Executive summary
An evidence-first pack for health plan claims leaders. It helps them decide which claims workflows to modernize first by testing every business case figure before it reaches the investment committee.
What is inside
What this pack covers
Inside are:<ul><li>a decision frame with clear use and stop conditions;</li><li>an inputs table and an evidence-grading hierarchy;</li><li>a weighted scoring method with written formulas and scoring anchors;</li><li>business case rules that keep released capacity apart from cash savings;</li><li>execution, governance and measurement tables;</li><li>a fully synthetic worked example with a failure case and an alternate scenario;</li><li>editable registers for assumptions, sources and open research questions.</li></ul>
- Purpose and decision
- Context and applicability
- Inputs and evidence
- Definitions and assumptions
- Method and analytical logic
- Current-state assessment
- Options and business case
- Recommended design
- Execution and activation
- Governance and risk
- Measurement and benefits
- Worked example and practice
- Working tools and references