It Takes a Village: Organizational Alignment to Deliver Big Data Value in Health Insurance
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The business and technology teams within a health insurer must align the company’s central data platform with its data strategy. That requires substantial organizational alignment. Hear the firsthand perspective from Health Care Service Corporation (HCSC), the largest customer-owned health insurance company in the United States. The speaker will cover how they integrated membership information, regulatory compliance, and the general ledger, to improve overall healthcare management. At HCSC, the strong alignment between executive leadership, business portfolio direction, architectural strategy, technology delivery, and program management have helped create leading-edge capabilities which help the company respond nimbly to a quickly evolving healthcare industry.
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It Takes a Village: Organizational Alignment to Deliver Big Data Value in Health Insurance
- 1. Health Care Service Corporation, a Mutual Legal Reserve Company It Takes A Village: Organizational Alignment to Deliver Big Data Analytics in Healthcare Andy Ashta Executive Director, Information Architecture and Data Management Health Care Service Corporation
- 2. 230.8million claims processed annually 15millionmembers including ~8.2 million in Illinois Operating plans in FIVE states: IL, MT, NM, OK, TX LARGEST customer-owned health insurer in the U.S. and 4th largest overall Over 21,000employees #6on Diversity MBA’s 50 Out Front for Diversity Leadership Best Places to Work for Women & Diverse Managers More than 16million sign-ons through our member access tool, along with 293,000 Facebook members and 46,000 Twitter followers More than 2.5million children served through the Healthy Kids Healthy Families® initiative in 2016 Employees logged more than 110,000 hours of direct, hands-on volunteerism in 2016 Answered 8.6million calls per year from service providers 13.6million member phone calls per year Answered 69.1%of member inquiries during the first phone call WHO ARE WE?
- 3. ABOUT ME Executive Director, Information Architecture & Data Management @andyashta Andy Ashta Industries: Financial Services, Healthcare, Digital, Publishing Roles: Data Development, Business Intelligence, Data Architecture, Application Development Andy Ashta
- 4. CHANGING DATA WAVE 4 User time frames and expectations have changed
- 5. CHANGING DATA WAVE 5 Data volumes have challenged technology approaches
- 6. CHANGING DATA WAVE 6 Analytics users are doing a variety of different things with data
- 7. CHANGING DATA WAVE 7 Absence of Data Integration
- 8. DATA STRATEGY How do I introduce and expand it within my enterprise? 8 Know the value of Big Data technologies
- 9. INTRODUCE BIG DATA THROUGH USE CASES 9 Start with use case HADOOP HADOOP SOURCE SOURCE SOURCE ODS EDW DM DM DM APP APP APP APP APP APP STAGE STAGE STAGE STAGE STAGE STAGE S T A G E S T A G E S T A G E S T A G E S T A G E SOURCE HADOOP
- 10. INTRODUCE BIG DATA THROUGH USE CASES 10 Perpetuates same data integration problems
- 11. PLANNED ENTERPRISE ADOPTION 11 Hadoop is methodically planned and executed H A D O O P SOURCE SOURCE SOURCE ODS EDW DM DM DM APP APP APP APP APP APP STAGE STAGE STAGE STAGE STAGE STAGE S T A G E S T A G E S T A G E S T A G E S T A G E SOURCE H A D O O P
- 12. PLANNED ENTERPRISE ADOPTION 12 Enterprise platform such as Hadoop requires planning Year 1 • Data Governance • Data Security • Data Access • Infrastructure Year 2 • Reference Data • Master Data • Transactional Data, e.g. Order Year 3 • Transactional Data, e.g. Invoices
