The situation
Every january 1, benefit-plan changes put $1b in prescriptions at risk
Every year on January 1, modifications to government-sponsored benefit plans take effect. They affect the client’s ability to determine member eligibility, adjudicate claims and accurately process more than $1B in prescriptions a year.
Every independent project required for the 1/1 deadline had to work in unison, against a robust standard project methodology, to deliver “can’t fail” implementations on time and on budget.
Results
Ready on day one
- · 40% faster time to resolve many 1/1 issues.
- · 200+ projects reviewed and ranked across 27 assessment categories.
- · 30 best practices identified and implemented.
What we did
An exhaustive readiness program
- Reviewed 200+ projects across 27 assessment categories to objectively rank known and unknown issues and focus attention on the highest-risk areas
- Established the framework, practices and staffing for an Operations Center working with the enterprise Production Support Organization to detect, prioritize and resolve issues quickly
- Implemented an IT trouble-ticket tracking system for shift transitions, issue resolution and metrics reporting
- Supported supplementary regression testing of new system features and changes
Outcomes
A bridge between the business and it
- Shortened the time to resolve many 1/1 issues by more than 40% through project reference guides and playbooks
- Served as a bridge between business and IT while raising awareness of cross-platform issues and risks
- Identified best-practice opportunities to advance ongoing readiness, with lessons learned documented for future years
“What Digineer delivered was an absolute clutch (call it ‘game winning’) home run for Government Programs.”
Capability: Transformation & Value Management (Program Execution) · Industry: Health Insurance & PBM
Go-Lives That Can’t Fail, Don’t
We bring readiness discipline to the deadlines your members and regulators count on.