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TCS Healthcare Presentation  05 07 09
 

TCS Healthcare Presentation 05 07 09

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Virtual Trade Mission: Exploring Opportunities in India

Virtual Trade Mission: Exploring Opportunities in India

May 7, 2009

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TCS Healthcare Presentation  05 07 09 TCS Healthcare Presentation 05 07 09 Presentation Transcript

  • TCS Healthcare Presentation Presented at Nashville India Virtual Trade Mission May 7, 2009 June 10, 2009
  • Industry Trend -- BCBSA Mandate A Plan to Improve Health Care and Limit Costs Interview with Scott Serota - President and Chief Executive BCBS Association New York Times – Oct 17 2008
    • Cut prevalence of diabetes in half
    • More affordable healthcare
    • Get waste out of the system
    • Stop paying hospitals to treat patients harmed by care
    • Healthcare coverage for everyone
    How can TCS facilitate you - Wellpoint’s CIO and IT organization assist in achieving some of these goals
  • Current State Challenges PMPM
    • Group Admin
    • Enrollment
    • Other Group
    • and Member
    • Processes
    • Member
    • Services
    • Analytics
      • Care Mgmt
      • Disease Mgmt
      • Wellness Prog.
      • Underwriting
      • Risk Mgmt
      • Accumulators
      • Denial Mgmt
      • Fraud and Abuse
    • Provider Mgmt
    • Contracting
    • Network Mgmt
    • Capitation
    • P4P
    • Fee for Service
    • Rev. Cycle Mgmt
    • F & A
    • HR
    • Call Center
    • Admin
    • Data Security
    • Legal
    • IT Infrastructure
    • Compliance
    • Broker
    • Management
    • Quotes
    • Pre-Sales
    • Sales Admin
    • New Products
    • Transactions
      • Claims
      • Eligibility
      • Enroll / Dis-Enroll
      • Status
      • Pre-Certs
      • RA / ERA
      • Premiums
    • Portals
      • Broker
      • Sales
      • Member
      • Prospect
    • Dashboards
      • Broker
      • Member
      • Sales
    • SFA
    • Sales Analytics
    • Pricing
    • Portals
      • Group Services
      • Member Services
      • Prospects
    • Dashboards
      • Groups
      • Member
      • Prospects
    • Portals
      • Provider
      • Group
      • Hospital / Institutional
      • Out of Network
    • Contracting
    • Network Mgmt
    • U & C Admin
    • Medicare and Medicaid Fees admin
    • Rev. Cycle, Denials Mgmt
    • Claims Systems Mgmt
      • System Selection
      • Core Systems Migration
      • Sun setting
      • Data Migration
      • Remote management
      • Second pass admin.
      • Rules Engine mgmt
    • Member, Provider, Group data
      • Data Quality
      • Mining
      • Warehousing
      • Analytics
      • Intelligence
      • Knowledge management
      • Business value creation
      • De-Risking
      • Accumulators, alerts Mgmt
      • Fraud and Abuse Rules management
      • Denial Rules Mgmt
    • F & A, HR Systems
      • Upgrade, Sun-setting, Management, Modification, Remote management
    • Call Center
      • Outsourcing, Remote mgmt., Metrics
    • IT Infrastructure
      • Management, Upgrade, Modification
    • Compliance, Data Security
      • Audit, Upgrade, Mgmt,
    Member Management Group Management Network Management Transactions Management Knowledge Management Business Enablers Management Operating Margin = Premiums – (paid claims + operating expenses) Business / Technology Process Business Process Business Activity
  • Business Objectives & Facilitators
    • Cost Predictability
    • Fraud and Abuse
    • Integration
    • Data Quality
    • Analytics and Intelligence (hBIDS)
    • Reporting and Dashboards
    • Core Systems Migration and Enhancements
    • Compliance
    Operating Margin = Premiums – (paid claims + operating expenses) PMPM
  • Wellness Continuum Patient Management Member Value Creation Underwriting Risk Mitigation Predictive Analytics Fraud and Abuse Prevention Preventive and Proactive Analytics Outcomes & Utilization Denials History Risk Identification and quantification Reactive Analytics of History Disease & Care Information Patient Information Provider Information Clinical Data Claims Data Member Data Provider data Data Information Knowledge Value Disease Management Care Management Wellness management
  • TCS Healthcare Focus Enhancing Healthcare is one of the top 10 outcomes oriented themes that TCS will focus on during 2009 - 2010
    • Increase access to care
    • Decrease cost of care
    • Improve outcomes by enhancing quality and optimizing services
    • Decrease medical errors
    • Make care provision patient friendly
    • Empower patients
    • Analytics, Data warehousing and BI
    • Dashboards and portals
    • E(H/M)R, HMS, CDSS, etc.
