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The Medical Transcription Business Model
Why does the client outsource when he can hire someone to do it internally?
The following is a quote from Bill Gates from an April 1999 issue of Time.

"As a business manager, you need to take a hard look at your core competencies. Revisit the areas of your company that aren't directly involved in those competencies, and consider whether Web technologies can enable you to spin off those tasks. Let another company take over the management responsibilities for that work, and use modern communication technology to work closely with the people - now partners instead of employees are doing the work. In the Web work style, employees can push the freedom the Web provides to its limits."

This next quote is from Inc. magazine January 1999.

In their book Unleashing the Killer App: Digital Strategies for Market Dominance (Harvard Business Press), Mui and co-author Larry Downes urge companies to perform internally only those activities that can�t be performed more cheaply in the open marketplace. When the marketplace in question is the Internet, where vendors with only "dot com" over their head can operate at very low costs, the savings from pushing out business tasks is considerable.

The typical benefits to clients who outsource:

Economic Benefits:

- Production-based compensation
- Minimization of employee expenses (benefits, payroll taxes, space requirements, sick time and down time, overtime, temp service).
- Re-utilization of employees
- Elimination of recruitment and training

Efficiency Benefits:

- Improved report turnaround time
- Centralization of work flow
- On-demand, on-line access to "status reports"
- 24-hour a day access to report retrieval
- No lost dictation
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