HEALTHCARE IT OUTSOURCING MARKET

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.: 1-888-600-6441 Email: Website:

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

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

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

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

Table of Contents Chapter Headings...Page No 1 INTRODUCTION...26 1.1 Key Take-aways...26 1.2 Report Description...26 1.3 Markets Covered...28 1.4 Stakeholders...30 1.5 Research Methodology...30 1.5.1 Market Size...30 1.5.2 Key Data Points From Secondary Sources...31 1.5.3 Key Data Points From Primary Sources...31 1.5.4 Assumptions...33 2. EXECUTIVE SUMMARY...34 3. MARKET DYNAMICS...38 3.1 Introduction...39 3.2 Healthcare IT Outsourcing: Process Model...42 3.3 Healthcare IT Outsourcing Market Segmentation...44 3.4 Market Dynamics...47 3.4.1 Drivers...49 3.4.1.1 HCIT Outsourcing is a Viable Solution to Curtail Healthcare Costs in Each Region...49 3.4.1.2 Shortage of In-House IT Professionals...51 3.4.1.3 Requirement to Meet the Criteria of Meaningful Use to Receive Incentives by the Federal Government...52 3.4.1.4 The U.S. Healthcare Mandates Propel the Healthcare IT Outsourcing Market...52 3.4.1.5 Accountable Care Organizations...53 3.4.1.6 Reduction in Operational Costs...53 3.4.1.7 Growing Need to Integrate Healthcare IT Solutions...54 3.4.1.8 Improved Quality of Care and Clinical Outcomes...54 3.4.2 Restraints...55 3.4.2.1 Fragmented End-User Market Restricts Development of Standard IT Platforms...55 3.4.2.2 Rising Incidences of Data Breach and Loss of Confidentiality...56 3.4.2.3 Cultural Differences and Language Barriers...56 3.4.3 Opportunities...56 3.4.3.1 Consolidating the Healthcare System and the Role of Software Architecture Oriented Programs...56 6

Table of Contents Chapter Headings...Slide No 3.4.3.2 Growing Concerns for Data Security Offers Opportunities for Outsourcing Private Cloud Computing Models...57 3.4.3.3 Emerging Markets Offer a Huge Potential for IT Outsourcing...58 3.4.3.4 ICD-10 Conversion System...58 3.4.3.5 Shifting Focus Towards Patient-Centric Systems...59 3.4.3.6 Growing Medical Tourism in India, Singapore, China and Thailand Offers Opportunities for HCIT Outsourcing...60 4. GLOBAL HCIT OUTSOURCING MARKET, BY APPLICATION...61 4.1 Introduction...62 4.2 Provider IT Outsourcing Market...65 4.2.1 Electronic Health Record (EHR)...68 4.2.2 Pharmacy Information System (PIS)...70 4.2.3 Laboratory Information Management System (LIMS)...73 4.2.4 Revenue Cycle Management (RCM) System...75 4.2.5 Others...78 4.3 Payer IT Outsourcing Market...79 4.3.1 Customer Relationship Management System...83 4.3.2 Claim Processing System...85 4.3.3 Billing System...88 4.3.4 Fraud Detection...89 4.3.5 Others...91 4.4 Life Sciences IT Outsourcing Market...93 4.4.1 Clinical Trial Management System (CTMS)...96 4.4.2 Clinical Database Management System (CDMS)...98 4.4.3 Enterprise Resource Planning (ERP)...100 4.4.4 R&D IT Services...102 4.4.5 Others...105 4.5 Operational IT Outsourcing Market...105 4.5.1 Supply Chain Management (SCM)...108 4.5.2 Business Process Management...110 4.5.3 Others...113 4.6 IT Infrastructure Outsourcing Market...115 4.6.1 Infrastructure Management Services...117 4.6.2 Cloud Computing...120 4.6.3 Others...122 7

