTSOURCING MARKET, BY APPLICATION, ($MILLION) NORTH AMERICA: PROVIDER IT OUTSOURCING MARKET, BY APPLICATION, ($MILLION) NORTH AMERICA: PAYER IT OUTSOURCING MARKET, BY APPLICATION, ($MILLION) NORTH AMERICA: LIFE SCIENCES IT OUTSOURCING MARKET, BY APPLICATION, ($MILLION) NORTH AMERICA: OPERATIONAL IT OUTSOURCING MARKET, BY APPLICATION, ($MILLION) NORTH AMERICA: INFRASTRUCTURE IT OUTSOURCING MARKET, BY APPLICATION, ($MILLION) NORTH AMERICA: HCIT OUTSOURCING MARKET, BY INDUSTRY, ($MILLION) NORTH AMERICA: HCIT OUTSOURCING MARKET, BY COUNTRY, ($MILLION) NORTH AMERICA: PROVIDER IT OUTSOURCING MARKET, BY COUNTRY, ($MILLION) NORTH AMERICA: PAYER IT OUTSOURCING MARKET, BY COUNTRY, ($MILLION) NORTH AMERICA: LIFE SCIENCES IT OUTSOURCING MARKET, BY COUNTRY, ($MILLION) NORTH AMERICA: OPERATIONAL IT OUTSOURCING MARKET, BY COUNTRY, ($MILLION) NORTH AMERICA IT INFRASTRUCTURE OUTSOURCING MARKET, BY COUNTRY, ($MILLION)

12 List of Tables Table Titles...Slide No 61 EUROPE: HCIT OUTSOURCING MARKET, BY APPLICATION, ($MILLION) EUROPE: PROVIDER IT OUTSOURCING MARKET, BY APPLICATION, ($MILLION) EUROPE: PAYER IT OUTSOURCING MARKET, BY APPLICATION, ($MILLION) EUROPE: LIFE SCIENCES IT OUTSOURCING MARKET, BY APPLICATION, ($MILLION) EUROPE: OPERATIONAL IT OUTSOURCING MARKET, BY APPLICATION, ($MILLION) EUROPE: IT INFRASTRUCTURE OUTSOURCING MARKET, BY APPLICATION, ($MILLION) EUROPE: HCIT OUTSOURCING MARKET, BY INDUSTRY, ($MILLION) EUROPE: HCIT OUTSOURCING MARKET, BY COUNTRY, ($MILLION) EUROPE: PROVIDER IT OUTSOURCING MARKET, BY COUNTRY, ($MILLION) EUROPE: PAYER IT OUTSOURCING MARKET, BY COUNTRY, ($MILLION) EUROPE: LIFE SCIENCES IT OUTSOURCING MARKET, BY COUNTRY, ($MILLION) EUROPE: OPERATIONAL IT OUTSOURCING MARKET, BY COUNTRY, ($MILLION) EUROPE: INFRASTRUCTURE IT OUTSOURCING MARKET, BY COUNTRY, ($MILLION) ASIA-PACIFIC: HCIT OUTSOURCING MARKET, BY APPLICATION, ($MILLION) ASIA-PACIFIC: PROVIDER IT OUTSOURCING MARKET, BY APPLICATION, ($MILLION) ASIA-PACIFIC: PAYER IT OUTSOURCING MARKET, APPLICATION, ($MILLION) ASIA-PACIFIC: LIFE SCIENCES IT OUTSOURCING MARKET, BY APPLICATION, ($MILLION) ASIA-PACIFIC: OPERATIONAL IT OUTSOURCING MARKET, BY APPLICATION, ($MILLION) ASIA-PACIFIC: IT INFRASTRUCTURE OUTSOURCING MARKET, APPLICATION, ($MILLION) ASIA-PACIFIC: HCIT OUTSOURCING MARKET, BY INDUSTRY, ($MILLION) ASIA-PACIFIC: HCIT OUTSOURCING MARKET, BY COUNTRY, ($MILLION) ASIA-PACIFIC: PROVIDER IT OUTSOURCING MARKET, BY COUNTRY, ($MILLION) ASIA-PACIFIC: PAYER IT OUTSOURCING MARKET, BY COUNTRY, ($MILLION) ASIA-PACIFIC: LIFE SCIENCES IT OUTSOURCING MARKET, BY COUNTRY, ($MILLION) ASIA-PACIFIC: OPERATIONAL IT OUTSOURCING MARKET, BY COUNTRY, ($MILLION) ASIA-PACIFIC: IT INFRASTRUCTURE OUTSOURCING MARKET, BY COUNTRY, ($MILLION) ROW: HCIT OUTSOURCING MARKET, BY APPLICATION, ($MILLION) ROW: PROVIDER IT OUTSOURCING MARKET, BY APPLICATION, ($MILLION) ROW: PAYER IT OUTSOURCING MARKET, BY APPLICATION, ($MILLION) ROW: LIFE SCIENCES IT OUTSOURCING MARKET, BY APPLICATION, ($MILLION) ROW: OPERATIONAL IT OUTSOURCING MARKET, BY APPLICATION, ($MILLION) ROW: IT INFRASTRUCTURE OUTSOURCING MARKET, BY APPLICATION, ($MILLION)

