CASE STUDYBusiness solution architecture · Pharmacy benefits

Six months to nine weeks, report by report.

A large pharmacy benefit manager’s Medicare compliance reporting team struggled with constantly changing requirements, late delivery and cost. A Digineer business solution architect introduced lean intake, a hybrid waterfall-agile approach and a cleanup of the report inventory. Report cycle time fell from about six months to about nine weeks.

~9 weeksPer report, down from ~6 months
~10%Cost reduction, year over year
Early JuneFirst report iteration, from late August

At a glance

Client
A large pharmacy benefit manager
Program
Medicare compliance reporting
Scale
A large, siloed organization and its full compliance report inventory
Engagement
Business solution architecture, four years
Capability
Transformation & Value Management

The situation

Requirements that never stood still

The company struggled to deliver technology solutions that matched what the business needed. It created a business solution architect role to bridge business and IT and to bring separate pieces of technology together in a very siloed organization.

The Medicare compliance reporting team had long struggled to keep up with constant changes in requirements. It missed delivery dates, and leadership was always concerned about the program’s cost.

Warning signs

  • Report requirements changing constantly
  • Deliveries arriving late
  • Leadership worried about cost
  • A gap between business and IT
  • Reports nobody used still in the inventory

What we did

Less overhead, shorter cycles, fewer reports

Digineer placed a business solution architect with the Medicare compliance reporting team. The work focused on three changes that cut administrative load and shortened each report cycle.

Lean intake

A lean intake process reduced the administrative burden of fast-paced changes to report requirements.

Hybrid waterfall-agile

A pilot of a hybrid waterfall-agile approach shortened the cycle to produce a report, made release planning easier and increased business engagement.

Report rationalization

Digineer partnered with the business to review the report inventory and sunset unused and obsolete reports.

The outcome

Faster reports at lower cost

About nine weeks per report

The cycle time to produce a report fell from about six months to about nine weeks.

Earlier in the plan year

The first iteration of the plan year’s reports moved from the historical late August timeframe to early June.

About 10% lower cost each year

The program achieved consistent year-over-year cost reductions of approximately 10%.

A leaner report inventory

Unused and obsolete reports were retired, so the team maintains only the reports the business needs.

Business solution architecture

Are changing requirements slowing your delivery?

Digineer places architects who bridge business and IT, trim the process overhead and get work delivered on a steady cycle.

Keep pace with changing requirements

Client name withheld for confidentiality.