TEST ANSWERS

TEST 1:

Key Examples and trends in BPO in Pharma

The overall outsourcing expenditure has been steadily increasing year upon year for
the pharma industry, with a 6% increase in the number of companies spending more
than $50 million per year or more on outsourcing their services. Analysts have
predicted that the Global Healthcare Business Process Outsourcing market will accelerate at
a CAGR of 9.8% from 2020-2025.
Factors that are responsible for the growth of the market include rapid increase in
clinical process outsourcing (CPO), implementation of PPACA ( Patient
Protection and Affordable Care Act) compelled healthcare player to move toward
outsourcing, and fewer errors in several non-critical functions, like finance and
accounting, customer care services, etc.

Major Examples of Healthcare BPO services include:

Medical coding and billing

Claims processing
Data Entry Services
Manufacturing
R&D
Cash Flow Improvement Analytics
Medical Equipment Supply Chain
Patient Care Management etc.

Key Market Trends:

Revenue Cycle Management is Expected to Grow Faster in the Provider

Services Segment: The growth of the revenue cycle management (RCM) market
is attributed to an increase in government initiatives, to boost the adoption of
RCM solutions, increasing revenue loss due to billing errors, and increasing
adoption of EHR/EMR. Most hospitals are presently dependent on third-party
providers for denial management service, as they lack the expert knowledge and
time to manage the reimbursement process. Most common billing errors include
failure to verify insurance, filing an incomplete claim, coding errors, lack of
specificity, and missing filing deadlines. Most of the care providers are
presently addressing the challenge, by working with third-party medical billing
professionals who are expert in the overall revenue cycle management. Hence, it
can be concluded that the revenue loss to hospitals, due to billing errors, can be
prevented by specialty revenue cycle management service providers. Thereby, this
factor is expected to drive the market in the future.
North America Dominates the Market and is Expected to do Same during the
Forecast Period: Currently, North America dominates the market for
healthcare BPO and is expected to continue its stronghold for a few more years. In
the North America region, the United States holds the largest market share. This
can be majorly attributed to the presence of strong reimbursement framework, high
public and private healthcare expenditure, and a high percentage of claim records.
Other Geographies are

Europe

Asia Pacific

Latin America

Middle East and Africa

Competitive Landscape: The healthcare BPO market is moderately competitive

and consists of several major players. In terms of the market share, few of the
major players currently dominate the market. The rising need for mobile health and
advances in healthcare systems are also helping a few other smaller players to
enter the market, with a substantial share. Some of the major players of the market
are Accenture, Genpact, IQVIA, IBM, and Paraxel, among others.
Some other Players in the market are Cognizant, IBM, WNS, Vee Bill, United
Health Group and others.

The Advent of Robotic Process Automation: For any pharmaceutical company,

R&D costs are an increasing challenge which significantly affect their bottom-line.
Over the past few years, leading pharma firms have radically re-evaluated their
business operations and implemented strategic CRO (Contract Research
Organizations) and CMO (Contract Manufacturing Organizations) partnerships as
part of their outsourcing strategy.
The arrival of RPA (Robotic Process Automation) in their field of pharmaceutical
R&D and manufacture promises to change the game, as by using digital robots to
perform high-volume and repeatable tasks, CROs and CMOs can execute recurring
processes faster, and more efficiently.

Outsourcing Firms Will Continue to Consolidate: Pharmaceutical outsourcing is a

large and fragmented industry, as a result of which there are many attractive targets
for larger service providers who seek a better market presence. This is the reason
why larger outsourcing firms are continuously on the lookout for fresh CROs with
high-impact clinical research pedigree to bolster their burgeoning ambitions. Future
trends point towards a larger focus on acquisition activities for specialty technologies
when it comes to branching out into newer territories, as well as buying small-to-
medium sized CMOs in order to achieve a better market footprint.
Top Indian Healthcare BPO providers:

Key Drivers for Outsourcing:

1.Allows to access the large skill force and experts: The healthcare outsourcing
opens the doors of a large pool of the skilled workforce which is capable of handling
all types of complex projects.  All the professionals see to that the each and every
task of the patients or the client is handled properly.

2.Enhances the profitability and reduction in cost: It is one of the most important
healthcare benefits for outsourcing because it helps to save nearly 30 to 60 per cent
of the costs those can be incurred with the help of local resources. The inbound
services in healthcare outsourcing helps in bringing some efficient resources and
the infrastructure just at some low cost which increases the profit margins in the
clinics and hospitals.

3. It is safe and secure: Contrary to the typical assumptions and misconceptions,

it’s innocuous to streamline the billing and simplify the workflow through healthcare
outsourcing.  

4. Don’t need to scratch your head for changing regulations: When you
outsource it to others, you don’t need to worry about the ever-changing rules, which
can be a quite daunting task for you. But the vendors those you have outsourced to,
have trained the personnel in order to cope with new guidelines, laws and rules.

5. Cost cutting on software: Outsourcing medical billing (administration) tasks save

a lot of money as you would save software and hardware expenditure. The  call
center rates are too cheap and one can easily afford them.
6. It lets you to get paid faster: The healthcare outsourcing helps people to submit
their error free claims in a faster way along with receiving the payments in a shorter
span.

7. Helps to avoid data entry errors: A small error in the patient’s medical record
can be dangerous for the healthcare business. However, outsourcing companies
stick to rules and ensure that a patient’s record remains secure and confidential.
They also help in eliminating medical billing errors.

8. Get more time to focus on the patients: Outsourcing services can help
healthcare businesses to focus on more on their patients by reducing their
administrative burden. This will eventually increase the quality of care.

9. Adoption to latest technology is also achieved.

Examples of some Pharma companies are as follows:

AstraZeneca’s global biologics research and development arm MedImmune has

already been collaborating with The University of Texas MD Anderson Cancer
Center .

Pfizer has undertaken a similar strategy in the US, having positioned many of its
research and development facilities close to major bioscience hubs, such as San
Francisco and La Jolla in California and Cambridge, Massachusetts.

Bristol-Myers Squibb has partnered with Allied Minds, a Boston-based group

focused on the commercialization of academic research, to scour American
universities for innovative drug discovery ideas. Promising research projects will be
structured into startup companies within a new enterprise, known as Allied-Bristol
Life Sciences.

GlaxoSmithKline has recently teamed up with University of Leicester to develop

novel drugs against blood cancer.

Actelion has recently extended an agreement with a chemical CRO Enamine to

access its novel building blocks and screening libraries for use in early drug
discovery.
TEST 2:

Please fill the latest available capacity of the mentioned cement plant:

Company Plant Name District State Latest

Available
Capacity of
the plant
Ambuja Cements Maratha Cement Chandrapur Maharashtra 4.75 MTPA

ACC Chanda Cement Chandrapur Maharashtra 2.46 MTPA

Works
Ambuja Cements Magdalla Grinding Surat Gujarat 15000 TPA
Plant

*NOTE: MTPA = Million Tonnes Per Annum

TPA= Tonnes Per Annum

TEST 3:
PPT attached in the mail