Obama's stimuls package for India

[jack sommerset]

US healthcare reform is boon for India outsourcing companies.

Mumbai – With 22 pen strokes, President Obama signed into existence not just a historic healthcare reform law but also monumental piles of paperwork: New member registration forms. More claims. Ever-expanding databases. And on top of that, pressure to cut costs.

The bulge in administrative work may look like a nightmare to American insurance firms and government employees. But to outsourcing executives here in India, it’s heaven-sent. A number of Indian companies are already anticipating an increase in workload thanks to Obama's healthcare law.

The addition of 32 million insured Americans is “very significant” for Indian outsourcers, says Ananda Mukerji, chief executive officer of Firstsource Solutions in Mumbai. Companies like his will see “increased opportunities” as US health insurers and hospitals scramble to reorganize to comply with the new law, he wrote in an email to the Monitor.

This extra work will include processing new enrollments, organizing bigger member databases, processing more claims, providing more support services, and managing more revenue, he says.

In particular, outsourcers can expect to benefit from insurers’ need to minimize administrative costs, Mr. Mukerji says, citing a recent Deloitte Center for Health Solutions study showing that up to 41 percent of the cost of a health plan is administrative.

The US healthcare reform offers a "natural extension" of the back-office outsourcing that Indian companies already specialize in, says Tu Packard, a senior economist with Moody's Economy.com.

Outsourcing comes to America But some services in the US healthcare industry cannot be outsourced beyond America's borders due to regulations. That’s one reason major Indian outsourcing firms have set up shop in the United States. In a twist, America's outsourcers are now outsourcing back to America.

In 2008, Bangalore-based Wipro opened a development center in Atlanta that employs 500 people, mostly Americans, and runs a call center for a US healthcare client. Tata Consultancy Services has set up a similar campus with 300 employees near Cincinnati. Infosys is planning a subsidiary in Dallas that will hire locals and seek US government contracts.

Wipro, one of the world's biggest information technology firms with nearly 100,000 employees worldwide, says the new healthcare law dovetails with two of its focus areas: servicing governments and servicing the healthcare industry. "The healthcare reform should translate to more demand," says Rajiv Shah, Wipro's senior vice president for healthcare.

Wipro plans to double its workforce at the Atlanta office by 2013 and open campuses in other cities, says Suraj Prakash, a vice president at the company. “There will be enough work to be done in the US.”

[panic giraffe]

so what do you have against capitalism?

besides can't be any worse then when mccain wanted to build our planes in france.

[Winehole23]

India is a key strategic partner, ready to clean the bowl with a piece of bread.

After the nuclear accords last fall, one might think some more distinctly tangible benefit might eventually wend its way to India. This is among the first of many likely installments, jack.

[panic giraffe]

but on a serious note, do you think that it won't help grow jobs here as well?

more demand for health professionals of all sorts.

talked to a buddy at carenet the other day.

dude is the biggest glen beck/rush limbaugh cock sucking repub.

but he couldn't be happier with the bill.

carenet is in nwsa, they're basically a phone triage to help keep hospitals from being overcrowded.
if you ever served your country you'd be familiar with the service, biggest contracts for them are tricare, blue cross, etc....
he said they excecpt 300+% growth by 2014.
if thats just one small company in the US imagine what a bigger but similar company will have to add in terms of jobs, so its all win. if a few indians can get more curry for their families as a side effect, that doesn't bother me at all.

[jack sommerset]

so what do you have against capitalism?

besides can't be any worse then when mccain wanted to build our planes in france.

I'm not. And we shouldn't build our planes in France. 9.7 unemployment in the USA. Obama needs to crerate jobs for americans not give them to other countries. Why do you hate America?

[Wild Cobra]

besides can't be any worse then when mccain wanted to build our planes in france.
Must you lie?

McCain's Airbus ties (http://www.politifact.com/truth-o-meter/article/2008/jul/31/mccains-airbus-ties/)

All McCain did was voice concern that the bidding process be fair.

[Winehole23]

Fairness to foreigners? UnAmerican!

[panic giraffe]

I'm not. And we shouldn't build our planes in France. 9.7 unemployment in the USA. Obama needs to crerate jobs for americans not give them to other countries. Why do you hate America?

you're getting off subject. just as i did. so whatever.

what i'm trying to say is if it creates jobs in both its not bad, but more importantly its not like obama is the ceo of the companies out sourcing. if you had encouraged a public option and then the govt out sourced that would be different. then i would agree. but this wasn't obama's call.