Table of Contents Chapter Headings...Slide No 5. HCIT OUTSOURCING MARKET BY INDUSTRY...125 5.1 Introduction...126 5.2 Healthcare Provider System...128 5.3 Pharmaceutical...131 5.4 Biotechnology...135 5.5 Clinical Research Organization (CRO)...139 5.6 Health Insurance...143 5.7 Others...146 6. GEOGRAPHIC ANALYSIS...150 6.1 INTRODUCTION...151 6.2 NORTH AMERICA...155 6.2.1 HCIT Outsourcing: Strategic Solution to Curtail Healthcare Costs in The U.S. and Canada...155 6.2.2 Regulatory Mandates by Patient Protection and Affordable Care act Stimulates the market...156 6.2.3 Hospital Readmissions Reduction Program (HRRP) offers opportunities to the HCIT Outsourcing market...157 6.2.4 Growth in Aging Population Stimulates the market...158 6.3 EUROPE...170 6.3.1 HCIT Outsourcing Supports European Government Initiatives Such as e-health to Achieve its target...171 6.4 ASIA-PACIFIC...183 6.4.1 New Outline by Japan's Information and Communication Technology Stimulates the market...183 6.4.2 Growth in Medical Tourism and Presence of Skilled IT Professionals at Low Costs in India and China Drives the market...184 6.4.3 Increased Clinical Trial Activities In India, China, And Singapore Propel The Market...186 6.4.4 South Korea: Rapid Transformation from Telemedicine to U-Health offers Opportunities to the market...186 6.5 REST OF THE WORLD (ROW)...200 6.5.1 Saudi Arabia: HCIT Outsourcing Supports Strategic Framework Designed for the e-health program...200 6.5.2 Brazil: HCIT Outsourcing Supports Government Initiatives Such as TI Maior, Prosoft, and Lei de Informática and Renuncia Fiscal...201 7. COMPETITIVE LANDSCAPE...213 7.1 INTRODUCTION...213 7.2 AGREEMENTS, CONTRACT EXTENSIONS, PARTNERSHIPS, AND COLLABORATIONS...214 7.3 NEW PRODUCT LAUNCH...239 7.4 ACQUISITIONS...246 7.5 EXPANSIONS...251 8

Table of Contents Chapter Headings...Slide No 8. COMPANY PROFILES...253 (Overview, Products and Services, Financials, Strategy & Development)* 8.1 ACCENTURE PLC...253 8.2 ACCRETIVE HEALTH, INC....262 8.3 ALLSCRIPTS HEALTHCARE SOLUTIONS, INC....268 8.4 ANTHELIO HEALTHCARE SOLUTIONS...275 8.5 COGNIZANT TECHNOLOGY SOLUTIONS...279 8.6 DELL, INC....285 8.7 HCL TECHNOLOGIES LTD...298 8.8 HEWLETT-PACKARD...306 8.9 IBM CORPORATION...314 8.10 INFOSYS LIMITED...321 8.11 MCKESSON CORPORATION...326 8.12 SIEMENS HEALTHCARE (SUBSIDIARY OF SIEMENS AG)...333 8.13 TATA CONSULTANCY SERVICES LTD...340 8.14 WIPRO LIMITED...347 8.15 XEROX CORPORATION...356 *Details on overview, Products and Services, Financials, Strategy & Development might not be captured in case of unlisted companies. 9

