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Innovating Business Models for New
            Opportunity
                      a presentation by Kevin Riley
  to the 7th Annual Global Innovations in New Product Development &
    Market Strategy, 2011: A Frost & Sullivan Executive MindXchange
                             November 2011
Learning objectives
 How can Innovation principles apply to the rigors of developing
 new market business models within a traditional ecosystem?

 Learn how Blue Cross Blue Shield of Florida has applied these
 principles to:
    1) define market opportunities, and
    2) make them a realization during a time of significant shift in market
    dynamics.


 Take Aways
    Guide to the application of Disruptive Innovation principles in creating
    new products/models in a conservative industry.
    How you can use Service Blueprinting in understanding value-based
    consumer product design.
About Blue Cross and Blue Shield of Florida
                               Blue Cross and Blue Shield of Florida
                               (BCBSF) is a leader in Florida’s health
                               industry.

                               Since 1944, the company has been
                               dedicated to meeting the diverse
                               needs of members by offering an
                               array of choices. BCBSF is a not-for-
                               profit, policyholder-owned, tax-paying
                               mutual company.

                               Headquartered in Jacksonville, Fla.,
                               BCBSF is an independent licensee of
                               the Blue Cross and Blue Shield
                               Association, an association of
                               independent Blue Cross and Blue
                               Shield companies. For more
                               information concerning BCBSF,
                               please visit www.bcbsfl.com.
Who needs Innovation?

         "Innovation is the specific instrument of
         entrepreneurship. The act that endows resources with a
         new capacity to create wealth."
                                                  Peter F. Drucker



            Health                         Health
          insurance                       solutions
Innovation at BCBSF
 BCBSF has a comprehensive Innovation practice and
 platform aimed at:
    systemically seeking out market opportunities aligned with the BIG
    mission and vision;
    receiving and responding to idea challenges from the Enterprise;
    utilizing the defined Innovation Process to assess, develop and
    prioritize new business opportunities;
    presenting recommendations to Enterprise champions for
    advancement; and
    navigating qualified Ideas from concept through launch as required.
Application of disruptive
innovation principles in
      creating new
  products/models in
conservative industries
Innovation for the Enterprise

3



           The Invention Process                                     The Innovation Process
    •   Comprised of new concepts (products/service            •   Leverages existing marketplace products
        do not currently exist)                                    through a new or existing distribution channel
    •   Generates new revenue streams in support of            •   Expands current customer base for both supplier
        diversified domains                                        and Enterprise
    •   Resolves/addresses current barriers to                 •   Generates new revenue stream through
        consumption                                                partnership/alliance model
    •   Identifies key criteria: characteristics, jobs to be   •   Aligns product selections with targeted consumer
        done, circumstances (C-J-C)                                segments and diversified domains
    •   Thinks expansively about business model and            •   Prioritizes options through financial modeling and
        innovation levers                                          Enterprise value acceleration
    •   Breaks “traditional” rules about consumption           •   Generates revenue through sales margins



                        Processes align to Enterprise product/business
                       development for evaluation and delivery ownership
Innovation as Opportunity
Innovation as Experimentation
    BCBSF Innovation Lab
       http://www.biginnovationlab.com
       The Innovation lab allows us to innovate and experiment using a
       hands-on approach so we can create new processes and products
       that promote The Pursuit of Health.


    The Lab is understanding:
       new frontier devices and products for use by our stakeholders
       new “models” for adoption/absorption into the existing systems
Innovation Experiment Process


                                    Think! Try
                                      Again
                                                                                      Hypothesis is False or
                                                                                         Partially True
                     Do                             Test with      Analyze
    Ask                             Construct
                 Background                           an         results/draw                                    Report Results
  Question                          Hypothesis
                  Research                         Experiment     Conclusion

                                                                                       Hypothesis is True



                                                      Experiment Artifact
What, How, Who & Where -      Make an educated       Test your     Review your data         State whether your    Experiment
 ask around and consult       guess about how       hypothesis      and summarize           results support or    Final Report
  authoritative sources       this will work and                     your results             contradict your
                              create a material                                                 hypothesis
                               list of business
                                   outcomes
Some Successes
Florida Blue

                             A revolutionary way to connect with consumers in
                                 person about their health and health plan.

Did you ever imagine a retail setting for an
insurance company where you can:
     Talk with a nurse about your doctor’s treatment
     options
     Find out how your benefit plan will cover a service
     Learn how a health savings plan can save you
     money
     Shop for a health care plan that fits you & your
     budget
     Compare costs on health care services &
     prescriptions
     Research doctors & hospitals
     Check your health with a personal health
     assessment?




