Cutting the costs of healthcare services and improving the quality of care are the major goals of every healthcare system around the world. With the acceleration of globalization, healthcare services were not immune from these forces and were impacted by the explosion of healthcare outsourcing and off-shoring. In this paper, we will try to explore outsourcing and off-shoring healthcare services as a way of cutting costs and improving quality of care and we will analyze the cost effectiveness of healthcare intervention and compare its values between home country and outsourcing countries.