Hello everyone -
I am part of the business architecture group in a healthcare insurance organization. We are using Business Architecture Guild’s capability model for template for insurance and finding gaps because that model doesn’t address the specific of healthcare insurance.
I want to connect with other LeanIX members who are in health insurance company AND are using capability model from Business Architecture Guild.
I want to collaborate to understand how they are extending the Guild’s template model to address its gaps. For example, the Guild’s model doesn’t address Prior Authorizations or Member Enrollments. I’d love to understand how those are being addressed.
Thanks