When it comes to COI management — especially within the Fortune 500 community, in which there is a tremendous tonnage of COIs to track and manage — organizations face a choice. Does it add value to outsource or not? In the case of COIs, it’s not only a cost-savings issue — although coming to a complete understanding of all the costs and resources involved to properly manage the process internally can be eye-opening — but is an efficacy issue, as well.