13 List of Tables Table Titles...Slide No 93 ROW: HCIT OUTSOURCING MARKET, BY INDUSTRY, ($MILLION) ROW: HCIT OUTSOURCING MARKET, BY COUNTRY, ($MILLION) ROW: PROVIDER IT OUTSOURCING MARKET, BY COUNTRY, ($MILLION) ROW: PAYER IT OUTSOURCING MARKET, BY COUNTRY, ($MILLION) ROW: LIFE SCIENCES IT OUTSOURCING MARKET, BY COUNTRY, ($MILLION) ROW: OPERATIONAL IT OUTSOURCING MARKET, BY COUNTRY, ($MILLION) ROW: IT INFRASTRUCTURE OUTSOURCING MARKET, BY COUNTRY, ($MILLION) AGREEMENTS, CONTRACT EXTENSIONS, PARTNERSHIPS, AND COLLABORATIONS, NEW PRODUCT LAUNCH, ACQUISITIONS, EXPANSIONS, ACCENTURE: TOTAL REVENUE AND R&D EXPENDITURE, ($MILLION) ACCENTURE: TOTAL REVENUE, BY SEGMENT, ($MILLION) ACCENTURE: TOTAL REVENUE, BY SUB-SEGMENT, ($MILLION) ACCENTURE: TOTAL REVENUE, BY GEOGRAPHY, ($MILLION) ACCRETIVE HEALTH: TOTAL REVENUE AND R&D EXPENDITURE, ($MILLION) ACCRETIVE HEALTH: TOTAL REVENUE, BY SEGMENT, ($MILLION) ALLSCRIPTS: TOTAL REVENUE AND R&D EXPENDITURE, ($MILLION) ALLSCRIPTS: TOTAL REVENUE, BY SEGMENT, ($MILLION) ALLSCRIPTS: TOTAL REVENUE, BY GEOGRAPHY, ($MILLION) COGNIZANT: TOTAL REVENUE, BY SEGMENT, ($MILLION) COGNIZANT: TOTAL REVENUE, BY GEOGRAPHY, ($MILLION) DELL, INC: TOTAL REVENUE AND R&D EXPENDITURE, ($MILLION) DELL, INC: TOTAL REVENUE, BY PRODUCT AND SERVICES, ($MILLION) DELL, INC: TOTAL REVENUE, BY SEGMENT, ($MILLION) DELL, INC: TOTAL REVENUE, BY SUB-SEGMENT, ($MILLION) DELL, INC: TOTAL REVENUE, BY GEOGRAPHY, ($MILLION) HCL: TOTAL REVENUE, BY SEGMENT, ($MILLION) HCL: TOTAL REVENUE, BY GEOGRAPHY, ($MILLION) HEWLETT-PACKARD: TOTAL REVENUE AND R&D EXPENDITURE, ($MILLION) HEWLETT-PACKARD: TOTAL REVENUE, BY SEGMENT, ($MILLION) HEWLETT-PACKARD: TOTAL REVENUE, BY GEOGRAPHY, ($MILLION)

