In the past decade, we have seen that information technology (IT) played an important role as an enabler for healthcare outsourcing. Healthcare services at various levels (support, clinical, etc.) are now being outsourced to countries such as India, Philippines and China. While IT outsourcing is at an all time high, healthcare outsourcing has been slowly and steadily increasing. However, there is no clear document in the literature that actually explains what is really going on in healthcare outsourcing. The purpose of this paper is to provide a current picture of healthcare outsourcing while focusing on the role of IT as an enabler. We develop and present a framework that helps stakeholders to understand the opportunities, critical success factors (CSFs), threats, and weaknesses of the business model that drives IT-based healthcare services offshore.