[panic giraffe]

Must you lie?

McCain's Airbus ties (http://www.politifact.com/truth-o-meter/article/2008/jul/31/mccains-airbus-ties/)

All McCain did was voice concern that the bidding process be fair.

and it should be fair...........to american companies.

[Winehole23]

Is there an echo in here? :lol

[George Gervin's Afro]

I'm not. And we shouldn't build our planes in France. 9.7 unemployment in the USA. Obama needs to crerate jobs for americans not give them to other countries. Why do you hate America?

So now the president can create jobs..I didn't know that.

[boutons_deux]

Some TX U is offering 50% tuition reduction ($75K after mail-in rebate) in primary/family care medical degree, with a string of 3 years minimum practice as PC doc.

Getting very sick poor people out of ERs and them them less sick into PC will require 1000s more primary care docs and nurses.

Of course, we can always import Indian docs and Filipino nurses, as we do now. A friend of mine had a colonoscopy by Kaiser in CA. Went great, didn't have one Euro-American working on him at any stage.

[boutons_deux]

Hey Jacko,

Do you know the AMA has limited residencies to 100K/year for decades?
How's that for Americans creating jobs for Americans?

It's a racket to restrict doctor supply so the docs can charge twice what docs get in other countries.

Now we got a doctor corps that is fed up and overworked (and wealthy) but too small to take provide sufficient primary care.

[RandomGuy]

Testing India's graduates

The engineering gap
India’s tech workers are not as good as the country hopes and America fears
Jan 28th 2010 | DELHI | From The Economist print edition

EACH year India produces about twice as many engineering and computing geeks as America, counting those with bachelor’s degrees or a Master’s in Computer Applications, a conversion course. This “engineering gap” is a source of pride in India and consternation in America, which fears the cutting and pasting of high-tech jobs from West to East.

Himanshu and Varun Aggarwal are two of India’s formidable techies. They hold degrees from top institutions in Delhi and Massachusetts. But if the brothers exemplify the engineering gap, the firm they started together in 2007, Aspiring Minds, is busy debunking it.

According to the company, only 4.2% of India’s engineers are fit to work in a software product firm, and just 17.8% are employable by an IT services company, even with up to six months’ training. A larger share could cope in business-process outsourcing (call centres and the like). These findings are even gloomier than the 25% figure for employability that has been bandied about since 2005, when McKinsey released the results of a survey of international companies

http://www.economist.com/business-finance/displaystory.cfm?story_id=15393732

Just for some perspective.

News of our demise is greatly exaggerated.

[fyatuk]

more demand for health professionals of all sorts.


We need a bigger supply of health professionals, not demand :p

[boutons_deux]

CA trying to do something about the doctor shortage

Californian healthcare advocates applaud healthcare victory and call for passage of SB 726
26. March 2010 09:02

Advocates applaud healthcare victory -- call for passage of SB 726 to ease economic barrier that keeps 70% of doctors from treating government insured patients

Leading Californian healthcare advocates and civil justice groups applaud passage of national health reform legislation and urge immediate passage of SB 726 -- a bill that would give California's rural hospitals and urban hospitals and clinics in medically underserved areas the ability to recruit and hire doctors to treat the uninsured and patients enrolled in government health insurance programs.

According to the California Medical Association, only 30% of California doctors will treat uninsured or Medi-Cal covered patients because the cost of care far exceeds the rate of reimbursement. SB 726 will ease the "physician hiring ban," allowing hospitals in medically underserved areas and with high rates of government insured patients to offer physicians a stable income, benefits and work conditions to facilitate their working in low income and rural communities.

"Today, there are not nearly enough doctors in place to serve the current number of Medi-Cal recipients and the uninsured and this situation is rapidly worsening. By lifting the physician hiring ban for hospitals and clinics in high need and rural communities -- a practice approved by the American Medical Association, the Medical Board of California, and common and effective in 45 states -- California will be more prepared to fulfill the promise of this historic healthcare reform. Without doctors to treat these newly government insured patients, reform can't truly be realized," said Tom Petersen, director of government relations for the Association of California Healthcare Districts.

http://www.news-medical.net/news/20100326/Californian-healthcare-advocates-applaud-healthcare-victory-and-call-for-passage-of-SB-726.aspx

[Winehole23]

but this wasn't obama's call. I call bullshit. We got the shitty deal Obama cut with special interests sub rosa (http://www.google.com/search?hl=en&client=firefox-a&hs=iUC&rls=org.mozilla:en-US:official&channel=s&defl=en&q=define:sub+rosa&ei=YdmsS_mfHoP_8Aa7yaXRDw&sa=X&oi=glossary_definition&ct=title&ved=0CAgQkAE), beforehand, more or less.

