tcshealthcarepresentation05-07-09-090512111012-phpapp01

8/8/2019 tcshealthcarepresentation05-07-09-090512111012-phpapp01

1/24

TCS ConfidentialNovember 30, 2010

TCS Healthcare Presentation

Presented at Nashville India Virtual Trade MissionMay 7, 2009


2/24

Industry Trend -- BCBSA Mandate

A Plan to Improve Health Care and Limit CostsA Plan to Improve Health Care and Limit Costs

Interview with Scott Serota - President and Chief

Executive BCBS Association

New York Times Oct 17 2008

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

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 - Wellpoints CIO and IT organization assist in

achieving some of these goals

How can TCS facilitate you - Wellpoints CIO and IT organization assist in

achieving some of these goals


3/24

Group Admin Enrollment Other Group

and MemberProcesses

Member

Services

AnalyticsCare MgmtDisease MgmtWellness Prog.

UnderwritingRisk MgmtAccumulatorsDenial MgmtFraud and Abuse

Provider MgmtContractingNetwork Mgmt

CapitationP4PFee for ServiceRev. Cycle Mgmt

F & A HR Call Center

Admin Data Security Legal IT Infrastructure Compliance

Broker

Management

Quotes Pre-Sales Sales Admin New Products

TransactionsClaimsEligibility

Enroll / Dis-EnrollStatusPre-CertsRA / ERAPremiums

Portals

Broker

Sales

Member

Prospect

Dashboards

Broker

Member

Sales

SFA

Sales Analytics

Pricing

Portals

Group

Services

MemberServices

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

Current State Challenges

Operating Margin = Premiums (paid claims + operating expenses)

Business/TechnologyPro

cess

BusinessPro c

ess

Business

Activity

PMPM


4/24

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


5/24

Wellness Continuum

Underwriting

Risk Mitigation

Predictive Analytics

Fraud and Abuse Prevention

Preventive and Proactive

Analytics

Outcomes & Utilization

Denials HistoryRisk Identification and

quantification

Reactive Analytics of History

Disease & Care Information

Patient Information

Provider Information

Clinical Data

Claims Data

Member Data

Provider data

Data

Info

rmatio

n

Kn

owle

dge

Value

Disease Management

Care Management

Wellness management

Patient Management

Membe

rValue

Creatio

n

Membe

rValueC

reatio

n


6/24

TCS Healthcare Focus

Enhancing Healthcare is one of the top 10 outcomes oriented themes

that TCS will focus on during 2009 - 2010

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

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 andquality processes

implementation

Fraud and abuse

management

Integrated HIS and

inter-operability

Analytics, Data

warehousing and BI

Dashboards and

portals

E(H/M)R, HMS, CDSS,

etc.

Service orientation andquality processes

implementation

Fraud and abuse

management

Integrated HIS and

inter-operability


7/24

Current State Business Considerations

Group Admin Enrollment Other Group

and MemberProcesses

Member

Services

AnalyticsCare MgmtDisease MgmtWellness Prog.

UnderwritingRisk MgmtAccumulatorsDenial MgmtFraud and Abuse

Provider MgmtContractingNetwork Mgmt

CapitationP4PFee for ServiceRev. Cycle Mgmt

F & A HR Call Center

Admin Data Security Legal IT Infrastructure Compliance

Broker

Management

Quotes Pre-Sales Sales Admin New Products

TransactionsClaimsEligibility

Enroll / Dis-EnrollStatusPre-CertsRA / ERAPremiums

Portals

Broker

Sales

Member

Prospect

Dashboards

Broker

Member

Sales

SFA

Sales Analytics

Pricing

Portals

Group

Services

MemberServices

Prospects

Dashboards

Groups

Member

Prospects

Portals

Provider

Group

Hospital /Institutional

Out of

Network

Contracting

Network Mgmt

U & C Admin

Medicare and

Medicaid Feesadmin

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

Business/Te

chnologyPro

cess

BusinessPro c

ess

Business

Activity


8/24

Innovative Solutions

Robodoc TeleMed Solution

TeleMed Kiosks

Remote Patient Monitoring and

Alert Solutions

Outcome based Outpatient

Reimbursement

Core Solutions

System Integration & ApplicationSupport

Application Development andmaintenance

Assurance and QA services

Interoperability and Clinicalinfrastructure 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

MisysHealthcare

QuadraMed

Experience & Sample Customers


9/24

TCS Confidential

THANK YOU!!