List of Tables Table Titles...Slide No 1 GLOBAL HCIT OUTSOURCING MARKET, BY APPLICATION, 2011 2018 ($MILLION)...63 2 HCIT OUTSOURCING MARKET, BY GEOGRAPHY, 2011 2018 ($MILLION)...64 3 PROVIDER IT OUTSOURCING MARKET, BY APPLICATION, 2011 2018 ($MILLION)...66 4 PROVIDER IT OUTSOURCING MARKET, BY GEOGRAPHY, 2011 2018 ($MILLION)...67 5 EHR OUTSOURCING MARKET, BY GEOGRAPHY, 2011 2018 ($MILLION)...70 6 PIS OUTSOURCING MARKET, BY GEOGRAPHY, 2011 2018 ($MILLION)...72 7 LIMS OUTSOURCING MARKET, BY GEOGRAPHY, 2011 2018 ($MILLION)...75 8 RCM OUTSOURCING MARKET, BY GEOGRAPHY, 2011 2018 ($MILLION)...77 9 OTHER PROVIDER IT OUTSOURCING MARKET, BY GEOGRAPHY, 2011 2018 ($MILLION)...79 10 PAYER IT OUTSOURCING MARKET, BY APPLICATION, 2011 2018 ($MILLION)...81 11 PAYER IT OUTSOURCING MARKET, BY GEOGRAPHY, 2011 2018 ($MILLION)...82 12 CRM OUTSOURCING MARKET, BY GEOGRAPHY, 2011 2018 ($MILLION)...84 13 CLAIM PROCESSING OUTSOURCING MARKET, BY GEOGRAPHY, 2011 2018 ($MILLION)...87 14 BILLING SYSTEM OUTSOURCING MARKET, BY GEOGRAPHY, 2011 2018 ($MILLION)...89 15 FRAUD DETECTION OUTSOURCING MARKET, BY GEOGRAPHY, 2011 2018 ($MILLION)...91 16 OTHER PAYER IT OUTSOURCING MARKET, BY GEOGRAPHY, 2011 2018 ($MILLION)...93 17 LIFE SCIENCES IT OUTSOURCING MARKET, BY APPLICATION, 2011 2018 ($MILLION)...94 18 LIFE SCIENCES IT OUTSOURCING MARKET, BY GEOGRAPHY, 2011 2018 ($MILLION)...95 19 CTMS OUTSOURCING MARKET, BY GEOGRAPHY, 2011 2018 ($MILLION)...97 20 CDMS OUTSOURCING MARKET, BY GEOGRAPHY, 2011 2018 ($MILLION)...99 21 ERP OUTSOURCING MARKET, BY GEOGRAPHY, 2011 2018 ($MILLION)...102 22 R&D IT SERVICES OUTSOURCING MARKET, BY GEOGRAPHY, 2011 2018 ($MILLION)...104 23 OTHER LIFE SCIENCES IT OUTSOURCING MARKET, BY GEOGRAPHY, 2011 2018 ($MILLION)...105 24 OPERATIONAL IT OUTSOURCING MARKET, BY APPLICATION, 2011 2018 ($MILLION)...106 25 OPERATIONAL IT OUTSOURCING MARKET, BY GEOGRAPHY, 2011 2018 ($MILLION)...107 26 SCM OUTSOURCING MARKET, BY GEOGRAPHY, 2011 2018 ($MILLION)...109 27 BPM OUTSOURCING MARKET, BY GEOGRAPHY, 2011 2018 ($MILLION)...113 28 OTHER OPERATIONAL IT OUTSOURCING MARKET, BY GEOGRAPHY, 2011 2018 ($MILLION)...115 29 IT INFRASTRUTURE OUTSOURCING MARKET, BY APPLICATION, 2011 2018 ($MILLION)...116 30 IT INFRASTRUTURE OUTSOURCING MARKET, BY GEOGRAPHY, 2011 2018 ($MILLION)...117 31 INFRASTRUCTURE MANAGEMENT SERVICES MARKET, BY GEOGRAPHY, 2011 2018 ($MILLION)...120 32 CLOUD COMPUTING OUTSOURCING MARKET, BY GEOGRAPHY, 2011 2018 ($MILLION)...122 10