    • Service orientation and quality processes implementation
    • Fraud and abuse management
    • Integrated HIS and inter-operability
  • Current State Business Considerations Member Management Group Management Network Management Transactions Management Knowledge Management Business Enablers Management
    • Group Admin
    • Enrollment
    • Other Group
    • and Member
    • Processes
    • Member
    • Services
    • Analytics
      • Care Mgmt
      • Disease Mgmt
      • Wellness Prog.
      • Underwriting
      • Risk Mgmt
      • Accumulators
      • Denial Mgmt
      • Fraud and Abuse
    • Provider Mgmt
    • Contracting
    • Network Mgmt
    • Capitation
    • P4P
    • Fee for Service
    • Rev. Cycle Mgmt
    • F & A
    • HR
    • Call Center
    • Admin
    • Data Security
    • Legal
    • IT Infrastructure
    • Compliance
    • Broker
    • Management
    • Quotes
    • Pre-Sales
    • Sales Admin
    • New Products
    • Transactions
      • Claims
      • Eligibility
      • Enroll / Dis-Enroll
      • Status
      • Pre-Certs
      • RA / ERA
      • Premiums
    • Portals
      • Broker
      • Sales
      • Member
      • Prospect
    • Dashboards
      • Broker
      • Member
      • Sales
    • SFA
    • Sales Analytics
    • Pricing
    • Portals
      • Group Services
      • Member Services
      • Prospects
    • Dashboards
      • Groups
      • Member
      • Prospects
    • Portals
      • Provider
      • Group
      • Hospital / Institutional
      • Out of Network
    • Contracting
    • Network Mgmt
    • U & C Admin
    • Medicare and Medicaid Fees admin
    • Rev. Cycle, Denials Mgmt
    • Claims Systems Mgmt
      • System Selection
      • Core Systems Migration
      • Sun setting
      • Data Migration
      • Remote management
      • Second pass admin.
      • Rules Engine mgmt
    • Member, Provider, Group data
      • Data Quality
      • Mining
      • Warehousing
      • Analytics
      • Intelligence
      • Knowledge management
      • Business value creation
      • De-Risking
      • Accumulators, alerts Mgmt
      • Fraud and Abuse Rules management
      • Denial Rules Mgmt
    • F & A, HR Systems
      • Upgrade, Sun-setting, Management, Modification, Remote management
    • Call Center
      • Outsourcing, Remote mgmt., Metrics
    • IT Infrastructure
      • Management, Upgrade, Modification
    • Compliance, Data Security
      • Audit, Upgrade, Mgmt,
    Business / Technology Process Business Process Business Activity
  • Experience & Sample Customers Innovative Solutions
    • Robodoc TeleMed Solution
    • TeleMed Kiosks
    • Remote Patient Monitoring and Alert Solutions
    • Outcome based Outpatient Reimbursement
    Core Solutions
    • System Integration & Application Support
      • Application Development and maintenance
      • Assurance and QA services
    • Interoperability and Clinical infrastructure Solutions
    • Clinical Intelligence
    • Web based Solutions
      • Portals
      • Mail-order prescription fulfillment
      • Specialty Pharma fulfillment
    • Regulatory Compliance Solutions
    • RFID Systems, Bar Coding Solutions
    • HMS, EMR, CPOE
    • Fraud and Abuse Alert Solutions
    • Mobility EMR Solutions
    • Quality Monitoring Dashboards
    • Revenue Assurance & Management
    • Triage and Care Plan Solutions
    Adaptive Solutions
    • Payers & PBM
    • Cigna
    • Kaiser Permanente
    • BCBS
    • Humana
    • Providers
    • NHS (UK)
    • Mt. Sinai Hospital
    • Multiple Hospitals in India
    • Pharmacies & PBM
