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Continue LogoutThe healthcare industry has long relied on mergers and acquisitions (M&A) to grow, but these deals often increase organizational complexity, making enterprise management harder as organizations scale. Health plans today are focused on reducing costs, increasing efficiency, improving performance, and enabling innovation in a sustainable way. UnitedHealth Group (UHG) partnered with Optum Advisory to design and implement a global capability ownership (GCO) model, which allowed UHG leaders to assess operations, set strategic priorities, and develop tactical plans for their contact centers, establishing a new mechanism to drive enterprise goals and enable more effective enterprise transformation at scale.
For many years, growth has been a key focus for healthcare leaders. Inorganic organizational growth often introduces greater complexity and difficulty managing accumulated assets as the organization scales. Many larger health plans that grow through mergers and acquisitions (M&A) struggle to realize the full benefits and synergies anticipated from these deals and to achieve comprehensive integration of new assets.
Today, health plans are focused on reducing costs, streamlining operations, increasing efficiencies, and improving member experience. To do this effectively, health plans need:
Large, complex payers may be tempted to adopt a narrower focus when identifying opportunities to address these challenges. While this impulse does have benefits, it leaves significant value untapped compared to when organizations tackle this more holistically.
Optum Advisory partnered closely with UnitedHealth Group (UHG) leaders to design and implement a global capability ownership (GCO) model to help address these challenges. This model aims to help UHG address organizational challenges for key operational capabilities and enhance enterprise decision-making. The GCO’s scope included all of UHG, including UnitedHealthcare (UHC) and Optum.
GCO development started with a focus on UHG’s contact center organization. Optum Advisory designed the GCO in close partnership with UHG leaders to include representation and input from all parts of UHG, ensuring that the right people were engaged early and regularly to support solution development and enable organizational. The team conducted stakeholder interviews to inform GCO governance design, support charter development, and ensure organizational alignment before formally kicking off the initiative.
After the GCO launch, Optum Advisory and UHG leaders collaborated to build a current state assessment and establish data baseline for specific functions, define strategic priorities, and develop supporting tactical execution plans with clear accountabilities.
The GCO has helped leaders across the enterprise jointly define and execute enterprise agendas, effectively creating a “central nervous system” for each functional area. New communication tools were created to support this model and ensure cross-enterprise (and later also cross-GCO) visibility into insights learned, progress and decisions made, and value realized.
The establishment of the GCO led to significant results for UHG. Examples include:
The GCO created a “central nervous system” for each functional area within UHG, helping leaders across the enterprise jointly define and execute enterprise agendas.
As the Optum Advisory team developed the governance and operating model for the contact center, it assessed UHG’s organizational readiness and capacity for change. This required understanding the perspectives of cross-enterprise business and contact center leaders on where this new capability could deliver value so the team could “go slow to go fast” and do this exercise thoughtfully.
The Optum Advisory team conducted interviews with about 70 UHG, UHC, and Optum executives chosen for the Governance and Operating Committee. By involving these stakeholders early and understanding their priorities with the GCO, the team increased stakeholder confidence and buy-in in the process and increased participation. The interviews also helped the team understand:
This assessment helped the team:
While interviewees recognized the nuances of each business, they shared a desire for more:
During the assessment phase, interviewers discovered considerable interest in a GCO model and consensus around which opportunity areas to tackle. Interviewees confirmed that eight focus areas (or workstreams) had a clear mandate for change — including five core focus areas (performance measurement and management; capital management; tools rationalization and sourcing; talent and staffing; key workflows and integrations) and three quick win opportunity areas (staffing clearinghouse, AI/ML, cross-enterprise incident, and issue management).
GCO executives wanted to ensure that the GCO demonstrated meaningful and immediate value to enterprise stakeholders. The team started with an initial list of quick win opportunities, from which the three were prioritized using the criteria below.
| Compliance risk | Satisfy regulatory requirements |
| Capital requirements | Understand level of investment needed |
| Enterprise/Leader prioritization | Advance key value drivers |
| Complexity/Time to value | Demonstrate “quick progress” |
| Consumer impact | Improve experience across constituencies |
"As we were beginning conversations across the business, I anticipated some natural resistance to the approach, because we were challenging the sovereignty of individual operating teams. But we actually found the opposite and a real interest in finally achieving the promise of scale we all know this enterprise could bring."
For each core focus area, teams were established and deployed to create roadmaps — identifying, prioritizing, and charting a path forward for tackling key opportunities within their workstream. As part of this effort, operators from different parts of the enterprise met to discuss shared and unique challenges, opportunities, and best practices. This gave operators an appreciation for their peers’ realities and experiences. In addition, it pushed leaders to think beyond siloed toward greater adoption of enterprise thinking and ownership.
When the roadmaps were combined, they helped lay the foundation for better outcomes and increased cost savings, efficiencies, innovation, and quality. For each core focus area, the GCO:
| Opportunity |
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| Crawl, walk, run goals |
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| Results | Decommissioned older, higher cost applications in favor of integrated and advanced technology solutions and coordinated across business units to reduce duplication or one-off technology use. |
As health plans work to reduce costs and address other strategic priorities, it is important to lay the groundwork to ensure that the right people are engaged in designing and driving needed solutioning and change management. Foundational enabling capabilities like the GCO model can be a key differentiator in creating better organizational visibility, increasing coordination and nimbleness in solutioning or response, and ensuring alignment in implementing and scaling solutions more effectively and sustainably.
Because the contact center GCO was a success, the GCO model was expanded. The same methods used for the contact center have been adapted and deployed for 10 additional functional areas:
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