it application outsourcing (ao) in the healthcare provider industry - service provider landscape

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Topic: IT Application Outsourcing (AO) in the Healthcare Provider Industry – Service Provider Landscape Copyright © 2013, Everest Global, Inc. EGR-2013-12-PD-0818 Healthcare Outsourcing Report: February 2013 – Preview Deck

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The healthcare industry witnessed a rapid increase in the IT and business process outsourcing adoption in recent years. Regulatory reform, consumerization of healthcare, market consolidation, and emergence of new technologies accelerated outsourcing in the healthcare market.

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Page 1: IT Application Outsourcing (AO) in the Healthcare Provider Industry - Service Provider Landscape

Topic: IT Application Outsourcing (AO) in the Healthcare Provider Industry – Service Provider Landscape

Copyright © 2013, Everest Global, Inc. EGR-2013-12-PD-0818

Healthcare Outsourcing Report: February 2013 – Preview Deck

Page 2: IT Application Outsourcing (AO) in the Healthcare Provider Industry - Service Provider Landscape

Copyright © 2013, Everest Global, Inc. EGR-2013-12-PD-0818

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Background of the research The healthcare industry has witnessed a rapid increase in IT and business process outsourcing adoption in recent years.

Regulatory reform, consumerization of healthcare, market consolidation, and emergence of new technologies has accelerated outsourcing in the healthcare market. A number and variety of service providers have developed capabilities to cater to this growing market

Healthcare companies are stepping up adoption of outsourced delivery. There is an uptick in the demand for research and market intelligence on trends in healthcare outsourcing across the three major market segments – payer, provider, and life sciences. The need is more pronounced for the vertical-specific Application Outsourcing (AO) function, where business challenges are driving greater adoption. Everest Group’s healthcare outsourcing research program addresses this market requirement by analyzing outsourcing trends and service provider capabilities specific to IT AO in the healthcare vertical

In this report, we analyze the capabilities of eight AO service providers specific to the global healthcare provider sector. These service providers are mapped on the Everest Group Performance | Experience | Ability | Knowledge (PEAK) Matrix, which is a composite index of a range of distinct metrics related to a provider’s capability and market success. We focus on: The landscape of service providers for healthcare provider AO Assessment of the service providers on a number of capability-related dimensions Characteristics of the Leaders, Major Contenders, and Emerging Players on Everest Group PEAK Matrix Implications for healthcare provider AO buyers and service providers Scope of this report Industry: Healthcare providers (large health systems, standalone hospitals/clinics, pharmacists, physician practices, and

diagnostic labs) Services: Large (TCV >US$25 million), multi-year (>3 years), and annuity-based application outsourcing Geography: Global Sourcing model: Third-party AO transactions; excludes shared services or Global In-house Centers (GICs)

Background and scope of the research

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This report examines the service provider landscape for large annuity contracts in the healthcare provider AO market

Private health plans Public health plans

Payer

Pharmaceuticals Medical devices Biotechnology Others1

Life sciences

Large health systems Standalone hospitals/clinics Pharmacists Physician practices Diagnostic labs

Provider

Healthcare

Services industry

Traditional IO Remote Infrastructure

Management (RIM) Infrastructure Management

Services (IMS) Cloud

IT Infrastructure Outsourcing (IO)

Applications development Applications maintenance Independent testing Package implementation ERP services Business intelligence / data

warehousing

IT Application Outsourcing (AO)

BFSI-specific BPO HRO FAO PO Contact center Knowledge services

Business Process Outsourcing (BPO)

IT strategy / operations consulting

Business consulting Infrastructure consulting Infrastructure roll-outs

Consulting

This report assesses IT AO service providers in the healthcare provider segment with a focus on large (TCV >US$25 million), annuity-based, and multi-year (>3 years) relationships

NOT EXHAUSTIVE Focus of report

1 Includes healthcare data and information services and medical products distribution

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A number of service providers deliver AO services to healthcare providers; Everest Group analyzed the capability of eight service providers with success in large transactions

Service providers assessed

Criteria for inclusion in the assessment Success in large

provider AO relationships, i.e., – Over US$25 million

TCV – Over 3 years

relationship duration – Active as of

December 31, 2011 Everest Group’s

experience and RFI response

Service provider outreach (partial list)

