Why outstaff? Using outstaffed ABAP developers gives you immediate access to niche expertise in Healthcare SAP Patient Billing without the overhead of a full-time hire. Smartbrain.io handles recruitment, compliance, payroll and retention, allowing your CTO to stay focused on roadmap instead of HR chores. Start a sprint with specialists who already know SAP IS-H, NHI insurance flows and Japanese SHaRID regulations. Scale the squad up or down with one e-mail, stop paying the moment a milestone ships, and keep your IP secure under enterprise-grade NDAs. You gain predictable costs, faster delivery, and zero administrative drag—all within one streamlined contract.