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Large health insurance operator · IPM

A new authorization system without repeating the last rollout: a health insurer measured before switching over

The previous system change had caused queues, rework and complaints for months. The new rollout could not follow the same path.

47 → 63Overall index
CompleteFormat
1,520Respondents (72% response rate)
Context

Operator with about 2,100 employees and more than 600,000 members, running authorization, service and medical review centers. The company was replacing the system that handled authorizations, provider registration and billing.

Challenge

The technology was ready, but management did not know whether the teams were. Memories of the last rollout were bad, and service teams feared longer queues and more complaints to the regulator.

Instrument applied

Change Readiness (IPM)

Why this instrument. IPM Complete measures readiness by area before launch and allows a follow-up pulse after implementation, showing where to reinforce support.

Format: Complete · Respondents: 1,520 of 2,100 (72%)

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First application

Where the organization stood

Overall index
47 Band: Emerging 0100
  • Stagnant
  • Reactive
  • Emerging
  • Structured
  • Advanced
  • Benchmark
Results by pillar
Clarity and Need for Change 55 Sponsorship and Change Leadership 49 Capability and Resources 38 Personal Value and Impact 42 Communication, Participation and Trust 46 Change History and Culture 50
Plan executed

From results to action, in three waves

  1. 90 days

    Critical areas prepared and sponsors active before launch.

  2. 6 months

    Phased rollout with close support for teams.

  3. 12 months

    Follow-up pulse and adjustments to the new way of working.

Reapplication

Before and after, pillar by pillar

Pulse 6 months after implementation: 47 (Emerging) → 63 (Structured).

BeforeAfter Clarity and Need for Change 55 67 (+12) Sponsorship and Change Leadership 49 64 (+15) Capability and Resources 38 58 (+20) Personal Value and Impact 42 60 (+18) Communication, Participation… 46 63 (+17) Change History and Culture 50 59 (+9)
Business outcomes

What changed in operations

  • Readiness index moved from 47 (Emerging) at baseline to 63 (Structured) in the pulse.
  • Go-live happened on the planned date, in all three planned waves.
  • The new system handled 92% of authorizations by the third month.
  • No rollback to the old system was needed, compared with two in the previous rollout.
Lessons

What this case teaches

  • People understood why change was needed. What was missing was time and hands-on training, and that only surfaced because it was measured.
  • Freeing up operating hours for preparation cost less than the queues of the previous rollout.
  • A history of poorly handled change weighs heavily. Acknowledging it openly helped rebuild trust.

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