Health Insurance Value Streams
$299 – $899
The Health Insurance Value Streams comprise all the major value streams typical in a Health Insurance firm. The Health Insurance Value Streams are an essential and integral part of business architecture, and instead of starting from scratch, our pre-built deliverable jumpstarts the process, accelerating time to value.
(As the Health Insurance Value Streams is a digital deliverable, we do not accept returns or issue refunds. Please read the product description carefully before purchasing.)
Health Insurance Value Streams Deliverable:
- A set of 34 value streams and processes detailing the core/primary activities and secondary/support activities of the value chain. The value streams are decomposed into steps at level 1. (Please note that these are NOT your traditional process maps in swim lane charts with various details. Instead, these are business architecture value streams.)
- Plus, a bonus deliverable – Value Stream Guide.
Enterprise and Business Architects can use the Health Insurance value streams as a springboard and customize them to the needs of their enterprise.
(Note: While we reference business capabilities, journey maps, and process maps, please realize that this product pertains to only the value streams. We offer other products which span business capabilities. Furthermore, the value streams are in simple PowerPoint format and are editable.)
Health Insurance Value Streams:
Value Streams, in the context of business architecture, represent the sequential set of activities an organization performs to deliver a valuable product or service to a customer. The concept is drawn from lean thinking and helps visualize and optimize the end-to-end flow of information, materials, and services from initial request to delivery. Value Streams provide a holistic view of the business, focusing on how value is created across the organization and emphasizing value-add activities while minimizing waste.
Business Capabilities and Value Streams are complementary aspects of business architecture, acting as the Yin and Yang. Business Capabilities represent what a business does – the inherent capacities the organization must have to execute its mission. They’re stable, strategic constructs that define the potential of the organization. On the other hand, Value Streams reveal how an organization leverages its capabilities to deliver customer value. Together, they provide a comprehensive view of the business, balancing the static (capabilities) with the dynamic (value streams) and integrating strategic intent with operational realities.
Value Streams are particularly critical in the Health Insurance industry, characterized by complex regulations, constant flux, and significant customer touchpoints. They allow insurers to understand and visualize the flow of value from the policy origination to claims payment. This holistic view identifies inefficiencies, redundancies, and bottlenecks, improving service quality, reducing costs, and enhancing customer experience.
Health Insurance firms can leverage Value Streams in several ways. They can be used in designing and optimizing processes such as enrollment, underwriting, claim processing, and customer service. For instance, by mapping the ‘Claims Payment’ value stream, insurers can identify steps that add little or no value to the process, such as manual paperwork, and work towards automating or eliminating them. They can also provide valuable insights for strategic decision-making, such as understanding the impact of new regulations or technologies on existing value streams and designing new value streams for innovative products or services.
Finally, Value Streams can be the foundation for documenting detailed process maps and customer journey maps. By starting with a high-level value stream, business architects can drill down into more granular process maps, outlining the exact steps, roles, systems, and data involved in each activity of the value stream. Likewise, customer journey maps can be created by overlaying the customer’s interactions and experiences onto the value stream. This approach ensures that process and customer journey maps are aligned with the overall flow of value, providing a consistent and integrated view of the business.
- We sell digital products, so there are no returns, refunds, or replacements. Therefore, please read the product description carefully before making a purchasing decision.
- A generic set of deliverables and templates may or may not fit your needs, or the content relevance will vary substantially.
- Sold on an as-is basis and without any implied or explicit warranties
- Consultants and firms wanting to use it for their clients have a different pricing models.
- The sale is for digital products only and does not include customization or implementation help.
- Please review our standard terms of service.
Health Insurance Value Streams
$299 – $899
We keep the licensing options – clean and straightforward.
Individual License: Where we offer an individual license, you can use the deliverable for personal use. You pay only once for using the deliverable forever. You are entitled any new updates within 12 months.
Enterprise License: If you are representing a company, irrespective of size, and intend to use the deliverables as a part of your enterprise transformation, the enterprise license is applicable in your situation. You pay only once for using the deliverable forever. You are entitled any new updates within 12 months.
Consultancy License: A consulting or professional services or IT services company that intends to use the deliverables for their client work need to pay the consultancy license fee. You pay only once for using the deliverable forever. You are entitled any new updates within 12 months.
Can I see a Sample Deliverable?
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When can I access my deliverables?
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Are there any restrictions on Downloads?
Yes. You can only download the products three times. We believe that is sufficient for any genuine usage situation. Of course, once you download, you can save electronic copies to your computer or a cloud drive.
Can I share or sell the deliverables with anyone?
You can share the deliverables within a company for proper use. You cannot share the deliverables outside your company. Selling or giving away free is prohibited, as well.
Can we talk to you on the phone?
Not generally. Compared to our professional services fee, the price of our products is a fraction of what we charge for custom work. Hence, our business model does not support pre-sales support.
Do you offer orientation or support to understand and use your deliverables?
Yes, for a separate fee. You can hire our consultants for remote help and in some cases for onsite assistance. Please Contact Us.