14 List of Tables Table Titles...Slide No 125 IBM: TOTAL REVENUE AND R&D EXPENDITURE, ($MILLION) IBM: TOTAL REVENUE, BY SEGMENT, ($MILLION) IBM: TOTAL REVENUE, BY OUTSOURCING SERVICES, ($MILLION) IBM: TOTAL REVENUE, BY GEOGRAPHY, ($MILLION) INFOSYS, LTD: TOTAL REVENUE AND R&D EXPENDITURE, ($MILLION) INFOSYS, LTD: TOTAL REVENUE, BY SEGMENT, ($MILLION) INFOSYS, LTD: TOTAL REVENUE, BY GEOGRAPHY, ($MILLION) MCKESSON CORPORATION: TOTAL REVENUE AND R&D EXPENSES, ($MILLION) MCKESSON CORPORATION: TOTAL REVENUE, BY SEGMENT, ($MILLION) MCKESSON CORPORATION: TOTAL REVENUE, BY GEOGRAPHY, ($MILLION) SIEMENS AG: TOTAL REVENUE AND R&D EXPENDITURE, ($MILLION) SIEMENS AG: TOTAL REVENUE, BY SEGMENT, ($MILLION) SIEMENS AG: TOTAL REVENUE, BY GEOGRAPHY, ($MILLION) TATA CONSULTANCY SERVICES LTD.: TOTAL REVENUE AND R&D EXPENDITURE, ($MILLION) TATA CONSULTANCY SERVICES LTD.: TOTAL REVENUE, BY SERVICES, ($MILLION) TATA CONSULTANCY SERVICES LTD: TOTAL REVENUE, BY GEOGRAPHY, ($MILLION) WIPRO: TOTAL REVENUE AND R&D EXPENDITURE, ($MILLION) WIPRO: TOTAL REVENUE, BY SEGMENT, ($MILLION) WIPRO: TOTAL REVENUE, BY GEOGRAPHY, ($MILLION) XEROX: TOTAL REVENUE AND R&D EXPENDITURE, ($MILLION) XEROX: TOTAL REVENUE, BY SEGMENT, ($MILLION) XEROX: TOTAL REVENUE, BY SERVICES, ($MILLION) XEROX: TOTAL REVENUE, BY GEOGRAPHY, ($MILLION)

15 List of Figures Figure Titles...Slide No 1 HEALTHCARE IT OUTSOURCING MARKET, BY APPLICATION, ($MILLION) KEY REASONS FOR HCIT OUTSOURCING GLOBAL HCIT OUTSOURCING: FIVE-STAGE PROCESS MODEL GLOBAL HCIT OUTSOURCING SEGMENTATION GLOBAL HCIT OUTSOURCING MARKET DYNAMICS HEALTHCARE SPENDING, BY GEOGRAPHY, % OF GDP (2010) HCIT OUTSOURCING MARKET, GEOGRAPHIC RANKING, KEY GROWTH STRATEGIES, AGREEMENTS, CONTRACT EXTENSIONS, PARTNERSHIPS, AND COLLABORATIONS, BY COMPANY, NEW PRODUCT LAUNCH, BY COMPANY, ACQUSITIONS, BY COMPANY,

16 Sample Tables Payer IT Outsourcing Market, by Application, ($Million) Application Customer Relation Management Claim Management Billing System Fraud and Detection Others Total Sample Tables CAGR% (-2018) ERP Outsourcing Market, by Geography, ($Million) Region North America Europe Asia-Pacific RoW Total Sample Tables CAGR% (-2018) IT Infrastructure Outsourcing Market, By Geography, ($Million) Region North America Europe Asia-Pacific RoW Total Sample Tables CAGR% (-2018) 16

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