Assessment based on: RFIs submitted by service providers1

Everest Group Transactions Intelligence database

Service provider disclosures and interviews Everest Group’s interaction with healthcare

provider AO buyers

1 Assessment for Accenture, CSC, HP ES, and IBM is based on Everest Group’s proprietary Transaction Intelligence (TI) database, service providers’ disclosures, and Everest Group’s interactions with healthcare provider AO buyers

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Table of contents (page 1 of 2)

Background and methodology 5

Summary of key messages 11

Section I: Healthcare provider AO service provider landscape 13 Healthcare provider AO service providers 14

Delivery capability assessment 18

– Scale 18

– Scope 19

– Domain investments 22

– Delivery footprint 24

Market success assessment 25

– Transaction activity 25

Section II: PEAK Matrix for healthcare provider AO 26 Service provider capability summary dashboard 27

Everest Group Performance | Experience | Ability | Knowledge (PEAK) Matrix for provider AO 28

Key characteristics of service providers on the PEAK Matrix 29

Topic Page no.

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Table of contents (page 2 of 2)

Section III: Implications for key stakeholders 34 Implications for buyers 35

Implications for service providers 36

Section IV: Healthcare provider AO service provider profiles 37 Accenture 38

CGI 43

Cognizant 48

CSC 54

Dell Services 60

HP Enterprise Services 67

IBM 72

Mahindra Satyam 78

Appendix 83 Glossary of key terms 84

Healthcare research calendar 86

References 87

Topic Page no.

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This report provides a comprehensive assessment of the service provider landscape for application outsourcing (AO) services in the healthcare provider industry, and maps the leading service providers on Everest Group’s PEAK Matrix. It also includes detailed profiles of the service providers featured on the PEAK Matrix.

Provider AO service provider landscape

PEAK Matrix for provider AO

Overview and abbreviated summary of key messages

Analysis of the service provider landscape for provider AO leveraging the Everest Group’s PEAK Matrix reveals three distinct categories of service providers: Leaders, Major Contenders, and Emerging Players

Leaders account for a majority of industry revenues from large provider AO deals; they have an extensive suite of proprietary solutions spanning ICD-10 transformation, Health Information Exchange (HIE), Electronic Health Record (EHR), and health portals

Major Contenders and Emerging Players have a relatively smaller scale; their proprietary solutions include compliance tools, solution accelerators, and health information management tools

Some of the findings in this report, among others, are:

Despite a large number of service providers catering to the global healthcare market, there are only a handful of players that have achieved success with large-sized (TCV >US$25 million), multi-year (deal duration >three years) AO contracts with healthcare provider clients

The assessed service providers’ AO activity with healthcare providers is largely concentrated in North America, particularly the United States

All examined service providers have more mature AO relationships with hospitals and large health systems as compared to other provider subsegments

Implications for key stakeholders

In addition to leveraging IT service providers for earning the IT adoption-linked incentives, healthcare providers need to put in place a robust technology strategy and forge effective, long-term partnerships for executing their IT roadmap

IT service providers need to stay abreast of the rapidly evolving demand and regulatory scenario in the healthcare provider industry in order to remain relevant in an increasingly competitive market

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This study offers four distinct chapters providing a deep dive into the healthcare provider AO service provider landscape; below are four charts to illustrate the depth of the report

AO services scope coverage

Provider AO PEAK Matrix Provider AO market success

Provider AO technology capability Functional scope of provider AO contracts

ADM

Service provider 1

Service provider 2

Service provider 5

Service provider 3

Service provider 4

Service provider 6

Service provider 7

Service provider 8

Testing ERP and SI Other AO

High Medium Low Measure of activity

Everest Group Performance | Experience | Ability | Knowledge (PEAK) Matrix for large provider AO relationships Large active provider AO deals

Number of deals Provider AO revenue growth 2009-11; CAGR (percent)

>20

5-20

<5

Service provider 1

Service provider 2

Service provider 3

Service provider 4

Service provider 5

Service provider 6

Service provider 7

Service provider 8

Service provider 9

>20%

10-20%

<10%

Service provider 1

Service provider 2

Service provider 3

Service provider 1

Service provider 2

Service provider 3

Service provider 1

Service provider 2

Service provider 3

Service provider 1’s proprietary solutions in the provider space include: Solutions for Health Information Exchange (HIE), Electronic Health Records (EHR), e-health, and framework for ICD-10 migration

