Friday, December 23, 2005

7 Habits of Highly Effective Outsourcing

1. Understand your core competencies in relation to the work that can most effectively be outsourced.

A key benefit of outsourcing is that it enables a company to focus on the work that is core to its value proposition. Obviously, it is vital to know exactly what that is. That might sound elementary, but the truth is that many companies have only a superficial knowledge of how they truly create value for their customers.

If you’re an administrator, is your success based on managing provider utilization and activities, improving the client experience, insuring that all of your providers are properly credentialled, managing your overall receivables, or reporting timely results to the board and other stakeholders?

If you’re a clinician, is your success based time spent on managing your schedule, obtaining pre-authorizations, completing missing registration information, face time with patients, updating your medical records, submitting your charges, writing up your prescriptions, following up on delinquent accounts, or on something different altogether?

Don’t be surprised if you find yourself considering outsourcing one of your operational strengths. Although you may be good at something tactically, it still may not be core, and someone else may do it better and at a lower cost.

2. Standardize the process.
Most basic processes are similar from company to company, and service providers must embrace process standardization if they are to help their clients achieve true operational excellence. Twenty years ago, companies argued that “Although you may be good at something tactically … someone else may do it better and at a lower cost.” their payroll processes were unique, and they spent millions building custom payroll applications and processes. Today, no rational company would consider running its own payroll system—they simply use the standard
processes offered by service providers, realizing not only greater efficiency, but also higher quality as a result.

3. Drive for true transparency with your outsourcing partner.
Certain kinds of work involve fairly stable processes, like claims submission. But others change over time. Companies may have new application needs in an IT outsourcing relationship or new transactional protocols in a business process outsourcing relationship. In such cases, full transparency between the client company and its service provider is a must. Managed well, an outsourcing relationship will affect how each partner works as it learns from the other.

Work should move seamlessly across corporate boundaries, with breakdowns quickly identified and fixed. This happens only when operational transparency is hard-wired into the relationship from the outset.

4. The scope of outsourcing relationship must include flexibility to change with
evolution of client’s needs.
Business today must constantly move forward or get left behind. The breakneck pace of change demands flexibility on the part of companies and their service providers. Outsourcing agreements too often focus solely on cost control, locking in behaviors that inhibit the nimbleness a client company needs to maintain true operational excellence over time.

A relentless focus on costs will continue to be part of doing business for the foreseeable future, but the scope of outsourcing agreements should be subject to change as the client’s needs evolve. At the same time, a provider has to have minimum commitments to be able to invest in the work of its customers.

5. View the relationship as a bilateral one.
The most successful outsourcing relationships—those that lead to long-term value creation for both parties—never lose sight of the fact that the relationship is a bilateral one. Just as the client company seeks to save money, reduce risk, and/or enhance the quality of its operations, the service provider seeks to earn a profit, build on its service capabilities, and leverage its growing expertise for the future.

Fortunately, these goals are complementary. An insurance company, for instance, cannot only gain efficiency and quality by allowing a partner to take on much of its back-office policy administration functions, but the added work volume may enable the service provider to accelerate release of the next advancement in the intellectual property it has brought to the relationship—a win-win scenario.

6. Build in sufficient mechanisms to resolve issues.
Outsourcing relationships, like all business relationships, are about people and personalities—and the marriage will inevitably hit a rough patch. This may stem from a management mistake by the client company, a service delivery hiccup by the provider, or some combination of both. Savvy partners, however, anticipate these episodes at the outset and build in mechanisms to guide their behavior when dealing with these issues.

These may include ad hoc councils, defined escalation ladders to take issues up the management rungs, or creative guidelines for issue resolution. But notice the emphasis on “guidelines,” not “laws.” While it’s smart to plan issue resolution approaches early on, they should not be cast in stone, lest they themselves become issues. More important than the specific mechanism is the
mutual commitment to resolve issues quickly and amicably.

7. Tend the trust-based relationship carefully over time.
Think of your outsourced service provider as a “partner” instead of a “vendor.” A vendor sells widgets; an outsourced service provider brings you knowledge and skills. Or it may be your knowledge and skills that you transfer and invest in the service provider to take advantage of their superior execution. No matter the specifics of the relationship, it demands a high degree of trust as well as a willingness to look continuously at the work with fresh eyes.

Many business alliances fail either because the parties don’t share the same business values or because there isn’t enough in the deal for everyone. When outsourcing relationships work, however, they can deliver value beyond expectations. So ask some hard questions of your service provider before consummating the deal: How does it treat its people? Its customers? What does it believe about service quality, innovation, and ethics? And how does it handle the inevitable bumps in the road?

Then structure a relationship where all parties enjoy financial benefits, growth opportunities, and the chance to contribute meaningfully. In business alliances, it’s important to keep good partners strong. With that common ethic, trust will grow as the partnership flourishes.


If executed properly, outsourcing is a win-win situation. The enterprise receives the benefits of best practices expertise and the service provider earns new business opportunities. Taking the time to implement the tactics discussed in this paper will make outsourcing relationships more successful by mutually increasing understanding, transparency, flexibility, communication, and trust.

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