Andrew Chu

Director of Business Development

Office: 732-590-2784

Cell: 862-324-1134

Mailto: [email protected]

Ramesh Raghavan

Global Head - Healthcare Practice

Office: +91 11 6650 6555 ext 276

Cell: +91 9717 702 430



10/24

Appendix

About TATA and TCS

10


11/24

Tata Heritage - Beyond Business

Group

Passionate commitment todeveloping the communitiesin which we operate:66% Equity of Tata Sonsin Public Trusts

Activities

Endowments for National Institutions:Indian Institute of ScienceTata 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 WelfareExpenditure budgeted before P&L

Commitment to Community incompany Articles of Association

Active Volunteering Program withOver 15,000 volunteers

In a free enterprise, thecommunity is not just

another stakeholder in thebusiness, but is in fact the

very purpose of its

existence

- Jamsetji Tata, Founder


12/24

Unmatched Breadth and Depth of Industry

Knowledge

Banking/FinancialServices

Insurance Energy &Utilities

Government Life Sciences& Healthcare

Manufacturing Retail &Consumer

Goods

Telecom,Media

& InformationServices

HighTechnology

Travel,Transportation

& Hospitality

TCS Industry Expertise


13/24

Tata Businesses

Indias Largest Conglomerate

98 Operating Companies in 7 Business Sectors

Some Recent International M&A Activity:

Combinedcompany now 5th

largeststeel producer in

the world

One of Asiaslargest hotelcompanies

expands intoU.S.

Taj Hotels

Boston RitzCarlton

[ $170MM ]

Largest providerof submarine

cable bandwidth

2nd largest globalbranded tea

operation

Tata Tea

Tetley / GoodEarth Tea

[ ~$1B ]

Companysignificantly

broadens productline and global

footprint

Tata Motors

Jaguar/Land Rover

[ ~$2.3B ]

VSNL

Tyco GlobalNetworks/Teleglobe

[ $369MM ]

Tata Steel

Corus Steel

[ $13B ]
http://www.jaguarusa.com/us/en/xk/gallery/photography.htm?func=1&colour=6


14/24

TCS Corporate Facts

Established in 1968

Part of the Tata Group

Over 111,000Employees in 47Countries

FY 2007-08 Revenues ofUS $5.7 billion

Public Company -Market Cap of US $20billion

Lowest attrition rate(12.6%LTM)

Established in 1968

Part of the Tata Group

Over 111,000Employees in 47Countries

FY 2007-08 Revenues ofUS $5.7 billion

Public Company -Market Cap of US $20billion

Lowest attrition rate(12.6%LTM)

TCS Revenues in US$ Millions

$0

$1,000

$2,000

$3,000

$4,000

$5,000

$6,000

98 99 00 01 02 03 04 05 06 07 '08

*All Figuresasof March31, 2008


15/24

Full Services IT Player

Ultimatix

IPMS

iQMS

MightyKno

wmax

iCALMS

Retail &

Consumer

Goods

Life Sciences &

Healthcare

Banking &

Financial

Services

Ins

ur

an

ce

Governm

en

t

Travel &

Hospitality

Manufacturing

& Hi-tech

Telecommunication

Technology

CoEs

Innovation

Network

Domain

CoEs

Alliances

Industry Aligned Service Areas


16/24

16

Year 2007 - 08

Revenue US$ 325 mill

Number of associates

4500

Domain people 850+

(~20%)

