Published: 11 July 2024
Business capabilities connect business and operating models, enabling digital transformation. This research gives U.S. healthcare payer CIOs a business capability model aligned with a future vision of new stakeholder value propositions driven by data, AI, interoperability and automation.
Business capability modeling (BCM) is a powerful tool that can be used to document the strategy and operationalization approach to realize a transformative future vision.
Payer CIOs typically employ BCM as a tactical, rather than strategic, initiative — often using it to inform application rationalization needs and delegating BCM to enterprise architects rather than engaging executive leadership.
BCM outputs often express value chain functions representing a current state or an incremental change in business strategy rather than describing future-oriented, differentiated and innovative capabilities.
A strategic, executive-led BCM effort will result in reenvisioning how existing business capabilities — including core functions —
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Healthcare and Life Sciences Research Team
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