    • Walgreens
    • CVS Caremark
    • Pharmerica
    • Pharmaceuticals
    • Eli Lilly
    • Glaxo
    • Abbott Labs
    • Merck
    • Pfizer
    • J & J
    Sample Customers
    • Government
    • Tricare Program (Military)
    • PA Dept of Health
    • IT / Product Vendors
    • GE Healthcare, IDX
    • Misys Healthcare
    • QuadraMed
  • THANK YOU!! Andrew Chu Director of Business Development Office: 732-590-2784 Cell: 862-324-1134 Mailto: andrew.chu@tcs.com Ramesh Raghavan Global Head - Healthcare Practice Office: +91 11 6650 6555 ext 276 Cell: +91 9717 702 430 Mailto: ramesh.raghavan@tcs.com
  • Appendix About TATA and TCS
  • Tata Heritage - Beyond Business Group Passionate commitment to developing the communities in which we operate: 66% Equity of Tata Sons in Public Trusts
    • Activities
    • Endowments for National Institutions:
      • Indian Institute of Science
      • Tata Institute of Social Sciences
      • Tata Memorial Hospital
      • Tata Institute of Fundamental Research
      • National Center for Performing Arts
    • Development assistance
    • Foreign scholarships - science / engineering
    • Annual Spend ~$35MM Social Welfare Expenditure budgeted before P&L
    • Commitment to Community in company Articles of Association
    • Active Volunteering Program with Over 15,000 volunteers
    “ In a free enterprise, the community is not just another stakeholder in the business, but is in fact the very purpose of its existence” - Jamsetji Tata, Founder
  • Unmatched Breadth and Depth of Industry Knowledge TCS Industry Expertise Banking/ Financial Services Insurance Energy & Utilities Government Life Sciences & Healthcare Manufacturing Retail & Consumer Goods Telecom, Media & Information Services High Technology Travel, Transportation & Hospitality
  • Tata Businesses India’s Largest Conglomerate 98 Operating Companies in 7 Business Sectors Some Recent International M&A Activity: Combined company now 5th largest steel producer in the world One of Asia’s largest hotel companies expands into U.S. Taj Hotels Boston Ritz Carlton [ $170MM ] Largest provider of submarine cable bandwidth 2 nd largest global branded tea operation Tata Tea Tetley / Good Earth Tea [ ~$1B ] Company significantly broadens product line and global footprint Tata Motors Jaguar/ Land Rover [ ~$2.3B ] VSNL Tyco Global Networks/ Teleglobe [ $369MM ] Tata Steel Corus Steel [ $13B ]
  • TCS Corporate Facts
    • Established in 1968
    • Part of the Tata Group
    • Over 111,000 Employees in 47 Countries
    • FY 2007-08 Revenues of US $5.7 billion
    • Public Company - Market Cap of US $20 billion
    • Lowest attrition rate (12.6%LTM)
    TCS Revenues in US$ Millions * All Figures as of March 31, 2008
  • Industry Aligned Service Areas Full Services IT Player Retail & Consumer Goods Life Sciences & Healthcare Banking & Financial Services Insurance Government Travel & Hospitality Manufacturing & Hi-tech Telecommunication Technology CoEs Innovation Network Domain CoEs Alliances Ultimatix IPMS iQMS Mighty Knowmax iCALMS
    • Year 2007 - 08
    • Revenue – US$ 325 mill
    • Number of associates – 4500
    • Domain people – 850+ (~20%)
    TCS Life Sciences & Healthcare Domain
    • ISU structure
    • Increase wallet share
    • Focus: NA & Europe
    • KPO/BPO & Engineering & Industrial
  • TCS Life Sciences & Healthcare Overview Healthcare Life Sciences Pharma Medical Devices North America Europe and UK Asia Pacific India Number of Clients : 100+ Number of Engagements : 648 Project Experience : 2500+ PYR 4500+ Associates Sub Practices Focus Geographies Highlights