TCS Life Sciences & Healthcare Domain

0

500

1000

1500

2000

2500

3000

3500

4000

4500

No.ofAssociat

'02-'03 '03-'04 '04-'05 '05-'06 '06-'07 '07-'08

$0

$50

$100

$150

$200

$250

$300

$350

Reven

ue(MillionUD

'02-'03 '03-'04 '04-'05 '05-'06 '06-'07 '07-'08

ISU structure

Increase wallet share

Focus: NA & Europe

KPO/BPO & Engineering &

Industrial


17/24

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


18/24

Healthcare

BusinessProcess

Definition

BusinessProcess

Outsourcing

HelpdeskServices

BusinessProcess Re-engineering

BusinessIntelligenc

e

Architecture

ApplicationRationalizati

on

Product &IT

RoadmapEvaluation

HospitalManagement

Systems

BusinessIntelligenc

e &Analytics

ClinicalDecisionSupportSystems

ClinicsMgmt

HL7 &DICOMEngine

WorkflowOptimization

SystemsIntegratio

n

Reengineering &

Migration

Maintenance &

Development

TestingServices

Infrastructure Services

TCS Healthcare Industry Solutions UnitOfferings


19/24

Healthcare Provider

-19


20/24

Healthcare Payer

-20


21/24

TCS Broad Portfolio of Offerings

IT ServicesOutsourcing Solutions

Enterprise SolutionsTechnology Solutions

Engineering &Industrial ServicesEnterprise Asset

ManagementIndustrial EmbeddedSystemsPlan AutomationServicesProduct Engineering

IT InfrastructureSolutionsInfrastructure OutsourcingNetwork Consulting& IntegrationHardware Support &InstallationInfrastructureManagement

ConsultingEnterprise Transformation &Change ManagementBusiness Process ManagementSystems & Application Architecture

IT Process ManagementOutsourcing Process Management

Business ProcessOutsourcingFinance & AccountingOutsourcingHR OutsourcingCustomer Care

OutsourcingSupply ManagementSolutionsVertical Solutions

Product Based Solutions

TCS BNCS

Vertical Industry SolutionsProductivity Tool Solutions


22/24

Delivery Centers: Global, Domestic & Near-Shore

Near-shoreCenters

DomesticDelivery

Centers

Global DeliveryCenters

Toronto Phoenix Guildford Peterboroug

h

Cincinnati Uruguay

Mexico Brazil Hungary Morocco

India China

(emerging)

Breadth of Skills HighLow

Scale HighLow

Low

High

CustomerProximity

High

Low

Custome

rCoverage

Global Delivery Centers

Very high scale Serves large customers High depth & breadth of

skills

Matured processesDomestic Delivery Centers

Medium scale

Serves local customers Select capabilities Addresses language

and cultural challenges

Near-Shore DeliveryCenters

Smaller scale

Customer geography & timezone

Helps to build customercomfort


23/24

The TCS Difference

Broad Portfolio of OfferingsProviding the right set of capabilities for the rightopportunities at the right time

Global Network Delivery ModelTM Our unique business model for consistent deliveryof high quality, cost effective services anywhere,any time

Solution AcceleratorsProducts, tools and methodologies to help bring clientsolutions to market more quickly and with higherquality

TCS Innovation Labs and Co-Innovation

NetworkOur innovation engine to help clients achieve andmaintain competitive advantage


24/24

THANK YOU!!

Andrew Chu

Director of Business Development

Office: 732-590-2784

Cell: 862-324-1134


Ramesh Raghavan

Global Head - Healthcare Practice

Office: +91 11 6650 6555 ext 276

Cell: +91 9717 702 430


tcshealthcarepresentation05-07-09-090512111012-phpapp01

Documents

Transcript of tcshealthcarepresentation05-07-09-090512111012-phpapp01