Healthcare Red Caduceus

A large healthcare payer needed to transform the digital capabilities of its business unit serving the individual market.  The organization’s senior leadership was concerned that it couldn’t meet the requirements of the Accountable Care Act.

Work was completed to understand the current business capabilities and identify potential future business needs.  Based upon this analysis a high level operating model concept was created to confirm future capabilities with business executives.

Based on this high level operating model future state technology capabilities were identified and a long term digital architecture was created.  In addition, a future state technology organization model was created that identified the future skill sets required for the organization.

Based on that future state, an implementation roadmap was created and an overall business case was developed.

Key Project Outcomes

  • A common vision of future strategic business capabilities was agreed to across four different individual health insurance plans
  • Executive leadership was able to make a fact based decision about the digital capability trade-offs
  • Ultimately the organization decided to move forward the digital strategy and roadmap



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Phil Kelly

Phil Kelly

Managing Partner at iPower Consulting
Phil Kelly is the founder and principal consultant of iPower Consulting. He helps healthcare organizations improve their ability to access and use data. With over 25 years’ experience, he has helped clients be more data-driven, deliver technology solutions faster, and improve collaboration. If you are a healthcare leader and have ideas about how you want to use data in your organization, but aren’t quite sure how to go about it, Phil may be able to help. You can learn more about Phil at or contact him directly at 630.219.0047 or

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