[boutons_deux]

It was a shitty-deal or a no-deal (like Clinton's reform in 94). The shitty-deal has plenty of good stuff in it, and is the gateway to Medicare-for-all public option.

http://www.nytimes.com/2009/09/06/health/policy/06lessons.html

[Winehole23]

The shitty deal isn't really a shitty deal.


For California doctors.

[Winehole23]

How comforting.

[coyotes_geek]

The whole notion of doing something for the sake of doing something is both retarded and the explanation for why nothing the goverment touches ever works as advertised. Doing nothing would have been better than doing what we did.

[boutons_deux]

"doing something for the sake of doing something"

You Lie.

The health bill does something for the sake of the uninsured that taxpayers already pay for, for the sickos who can't get and/or keep health insurance, etc, etc.

[Winehole23]

The health bill does something for the sake of the uninsured that taxpayers already pay for, for the sickos who can't get and/or keep health insurance, etc, etc.Just guessing, most posters realized all along there was going to be new "assistance" for the uninsured.

We always knew health-care reform would mean new patients in the system, b_d, especially now that the gates are temporarily lowered for ease of access to health insurance.

Eventually the breaks will go away and the full penalties phased in. Hopefully, the middle class can afford the mandate. This wino has his doubts about that.

[boutons_deux]

It's dead easy to pay for health care for all.

Drop all subsidies and tax breaks for oil/gas/coal. GAMEOVER

Drop all subsidies for corn-ethanol and soy-diesel GAMEOVER

Kill Medicare Advantage (which costs govt 10%+ than non-Advantage), and drop the 10s of $Bs in subsidies to for-profit insurers to play Medicare Advantage. GAMEOVER

Kill the dubya estate tax cuts. GAMEOVER

[Winehole23]

If we had any real intention of pursuing any of those options, we wouldn't be having this conversation, would we?

[Winehole23]

*Medicare cuts* LOL

[coyotes_geek]

The health bill does something for the sake of the uninsured that taxpayers already pay for, for the sickos who can't get and/or keep health insurance, etc, etc.

Right. The taxpayers end up footing the bill just like they were before, only now instead of just footing the bill for the uninsured, they're stuck footing the bill for the uninsured plus new layers of inefficient federal bureacuracy. The government hasn't done anything to lower costs, they've just dealt themselves into the scam and probably bought themselves some votes in the process.

End result: we'd have been better off doing nothing

[coyotes_geek]

It's dead easy to pay for health care for all.

Drop all subsidies and tax breaks for oil/gas/coal. GAMEOVER

Drop all subsidies for corn-ethanol and soy-diesel GAMEOVER

Kill Medicare Advantage (which costs govt 10%+ than non-Advantage), and drop the 10s of $Bs in subsidies to for-profit insurers to play Medicare Advantage. GAMEOVER

Kill the dubya estate tax cuts. GAMEOVER

:lol

Great. Now all we need is a majority of congress and the president to come out and support cutting subsidies. What? There aren't any? GAMEOVER

[panic giraffe]

I call bullshit. We got the shitty deal Obama cut with special interests sub rosa (http://www.google.com/search?hl=en&client=firefox-a&hs=iUC&rls=org.mozilla:en-US:official&channel=s&defl=en&q=define:sub+rosa&ei=YdmsS_mfHoP_8Aa7yaXRDw&sa=X&oi=glossary_definition&ct=title&ved=0CAgQkAE), beforehand, more or less.

so obama runs the HC companies?
without a public option? explain.

[panic giraffe]

We need a bigger supply of health professionals, not demand :p

the demand will create a supply.

if you want a for sure job in the next 5 years.

go to nursing school.

it's going to be like the auto industry of the 50's.

[Winehole23]

so obama runs the HC companies?
without a public option? explain.Obama negotiated with HC companies before the fact; their participation was conditioned on there being no public option, according to legend.

[Wild Cobra]

Maybe the health care legislation will also stimulate the airlines industry due to the mandated treatments being cheaper in other countries.

[panic giraffe]

... according to legend.

SO you're saying you can't explain?