Groundhog Approvals
A year-long calendar exposing approvals members must request again every cycle, priced in dollars.
The job
Finds approvals members must request again on a fixed cycle, such as insulin, dialysis, physiotherapy and repeat prescriptions for long-term conditions. Prices each cycle, replaces the costliest with standing approvals, then proves the repeat requests faded.
The moment
A calendar of the past two years shows a bright red stripe on the first of every month: members calling to get the same approval again. It costs $360,000 to $460,000 a year, using the committee's own agreed cost assumptions.
A new rule starts: approvals now stand for six months. The next month, the first-of-month square is grey for the first time, and about 1,900 fewer calls come in that week.
The app marks the stripe as fading, with a verdict due after three cycles.
Three cycles later, it is confirmed as faded, meeting the test that was set in advance.
What it does
- Register a standing-approval rule
- Record the verdict
- Send stripe dates to WFM
- Send the business case to the committee
- Draft the AI agent's answer about the new standing approval
- Open a day's requests
What you see
A year-long contribution calendar with recurring stripes, stripe playback, a what-if fade and a change register
What it moves
Repeat approval contacts per month for each treatment, handling and approval-desk costs avoided per year in dollars, and the number of repeat patterns that faded as predicted in advance.
Built for
- Product & digital
- Contact-centre operations
- Finance
