The document discusses how cost will be the primary driver of outsourcing decisions given economic conditions. It recommends that BPO providers focus on operational excellence and productivity to reduce costs sustainably rather than factors like location or size. Additionally, the document advises aligning vendor objectives with customer profitability through value sharing agreements rather than transaction-based pricing and driving end-to-end process innovation to differentiate in commoditized spaces. Finally, it states that most horizontal services are already commoditized, requiring a best cost position, and that standardization can help penetrate vertical specific services faster.