List of Tables Table Titles...Slide No 33 OTHER IT INFRASTRUCTURE MARKET, BY GEOGRAPHY, 2011 2018 ($MILLION)...124 34 HEALTHCARE IT OUTSOURCING MARKET, BY INDUSTRY, 2011 2018 ($MILLION)...126 35 HEALTHCARE PROVIDER IT SOLUTIONS...129 36 HEALTHCARE PROVIDER INDUSTRY IT OUTSOURCING MARKET, BY GEOGRAPHY, 2011 2018 ($MILLION)131 37 PHARMACEUTICAL IT SOLUTIONS...132 38 PHARMACEUTICAL INDUSTRY IT OUTSOURCING MARKET, BY GEOGRAPHY, 2011 2018 ($MILLION)...134 39 BIOTECHNOLOGY IT SOLUTIONS...135 40 BIOTECHNOLOGY INDUSTRY IT OUTSOURCING MARKET, BY GEOGRAPHY, 2011 2018 ($MILLION)...138 41 CLINICAL RESEARCH ORGANIZATION IT SOLUTIONS...139 42 CRO IT OUTSOURCING MARKET, BY GEOGRAPHY, 2011 2018 ($MILLION)...142 43 HEALTH INSURANCE IT SOLUTIONS...143 44 HEALTHCARE INSURANCE INDUSTRY IT OUTSOURCING MARKET, BY GEOGRAPHY, 2011 2018 ($MILLION)...145 45 OTHER HCIT SOLUTIONS...146 46 OTHER INDUSTRY IT OUTSOURCING MARKET, BY GEOGRAPHY, 2011 2018 ($MILLION)...149 47 HCIT OUTSOURCING MARKET, BY GEOGRAPHY, 2011 2018 ($MILLION)...154 48 NORTH AMERICA: HCIT OUTSOURCING MARKET, BY APPLICATION, 2011 2018 ($MILLION)...159 49 NORTH AMERICA: PROVIDER IT OUTSOURCING MARKET, BY APPLICATION, 2011 2018 ($MILLION)...160 50 NORTH AMERICA: PAYER IT OUTSOURCING MARKET, BY APPLICATION, 2011 2018 ($MILLION)...161 51 NORTH AMERICA: LIFE SCIENCES IT OUTSOURCING MARKET, BY APPLICATION, 2011 2018 ($MILLION)...162 52 NORTH AMERICA: OPERATIONAL IT OUTSOURCING MARKET, BY APPLICATION, 2011 2018 ($MILLION)...163 53 NORTH AMERICA: INFRASTRUCTURE IT OUTSOURCING MARKET, BY APPLICATION, 2011 2018 ($MILLION)...164 54 NORTH AMERICA: HCIT OUTSOURCING MARKET, BY INDUSTRY, 2011 2018 ($MILLION)...165 55 NORTH AMERICA: HCIT OUTSOURCING MARKET, BY COUNTRY, 2011 2018 ($MILLION)...166 56 NORTH AMERICA: PROVIDER IT OUTSOURCING MARKET, BY COUNTRY, 2011 2018 ($MILLION)...166 57 NORTH AMERICA: PAYER IT OUTSOURCING MARKET, BY COUNTRY, 2011 2018 ($MILLION)...167 58 NORTH AMERICA: LIFE SCIENCES IT OUTSOURCING MARKET, BY COUNTRY, 2011 2018 ($MILLION)...168 59 NORTH AMERICA: OPERATIONAL IT OUTSOURCING MARKET, BY COUNTRY, 2011 2018 ($MILLION)...168 60 NORTH AMERICA IT INFRASTRUCTURE OUTSOURCING MARKET, BY COUNTRY, 2011 2018 ($MILLION)...169 11

