• Create a new consumer-centric health plan
  • Utilize an Agile approach allowing for best-of-breed business capabilities to be interwoven
  • Use Enterprise Architecture to focus on enabling transformation, vs. information consistency and technology governance


  • Increase reputation for turning vision into action and become trusted business advisor
  • Evolution from information and application architecture to solution and integration architecture
  • Reduction of design defects by 50%, doubling delivery speed, and eliminating 90% of architecture risks


Achieve digital transformation and consumer-centric business processes using enterprise architecture

A $69B managed healthcare company decided to create a new consumer-centric health plan. The new business platform would be owned by a new Consumer Business unit, provide new products to the market, base itself on a different engagement model, and apply digital-first principles and new business processes across the board.

The ability to mix and match best-of-breed business capabilities was a necessity due to shorter change cycles and the transformational forces of the Affordable Care Act (ACA), a comprehensive US health care reform law aimed at making affordable health insurance available to more people.

Historically, the Company’s enterprise architecture (EA) practice focused primarily on enterprise value, IT interoperability, information consistency, and technology governance. While the EA team had plenty of experience with business process optimization, the Consumer Business program required a more transformational approach.

The EA practice needed to turn business vision into IT action and to complete the job before Open Enrollment – a fixed deadline that could not be moved.

The Company put out a competitive bid for an EA tool, ultimately selecting MEGA’s HOPEX because of its ability to build a digital representation of the business and connect IT to business processes and objectives.

A dedicated tool to build a digital representation of the new program

Prior to the initiative, EA had been sitting outside delivery projects. For the Consumer Business program, architects needed to become integral parts of delivery scrum teams, while at the same time providing an architectural runway to keep the program moving at optimal speed.

HOPEX helped the team to:

  • Manage roles and workflows - To accomplish its goals, the Company divided into three distinct roles and gave specific HOPEX licenses to: systems architects to engage at the program level; solutions architects to create solution sketches and determine the information flow; and integration architects to translate information needs into actual integration designs, which included services and APIs, as well as managed file transfers and data transformations.
  • Monitor, track, and report progress - To further promote quick decisions, the EA practice established a daily “architecture risk scrum” that leveraged HOPEX deliverables and brought together all three types of architects to address pressing issues. The scrum has become “tier 0” of the Company’s overall EA governance scheme.
  • Map architecture to business processes - Solution and integration architects were empowered to focus on, and become experts in, their designated aspect of a complex hybrid project. Using the ability to map architecture to business process, architects became part of delivery teams and built credible rapport, and risk and value became the focus rather than compliance.
  • Build a digital representation of the new platform – HOPEX enabled the Company to build a connected digital representation of the new product, thus turning business vision into IT action. The architecture in HOPEX provided the guardrails to ensure the scrum teams were focused on the right deliverables that would help complete the project on-time.

Enterprise architecture becomes trusted internal management consultancy

Within just ten months of using MEGA’s HOPEX Enterprise Architecture solution, the Company realized massive milestones including:

  • Completed its first Scaled Agile Framework program, with more than 700 people involved at the height of staffing
  • Integrated software from 15 different sources through more than 400 integration points
  • Institutionalized a multispeed approach to IT delivery (separating systems of engagement, systems of record, and systems of insight)
  • Delivered a new digital experience based on more than 40 APIs
  • Established a strategic next-gen integration platform that can reliably and cost-effectively deliver large numbers of hybrid integrations

The Company delivered all this in only ten months and at less than 25% of the traditional cost of integration. Design defects were reduced by 50%, delivery speed was doubled, and 90% of architecture risks were eliminated within five days.

The Company successfully turned its enterprise architecture practice into a source of trusted advice for IT and business executives with a reputation for turning vision into action.

“The EA practice has successfully “moved from information and app architecture to solution and integration architecture,” Infoworld/Forrester Enterprise Architecture Awards



  • HOPEX IT Portfolio Management
  • HOPEX Platform
  • MEGA Services Team

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