Situation

Following the acquisition of another multi-line payer, a health plan was preparing for a full-scale multi-year migration from the existing core processing systems to their recently acquired MCO’s CPS. AArete was engaged to lead the pre-implementation planning efforts for a system migration to the new CPS in a self-hosted cloud environment.

Approach

The transition of business requirements from the current to future state required a multi-faceted approach. This included but was not limited to: the creation of business architecture templates, a full review of relevant policies and edits across LOBs, documentation of current/future state business requirements with gap analysis, and the development of change management, training, risk management and sequencing plans.

Results

After a thorough planning process, results of system integration included:

• Generation of 100+ current state documents including SIPOC diagrams, process flows and system diagrams
• Identification of 8,000+ business requirements across 13 different workstreams and gap-analysis that showed process, operating model, and system functionality gaps to drive the future state system’s design and architecture
• 100+ system migration transition requirements to be prepared for go-live