List of Tables Table Titles...Slide No 61 EUROPE: HCIT OUTSOURCING MARKET, BY APPLICATION, 2011 2018 ($MILLION)...172 62 EUROPE: PROVIDER IT OUTSOURCING MARKET, BY APPLICATION, 2011 2018 ($MILLION)...173 63 EUROPE: PAYER IT OUTSOURCING MARKET, BY APPLICATION, 2011 2018 ($MILLION)...174 64 EUROPE: LIFE SCIENCES IT OUTSOURCING MARKET, BY APPLICATION, 2011 2018 ($MILLION)...175 65 EUROPE: OPERATIONAL IT OUTSOURCING MARKET, BY APPLICATION, 2011 2018 ($MILLION)...176 66 EUROPE: IT INFRASTRUCTURE OUTSOURCING MARKET, BY APPLICATION, 2011 2018 ($MILLION)...177 67 EUROPE: HCIT OUTSOURCING MARKET, BY INDUSTRY, 2011 2018 ($MILLION)...178 68 EUROPE: HCIT OUTSOURCING MARKET, BY COUNTRY, 2011 2018 ($MILLION)...179 69 EUROPE: PROVIDER IT OUTSOURCING MARKET, BY COUNTRY, 2011 2018 ($MILLION)...180 70 EUROPE: PAYER IT OUTSOURCING MARKET, BY COUNTRY, 2011 2018 ($MILLION)...180 71 EUROPE: LIFE SCIENCES IT OUTSOURCING MARKET, BY COUNTRY, 2011 2018 ($MILLION)...181 72 EUROPE: OPERATIONAL IT OUTSOURCING MARKET, BY COUNTRY, 2011 2018 ($MILLION)...182 73 EUROPE: INFRASTRUCTURE IT OUTSOURCING MARKET, BY COUNTRY, 2011 2018 ($MILLION)...182 74 ASIA-PACIFIC: HCIT OUTSOURCING MARKET, BY APPLICATION, 2011 2018 ($MILLION)...187 75 ASIA-PACIFIC: PROVIDER IT OUTSOURCING MARKET, BY APPLICATION, 2011 2018 ($MILLION)...188 76 ASIA-PACIFIC: PAYER IT OUTSOURCING MARKET, APPLICATION, 2011 2018 ($MILLION)...189 77 ASIA-PACIFIC: LIFE SCIENCES IT OUTSOURCING MARKET, BY APPLICATION, 2011 2018 ($MILLION)...190 78 ASIA-PACIFIC: OPERATIONAL IT OUTSOURCING MARKET, BY APPLICATION, 2011 2018 ($MILLION)...191 79 ASIA-PACIFIC: IT INFRASTRUCTURE OUTSOURCING MARKET, APPLICATION, 2011 2018 ($MILLION)...192 80 ASIA-PACIFIC: HCIT OUTSOURCING MARKET, BY INDUSTRY, 2011 2018 ($MILLION)...193 81 ASIA-PACIFIC: HCIT OUTSOURCING MARKET, BY COUNTRY, 2011 2018 ($MILLION)...194 82 ASIA-PACIFIC: PROVIDER IT OUTSOURCING MARKET, BY COUNTRY, 2011 2018 ($MILLION)...195 83 ASIA-PACIFIC: PAYER IT OUTSOURCING MARKET, BY COUNTRY, 2011 2018 ($MILLION)...196 84 ASIA-PACIFIC: LIFE SCIENCES IT OUTSOURCING MARKET, BY COUNTRY, 2011 2018 ($MILLION)...197 85 ASIA-PACIFIC: OPERATIONAL IT OUTSOURCING MARKET, BY COUNTRY, 2011 2018 ($MILLION)...198 86 ASIA-PACIFIC: IT INFRASTRUCTURE OUTSOURCING MARKET, BY COUNTRY, 2011 2018 ($MILLION)...199 87 ROW: HCIT OUTSOURCING MARKET, BY APPLICATION, 2011 2018 ($MILLION)...202 88 ROW: PROVIDER IT OUTSOURCING MARKET, BY APPLICATION, 2011 2018 ($MILLION)...203 89 ROW: PAYER IT OUTSOURCING MARKET, BY APPLICATION, 2011 2018 ($MILLION)...204 90 ROW: LIFE SCIENCES IT OUTSOURCING MARKET, BY APPLICATION, 2011 2018 ($MILLION)...205 91 ROW: OPERATIONAL IT OUTSOURCING MARKET, BY APPLICATION, 2011 2018 ($MILLION)...206 92 ROW: IT INFRASTRUCTURE OUTSOURCING MARKET, BY APPLICATION, 2011 2018 ($MILLION)...207 12

