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The aim of these discussions was to understand the range of services currently being provided by Indian providers to EU-based clients, the opportunities realized or perceived by them in the EU market, and the main barriers to doing business with the EU, including how the EU compared as a trading partner in this sector vies-a-vies other countries.
However, Indian providers noted four major constraints to providing telemedicine services for the EU, namely, data protection regulations, lack of recognition of the qualifications of Indian providers, contractual issues, and perceptions regarding India as a healthcare provider.
And instead of grafting technology onto existing, inefficient processes, as often happens in America, Indian providers build their model around it.
Western firms, meanwhile, increasingly want Indian providers to do more than just keep systems running; they want help in developing new solutions to business problems—something few Indian firms are set up to do.The question is whether the industry's business model can cope with these threats even as the potential for growth in its established markets declines.
Hiring locals also has the effect of cutting down on visa hassles.Wipro, one of the big three Indian providers (along with Infosys and Tata Consultancy Services), is close to reaching an agreement with the authorities in Atlanta, Georgia, to set up its first software-development centre in America.
In 2007 the total value of contracts awarded in the first six months was the lowest since 2001...Wipro, one of the big three Indian providers (along with Infosys and Tata Consultancy Services), is close to reaching an agreement with the authorities in Atlanta, Georgia, to set up its first software-development centre in America.
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Neeraj Bhargava, boss of WNS, an Indian provider that started life as a unit of British Airways, points to the example of vendors being able to recover debts that are too small for big companies to collect efficiently on their own.
The interviews also revealed a variety of constraints faced by Indian healthcare providers in providing health services to the EU market.
They can track visitors gone astray by their mobile numbers, aided by Indian service-providers (provided the pilgrims can keep their phones dry).
Daring to look further, Mr Nilekani imagines the system inspiring Indian service providers to develop new technologies to take fuller advantage of it.
This summer the Universities Grants Commission told Indian education providers that they could form partnerships only with institutions that were among the top 500 in the Times of London's Higher Education World University Rankings and the Shanghai Jiao Tong University Rankings.
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