Blue Cross Blue Shield of Nebraska (BCBSNE) ran a traditional IT organization with traditional IT governance and processes. However, the challenges of a four-year system migration, coupled with dramatic changes in the US healthcare insurance market, triggered a re-evaluation of these processes. A shift to agile development methodologies to meet the needs of this migration led the company to first adopt agile for all of its technology projects — including development and infrastructure. The results: faster and better results with greater transparency and communication that convinced the chief financial officer (CFO) that transparency and open communication can trump traditional governance models.