List of Tables Table Titles...Slide No 93 ROW: HCIT OUTSOURCING MARKET, BY INDUSTRY, 2011 2018 ($MILLION)...208 94 ROW: HCIT OUTSOURCING MARKET, BY COUNTRY, 2011 2018 ($MILLION)...209 95 ROW: PROVIDER IT OUTSOURCING MARKET, BY COUNTRY, 2011 2018 ($MILLION)...209 96 ROW: PAYER IT OUTSOURCING MARKET, BY COUNTRY, 2011 2018 ($MILLION)...210 97 ROW: LIFE SCIENCES IT OUTSOURCING MARKET, BY COUNTRY, 2011 2018 ($MILLION)...211 98 ROW: OPERATIONAL IT OUTSOURCING MARKET, BY COUNTRY, 2011 2018 ($MILLION)...211 99 ROW: IT INFRASTRUCTURE OUTSOURCING MARKET, BY COUNTRY, 2011 2018 ($MILLION)...212 100 AGREEMENTS, CONTRACT EXTENSIONS, PARTNERSHIPS, AND COLLABORATIONS, 2010...216 101 NEW PRODUCT LAUNCH, 2010...240 102 ACQUISITIONS, 2010...248 103 EXPANSIONS, 2010...251 104 ACCENTURE: TOTAL REVENUE AND R&D EXPENDITURE, 2010 2012 ($MILLION)...254 105 ACCENTURE: TOTAL REVENUE, BY SEGMENT, 2010 2012 ($MILLION)...255 106 ACCENTURE: TOTAL REVENUE, BY SUB-SEGMENT, 2010 2012 ($MILLION)...256 107 ACCENTURE: TOTAL REVENUE, BY GEOGRAPHY, 2010 2012 ($MILLION)...256 108 ACCRETIVE HEALTH: TOTAL REVENUE AND R&D EXPENDITURE, 2009 2011 ($MILLION)...263 109 ACCRETIVE HEALTH: TOTAL REVENUE, BY SEGMENT, 2009 2011 ($MILLION)...263 110 ALLSCRIPTS: TOTAL REVENUE AND R&D EXPENDITURE, 2010 2012 ($MILLION)...269 111 ALLSCRIPTS: TOTAL REVENUE, BY SEGMENT, 2010 2012 ($MILLION)...269 112 ALLSCRIPTS: TOTAL REVENUE, BY GEOGRAPHY, 2010 2012 ($MILLION)...270 113 COGNIZANT: TOTAL REVENUE, BY SEGMENT, 2010 2012 ($MILLION)...280 114 COGNIZANT: TOTAL REVENUE, BY GEOGRAPHY, 2010 2012 ($MILLION)...281 115 DELL, INC: TOTAL REVENUE AND R&D EXPENDITURE, 2010 2012 ($MILLION)...286 116 DELL, INC: TOTAL REVENUE, BY PRODUCT AND SERVICES, 2010 2012 ($MILLION)...286 117 DELL, INC: TOTAL REVENUE, BY SEGMENT, 2010 2012 ($MILLION)...287 118 DELL, INC: TOTAL REVENUE, BY SUB-SEGMENT, 2010 2012 ($MILLION)...287 119 DELL, INC: TOTAL REVENUE, BY GEOGRAPHY, 2010 2012 ($MILLION)...288 120 HCL: TOTAL REVENUE, BY SEGMENT, 2010 2012 ($MILLION)...299 121 HCL: TOTAL REVENUE, BY GEOGRAPHY, 2010 2012 ($MILLION)...300 122 HEWLETT-PACKARD: TOTAL REVENUE AND R&D EXPENDITURE, 2010 2012 ($MILLION)...307 123 HEWLETT-PACKARD: TOTAL REVENUE, BY SEGMENT, 2010 2012 ($MILLION)...308 124 HEWLETT-PACKARD: TOTAL REVENUE, BY GEOGRAPHY, 2010 2012 ($MILLION)...309 13