    • Lead Critical Industry Trends - EHR, Clinical Trials, Bioinformatics, Telemedicine
    • Commitment to Long Term Investments - TATA Bio-Suite, Webhealthcentre Tata HMS, Tata CTMS,
    • Thought Leadership – Emergence of Healthcare Globalization, Interdependence of Healthcare Sub-Domains, Global Best of Breed to Lower HIT/EHR Cost Thresholds
    • Domain based Delivery Engagements - Knowledge sharing, conceptualization of business model frameworks, domain perspective review and audits
    Focus Areas
  • TCS Healthcare Industry Solutions Unit Offerings Healthcare Business Process Definition Business Process Outsourcing Helpdesk Services Business Process Re-engineering Business Intelligence Architecture Application Rationalization Product & IT Roadmap Evaluation Hospital Management Systems Business Intelligence & Analytics Clinical Decision Support Systems Clinics Mgmt HL7 & DICOM Engine Workflow Optimization Systems Integration Reengineering & Migration Maintenance & Development Testing Services Infrastructure Services
  • Healthcare Provider - -
  • Healthcare Payer - -
  • TCS Broad Portfolio of Offerings IT Services Outsourcing Solutions Enterprise Solutions Technology Solutions Engineering & Industrial Services Enterprise Asset Management Industrial Embedded Systems Plan Automation Services Product Engineering IT Infrastructure Solutions Infrastructure Outsourcing Network Consulting & Integration Hardware Support & Installation Infrastructure Management Consulting Enterprise Transformation & Change Management Business Process Management Systems & Application Architecture IT Process Management Outsourcing Process Management Business Process Outsourcing Finance & Accounting Outsourcing HR Outsourcing Customer Care Outsourcing Supply Management Solutions Vertical Solutions Product Based Solutions TCS B ⍺ NCS Vertical Industry Solutions Productivity Tool Solutions
  • Delivery Centers: Global, Domestic & Near-Shore Near-shore Centers Domestic Delivery Centers Global Delivery Centers
    • Toronto
    • Phoenix
    • Guildford
    • Peterborough
    • Cincinnati
    • Uruguay
    • Mexico
    • Brazil
    • Hungary
    • Morocco
    • India
    • China (emerging)
    Breadth of Skills High Low Scale High Low Low High Customer Proximity High Low Customer Coverage
    • Global Delivery Centers
    • Very high scale
    • Serves large customers
    • High depth & breadth of skills
    • Matured processes
    • Domestic Delivery Centers
    • Medium scale
    • Serves local customers
    • Select capabilities
    • Addresses language and cultural challenges
    • Near-Shore Delivery Centers
    • Smaller scale
    • Customer geography & time zone
    • Helps to build customer comfort
  • The TCS Difference Broad Portfolio of Offerings Providing the right set of capabilities for the right opportunities at the right time Global Network Delivery Model TM Our unique business model for consistent delivery of high quality, cost effective services anywhere, any time Solution Accelerators Products, tools and methodologies to help bring client solutions to market more quickly and with higher quality TCS Innovation Labs and Co-Innovation Network Our innovation engine to help clients achieve and maintain competitive advantage
  • THANK YOU!! Andrew Chu Director of Business Development Office: 732-590-2784 Cell: 862-324-1134 Mailto: andrew.chu@tcs.com Ramesh Raghavan Global Head - Healthcare Practice Office: +91 11 6650 6555 ext 276 Cell: +91 9717 702 430 Mailto: ramesh.raghavan@tcs.com