TCS Healthcare Presentation 05 07 09

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

TCS Healthcare Presentation 05 07 09

by techcouncil

Accessibility

Categories

Upload Details

Usage Rights

1 Embed 44

Statistics

TCS Healthcare Presentation 05 07 09 Presentation Transcript