List of Tables Table Titles...Slide No 125 IBM: TOTAL REVENUE AND R&D EXPENDITURE, 2010 2012 ($MILLION)...315 126 IBM: TOTAL REVENUE, BY SEGMENT, 2010 2012 ($MILLION)...315 127 IBM: TOTAL REVENUE, BY OUTSOURCING SERVICES, 2010 2012 ($MILLION)...316 128 IBM: TOTAL REVENUE, BY GEOGRAPHY, 2010 2012 ($MILLION)...316 129 INFOSYS, LTD: TOTAL REVENUE AND R&D EXPENDITURE, 2010 2012 ($MILLION)...322 130 INFOSYS, LTD: TOTAL REVENUE, BY SEGMENT, 2011 2012 ($MILLION)...322 131 INFOSYS, LTD: TOTAL REVENUE, BY GEOGRAPHY, 2010 2012 ($MILLION)...323 132 MCKESSON CORPORATION: TOTAL REVENUE AND R&D EXPENSES, 2010 2012 ($MILLION)...327 133 MCKESSON CORPORATION: TOTAL REVENUE, BY SEGMENT, 2010 2012 ($MILLION)...327 134 MCKESSON CORPORATION: TOTAL REVENUE, BY GEOGRAPHY, 2010 2012 ($MILLION)...328 135 SIEMENS AG: TOTAL REVENUE AND R&D EXPENDITURE, 2010 2012 ($MILLION)...334 136 SIEMENS AG: TOTAL REVENUE, BY SEGMENT, 2010 2012 ($MILLION)...334 137 SIEMENS AG: TOTAL REVENUE, BY GEOGRAPHY, 2010 2012 ($MILLION)...335 138 TATA CONSULTANCY SERVICES LTD.: TOTAL REVENUE AND R&D EXPENDITURE, 2010 2012 ($MILLION)341 139 TATA CONSULTANCY SERVICES LTD.: TOTAL REVENUE, BY SERVICES, 2011 2012 ($MILLION)...341 140 TATA CONSULTANCY SERVICES LTD: TOTAL REVENUE, BY GEOGRAPHY, 2010 2012 ($MILLION)...342 141 WIPRO: TOTAL REVENUE AND R&D EXPENDITURE, 2010 2012 ($MILLION)...348 142 WIPRO: TOTAL REVENUE, BY SEGMENT, 2010 2012 ($MILLION)...349 143 WIPRO: TOTAL REVENUE, BY GEOGRAPHY, 2010 2012 ($MILLION)...349 144 XEROX: TOTAL REVENUE AND R&D EXPENDITURE, 2010 2012 ($MILLION)...357 145 XEROX: TOTAL REVENUE, BY SEGMENT, 2010 2012 ($MILLION)...358 146 XEROX: TOTAL REVENUE, BY SERVICES, 2010 2012 ($MILLION)...358 147 XEROX: TOTAL REVENUE, BY GEOGRAPHY, 2010 2012 ($MILLION)...359 14

List of Figures Figure Titles...Slide No 1 HEALTHCARE IT OUTSOURCING MARKET, BY APPLICATION, - 2018 ($MILLION)...35 2 KEY REASONS FOR HCIT OUTSOURCING...41 3 GLOBAL HCIT OUTSOURCING: FIVE-STAGE PROCESS MODEL...44 4 GLOBAL HCIT OUTSOURCING SEGMENTATION...47 5 GLOBAL HCIT OUTSOURCING MARKET DYNAMICS...48 6 HEALTHCARE SPENDING, BY GEOGRAPHY, % OF GDP (2010)...50 7 HCIT OUTSOURCING MARKET, GEOGRAPHIC RANKING,...153 8 KEY GROWTH STRATEGIES, 2010...213 9 AGREEMENTS, CONTRACT EXTENSIONS, PARTNERSHIPS, AND COLLABORATIONS, BY COMPANY, 2010...215 10 NEW PRODUCT LAUNCH, BY COMPANY, 2010...239 11 ACQUSITIONS, BY COMPANY, 2010...247 15

Sample Tables Payer IT Outsourcing Market, by Application, 2011 2018 ($Million) Application Customer Relation Management Claim Management Billing System Fraud and Detection Others Total 2011 2012 2014 Sample Tables CAGR% (-2018) ERP Outsourcing Market, by Geography, 2011 2018 ($Million) Region North America Europe Asia-Pacific RoW Total 2011 2012 2014 Sample Tables CAGR% (-2018) IT Infrastructure Outsourcing Market, By Geography, 2011 2018 ($Million) Region North America Europe Asia-Pacific RoW Total 2011 2012 2014 Sample Tables CAGR% (-2018) 16

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