                                You can learn more by clicking here - http://www.floridablue.com/tour/
Florida Blue locations


                                                    Jacksonville
      Pensacola              Tallahassee


                                                       Winter Park

                                     Tampa
 We have expanded the ways
 Floridians access and interact                                    Palm Beach
             with us
                                       Fort Myers                  Sunrise

                                                                   Miami
 * Planned to open in 2011
GuideWell - Happier Healthier Simplified

          GuideWell is a new direct to consumer online health and
          wellness retail company from the BCBSF Diversified
          Business Unit that just launched. The mission at GuideWell
          is to make having a healthier lifestyle simple - and put you
          on the path to a healthier you.
                               www.guidewell.com




           You can learn more by clicking here - http://www.youtube.com/watch?v=PcjQ0GSY1DE
Thank You!

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2011-11 Innovating Business Models for New Opportunity

  • 1. Innovating Business Models for New Opportunity a presentation by Kevin Riley to the 7th Annual Global Innovations in New Product Development & Market Strategy, 2011: A Frost & Sullivan Executive MindXchange November 2011
  • 2. Learning objectives How can Innovation principles apply to the rigors of developing new market business models within a traditional ecosystem? Learn how Blue Cross Blue Shield of Florida has applied these principles to: 1) define market opportunities, and 2) make them a realization during a time of significant shift in market dynamics. Take Aways Guide to the application of Disruptive Innovation principles in creating new products/models in a conservative industry. How you can use Service Blueprinting in understanding value-based consumer product design.
  • 3. About Blue Cross and Blue Shield of Florida Blue Cross and Blue Shield of Florida (BCBSF) is a leader in Florida’s health industry. Since 1944, the company has been dedicated to meeting the diverse needs of members by offering an array of choices. BCBSF is a not-for- profit, policyholder-owned, tax-paying mutual company. Headquartered in Jacksonville, Fla., BCBSF is an independent licensee of the Blue Cross and Blue Shield Association, an association of independent Blue Cross and Blue Shield companies. For more information concerning BCBSF, please visit www.bcbsfl.com.
  • 4. Who needs Innovation? "Innovation is the specific instrument of entrepreneurship. The act that endows resources with a new capacity to create wealth." Peter F. Drucker Health Health insurance solutions
  • 5. Innovation at BCBSF BCBSF has a comprehensive Innovation practice and platform aimed at: systemically seeking out market opportunities aligned with the BIG mission and vision; receiving and responding to idea challenges from the Enterprise; utilizing the defined Innovation Process to assess, develop and prioritize new business opportunities; presenting recommendations to Enterprise champions for advancement; and navigating qualified Ideas from concept through launch as required.
  • 6. Application of disruptive innovation principles in creating new products/models in conservative industries
  • 7. Innovation for the Enterprise 3 The Invention Process The Innovation Process • Comprised of new concepts (products/service • Leverages existing marketplace products do not currently exist) through a new or existing distribution channel • Generates new revenue streams in support of • Expands current customer base for both supplier diversified domains and Enterprise • Resolves/addresses current barriers to • Generates new revenue stream through consumption partnership/alliance model • Identifies key criteria: characteristics, jobs to be • Aligns product selections with targeted consumer done, circumstances (C-J-C) segments and diversified domains • Thinks expansively about business model and • Prioritizes options through financial modeling and innovation levers Enterprise value acceleration • Breaks “traditional” rules about consumption • Generates revenue through sales margins Processes align to Enterprise product/business development for evaluation and delivery ownership
  • 9. Innovation as Experimentation BCBSF Innovation Lab http://www.biginnovationlab.com The Innovation lab allows us to innovate and experiment using a hands-on approach so we can create new processes and products that promote The Pursuit of Health. The Lab is understanding: new frontier devices and products for use by our stakeholders new “models” for adoption/absorption into the existing systems
  • 10. Innovation Experiment Process Think! Try Again Hypothesis is False or Partially True Do Test with Analyze Ask Construct Background an results/draw Report Results Question Hypothesis Research Experiment Conclusion Hypothesis is True Experiment Artifact What, How, Who & Where - Make an educated Test your Review your data State whether your Experiment ask around and consult guess about how hypothesis and summarize results support or Final Report authoritative sources this will work and your results contradict your create a material hypothesis list of business outcomes
  • 12. Florida Blue A revolutionary way to connect with consumers in person about their health and health plan. Did you ever imagine a retail setting for an insurance company where you can: Talk with a nurse about your doctor’s treatment options Find out how your benefit plan will cover a service Learn how a health savings plan can save you money Shop for a health care plan that fits you & your budget Compare costs on health care services & prescriptions Research doctors & hospitals Check your health with a personal health assessment? You can learn more by clicking here - http://www.floridablue.com/tour/
  • 13. Florida Blue locations Jacksonville Pensacola Tallahassee Winter Park Tampa We have expanded the ways Floridians access and interact Palm Beach with us Fort Myers Sunrise Miami * Planned to open in 2011
  • 14. GuideWell - Happier Healthier Simplified GuideWell is a new direct to consumer online health and wellness retail company from the BCBSF Diversified Business Unit that just launched. The mission at GuideWell is to make having a healthier lifestyle simple - and put you on the path to a healthier you. www.guidewell.com You can learn more by clicking here - http://www.youtube.com/watch?v=PcjQ0GSY1DE