A diagnostic for health insurers deciding the order of claims modernization work. It combines an anchored capability rubric, a gap register and a gated priority score. The result is that the first wave goes to the workflows with the most value, adequate readiness and the right dependencies.
What this diagnostic covers
Inside you will find:<ul><li>decision framing with clear conditions for when not to use the diagnostic;</li><li>an inputs and evidence table with rules for missing data;</li><li>a seven-dimension scoring rubric with anchored levels and weights;</li><li>formulas for the outcome measures and for prioritization;</li><li>gating rules that can override a score;</li><li>a business case approach that keeps freed capacity separate from cash;</li><li>execution, governance and measurement tables with owner roles;</li><li>a fully worked synthetic case, a failure case and a calibration exercise;</li><li>editable tools: a scoring sheet, gap register, reason taxonomy, prioritization worksheet, calibration log and source log.</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