- 13. STRATEGY COMPARISON 13 Enterprise Program • Focus on ingestion • Reduces data fragmentation • Orderly, planned. Maximizes technology investment • Requires significant enterprise planning and prioritization • Long duration until strong ROI is achieved Use Cases • Focus on consumption • Faster time to market • Straightforward ROI and investment plan • Complicates data platform retirement and technical debt reduction • Extends data fragmentation
- 14. S T A G E S T A G E STRATEGIC INTEGRATION BIG DATA 14 Hadoop is introduced at the beginning of ingestion SOURCE SOURCE SOURCE ODS EDW DM DM DM APP APP APP APP APP APP STAGE STAGE STAGE STAGE STAGE STAGE S T A G E S T A G E S T A G E SOURCE H A D O O P ODS EDW DM DM
- 15. BENEFITS OF A MODERN DATA ARCHITECTURE 15 Strategic Benefits SOURCE SOURCE SOURCE APP APP APP APP APP APP STAGE STAGE STAGE STAGE STAGE STAGE S T A G E S T A G E SOURCE H A D O O P ODS EDW DM DM
- 16. BENEFITS OF A MODERN DATA ARCHITECTURE 16 Ubiquitous Data Assets SOURCE SOURCE SOURCE APP APP APP APP APP APP STAGE STAGE STAGE STAGE STAGE STAGE S T A G E S T A G E SOURCE H A D O O P ODS EDW DM DM
- 17. BENEFITS OF A MODERN DATA ARCHITECTURE 17 Low Latency Data SOURCE SOURCE SOURCE APP APP APP APP APP APP STAGE STAGE STAGE STAGE STAGE STAGE S T A G E S T A G E SOURCE H A D O O P ODS EDW DM DM
- 18. BENEFITS OF A MODERN DATA ARCHITECTURE 18 Reduce Excess Capacity SOURCE SOURCE SOURCE APP APP APP APP APP APP STAGE STAGE STAGE STAGE STAGE STAGE S T A G E S T A G E SOURCE H A D O O P ODS EDW DM DM
- 19. BENEFITS OF A MODERN DATA ARCHITECTURE 19 Organic Data Maturity SOURCE SOURCE SOURCE APP APP APP APP APP APP STAGE STAGE STAGE STAGE STAGE STAGE S T A G E S T A G E SOURCE H A D O O P ODS EDW DM DM • Discovery occurs in Hadoop • Mature data and metrics are loaded into the data warehouse
- 20. STRATEGY COMPARISON 20 Enterprise Program • Focus on Ingestion • Reduces data fragmentation • Orderly, planned. Maximizes technology investment • Requires significant enterprise planning and prioritization • Long duration until strong ROI is achieved Use Case • Focus on Consumption • Faster time to market • Straightforward ROI and investment plan • Complicates data platform retirement and technical debt reduction • Extends data fragmentation Business Program • Provide low-latency capability • Exposes broad data insights • Analytics on volume and scale • Reduces data fragmentation • Requires significant enterprise planning and prioritization
- 21. CREATING THE VILLAGE 21 Profound Organizational Alignment is Required Tactical Technology Focused Functionally Focused Strategic Executive Technology Leadership Executive Enterprise Leadership Enterprise Information Management Functional Alignment Aligned Engineering Processes Investment
- 22. CREATING THE VILLAGE • Executive Technology Leadership (CIO) • Executive Enterprise Leadership (CEO) 22 Executive Leadership Technology Focused Functionally Focused
- 23. CREATING THE VILLAGE • Enterprise Information Management • Functionally aligned Technology organizations 23 Strategy and Alignment Technology Focused Functionally Focused Source: New IT Operating Model for Digital, CEB Global (Gartner) Source: http://blogs.gartner.com/nick-heudecker/big-data-challenges-move-from- tech-to-the-organization/
- 24. CREATING THE VILLAGE • Iterative processes that effectively deliver solutions • Desire and ability to fund solutions 24 Execution Technology Focused Functionally Focused
- 25. STRATEGY COMPARISON 25 Enterprise Program • Focus on Ingestion Use Case • Focus on Consumption Business Program • Focus on continuous functional capabilities
- 26. 26 Questions?