Service provider 1 acquired XYZ company’s clinical decision support platform in 2010, enhancing its technology capabilities in the healthcare provider space

Service provider 2’s proprietary solutions in the payer space include: ICD-10 transition solution, HIPAA 5010 compliance tool suite, hospital performance management solution, and healthcare portal solution

Service provider 2 has an alliance with ABC to jointly develop healthcare predictive analytics solutions

Service provider Examples of technology investments / proprietary solutions

Strength assessment

Service provider 1

Service provider 2

Very high High Low Medium Measure of capability

High Medium Low Measure of activity

High

Low Low High Delivery capability (Scale, scope, domain investments, and delivery footprint)

Leaders

Major Contenders

Emerging Players

Mar

ket s

ucce

ss

(Tra

nsac

tion

activ

ity)

Mahindra Satyam

Dell Services

CSC Accenture

HP ES CGI

Cognizant IBM

Source: Everest Group (2013)

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This report also features detailed profiles of the service providers featured on the Everest Group PEAK Matrix for Provider AO

Source: Everest Group (2013)

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Healthcare outsourcing research agenda

Topic Release date

IT Application Outsourcing (AO) in the Healthcare Payer Industry –�� Annual Report 2012 July-2012

IT Application Outsourcing (AO) in the Healthcare Payer Industry – Service Provider Landscape July-2012

IT Application Outsourcing (AO) in the Life Sciences Industry – Annual Report 2012 September-2012

Application Outsourcing (AO) in the Healthcare Provider Industry – Is IT the Cure? – Annual Report 2012 December-2012

IT Application Outsourcing (AO) in the Healthcare Provider Industry – Service Provider Landscape February-2013

IT Application Outsourcing (AO) in the Life Sciences Industry – Service Provider Landscape November-2012

Consolidation in the Healthcare Payer-Provider Industry Q1-2013

IT Application Outsourcing (AO) in the Healthcare Payer Industry – Annual Report 2013 Q2-2013

IT Application Outsourcing (AO) in the Healthcare Payer Industry – Service Provider Landscape Q2-2013

Regulation and Reforms in Healthcare Q2-2013

IT Application Outsourcing (AO) in the Life Sciences Industry – Annual Report 2013 Q3-2013

IT Application Outsourcing (AO) in the Life Sciences Industry – Service Provider Landscape Q3-2013

Consumerization in Healthcare Q3-2013

Application Outsourcing (AO) in the Healthcare Provider Industry – Annual Report 2013 Q4-2013

IT Application Outsourcing (AO) in the Healthcare Provider Industry – Service Provider Landscape Q4-2013

SMAC in Healthcare – Drivers and Implications Q4-2013

Published Current

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The following documents are recommended for additional insight on the topic covered in this report. The recommended documents either provide additional details on the topic or complementary content that may be of interest: 1. IT Application Outsourcing (AO) in the Healthcare Provider Industry – Annual Report 2012 (EGR-2012-12-R-0808); 2012. This

report provides an overview of the AO market for the healthcare provider industry. Analysis includes key trends in market size & growth, demand drivers, adoption & scope trends, emerging themes, key areas of investment, and outlook for the coming year. The report also provides an introduction to the service provider landscape for the healthcare provider industry

2. IT Application Outsourcing (AO) in the Healthcare Payer Industry – Service Provider Landscape (EGR-2012-12-R-0721); 2012. This report provides an in-depth analysis of the service provider landscape for AO in the healthcare payer segment. It includes PEAK Matrix for Payer AO, analysis of service providers in terms of their delivery capability and market success, and detailed profiles of the service providers featured on Payer AO PEAK Matrix

3. IT Application Outsourcing (AO) in the Life Sciences Industry – Service Provider Landscape (EGR-2012-12-R-0782); 2012. This report provides an in-depth analysis of the service provider landscape for AO in the life sciences segment. It includes PEAK Matrix for Life Sciences AO, analysis of service providers in terms of their delivery capability and market success, and detailed profiles of the service providers featured on Life Sciences AO PEAK Matrix

For more information on this and other research published by Everest Group, please contact us: Jimit Arora, Vice President: Mridul Gupta, Senior Analyst: Service Provider Intelligence Team:

Phone: +1-214-451-3110 Email: [email protected]

Everest Group Two Galleria Tower 13455 Noel Road, Suite 2100 Dallas, TX 75240

[email protected] [email protected] [email protected]

Additional healthcare research references

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