Healthcare Transformation Is Driving Disruption For Payers' Business Capabilities

Management teams for health insurance businesses must transform their organizations to face a digital future that places consumers in the center of the ecosystem. Fueled by the need to manage healthcare outcomes, along with changing reimbursement models and the challenging regulatory environment, the contemporary health insurance company must create a new set of core business capabilities. This report provides enterprise architects with a reference business capability map that shows how industry changes are impacting the business of healthcare payers. It presents a solid tool to communicate with the business as enterprise architecture (EA) pros adapt their own capability maps to the needs of their companies.