Deciding on when to outsource clinical trial or insource depending on the project, capabilities and resources needed. I think insourcing is more expensive for an organization as a result of implementing new processes to start a different division of the organization. Outsourcing uses the developed workforce of an outside organization to perform tasks. The benefit of outsourcing reduced costs, strengthened performance and flexibility. However when choosing a CRO, try to find the best solutions, NOT the cheapest, and allowing CROs to take on the risks.