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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