 Good morning, my name is Antonio Mello. I'm with Humana. I lead the digital experience center there and we'll learn More about that moments to come I'm Jason McKee. I'm a senior software engineer at the digital experience center And so today we kind of want to speak broadly about the consumerization of health care and Humana's role in leading in that space We'll also tell the story of how the agile transformation that the company is undergoing is really empowering that and some Mission-critical objectives before the company today So to really begin this story, let's consider the past rooted in delivering customer experiences Like you've heard in some of the talks related to agile transformation yesterday We come from a big bang culture and This waterfall Culture that's really rooted in decades of success Was great for us up until recently and what we've discovered is that a Financial cycle that happens once a year where our leadership tries to predict the future in many regards That is the onset of delivering not really products We've thought of them traditionally as projects or technical capabilities in isolation without Really a notion of user validation or this idea of what value we're delivering to the user So in the absence of this We've realized that's a really lead in the 21st century. We have to change And so what we've noticed Healthcare is on fire if you played NBA Jam, you get it. Anyway What what we're seeing is that and what you're probably noticing is there's interest from Many different segments in health care Specifically the Affordable Care Act the government is getting increasingly involved in health care healthcare gov and the kind of rocky launch and then the subsequent agile transformation that they went through And then you see obviously in the new startup space. There's tons of Investment being made by existing venture capital firms as well as brand-new health care startup accelerators and then You still have the existing longtime players like Humana so given that domain Humana is in the midst of another transformation and and reinvention or transformation has been part of the DNA of the company in its 50 plus year history We started in nursing homes Evolved to hospitals evolved to B2B commercial health insurance and that were in the midst of a Transition to being a health care company focused on health focused on well-being and we'd like to quickly share a video that we think encapsulates the spirit of that There's a gap out there That's keeping you from the health care you deserve at Humana We believe the gap will close if health care changes if it becomes simpler if frustration and paperwork Decrease if grandparents get to live at home instead of in a home. So let's do it Let's simplify health care. Let's close the gap between people and care Join us at close the gap dot Humana comm So when you think about putting people at the core of your business And you think about the simplification of health care the reduction of reliance on paper We've had to dramatically change and the digital experience center, which is a Lean agile product development practice that we've stood up in partnership with pivotal labs Really is a vehicle for cultural transformation. We've realized Accelerated delivery and agile tool set collaboration and an Organization that that albeit small and local really flies in the face of our Matrix organ traditional Big Bang approach to product otherwise So the first product that we ever developed in this new lean agile way for us was in Partnership with pivotal labs and it's called Humana vitality So Humana vitality is a what we refer to is a comprehensive health and wellness rewards program Basically, you do healthy things you get points. You can redeem those points for things you like So when we launched this, you know, it was really focused on the consumer But when we did it it was launched in July 1st of 2011 with a website only and it was non-responsive So we're telling people to get out and be healthy, but they have to get down and Sit down in front of what we lovingly referred to as grandma's web Where you're sitting down in front of your desktop computer or your laptop computer and you're you're being healthy somehow in front of your computer so One of the goals that we had for this was to increase engagement because of using that existing web experience our engagement rate was at 3% of Eligible members and so the goal was to really prove the success of the way we're going to work and of this product Let's get that over 10% so keep in mind. We're asking to more than triple it so We developed the product we develop an MVP in two months we develop and continue developing after that we demoed to senior leadership in the middle of that and Now our engagement rate is over 30% So we kind of smashed the goal that we had for ourself which seemed you know pretty high You know 300% but we've been really proud of what we've been able to achieve there It is the most popular mobile product we've delivered and it was the beginning of Building some momentum of meeting people where they are and encouraging health this next product Which was also also delivered by the digital experience center I'm going to try and go a little quicker with what little time we have. This is a conditioned management Conditioned management product for our members focused on hypertension Diabetes and congestive heart failure the the member inputs Blood pressure or weight or some other data elements and in return. We give them some personalized Consents and trending over time The notion is we're seeking to allow them to manage their conditions on the fly So why this one is specifically relevant to this conference is it was our first product to ever utilize cloud foundry The core application API is a rails app deployed on an internal or on-prem Cloud Foundry instance that we've stood up We we could only deal with so much change at one time so we didn't do it on the on vitality So moving on the the product that we've most recently released that really kind of embodies the spirit of this video and What we would just call humanist future It's Q by Humana What's unique about Q is that you do not need an existing relationship with Humana to use this app It is a app for the Apple watch and for the iPhone All it does is remind you to do simple things that we all need to do throughout the day that we forget to do like stay hydrated Go outside get up away from your desk things like that So it's really significant that we've opened this up and just said, you know Everyone's our customer even if you don't pay us. We're on that journey to getting our our community's healthier so This product was developed by a team of four and took five weeks to get to the first app store approval which for us as an organization is huge that is unheard of and It's we've received a lot of internal praise because it's like you guys move like like a real software company And it and it's starting to feel that way quite frankly So one of the goals that we had was that we would launch this on the day the watch launched So we achieved that in addition to that we were able to be featured in the Apple Watch app store alongside uber evernote, New York Times Subsequent to that macalife.com and their listing of 20 best Apple Watch apps picked Q to be in that list And it was the only health and fitness app to kind of make that cut. Yeah, I mean To echo what Andy of all states said yesterday. I mean it takes us in Humana sometimes two months To provision servers So for a Louisville, Kentucky insurer to actually deliver a product To everyone not just its members, but to anyone in five weeks really is for us revolutionary And it symbolizes where we we aim to go Now what when we consider that for for what? For us what is disruption? Certainly We cannot do it without a set of tools and and pivotal cloud foundry really is the heart of what's enabled these kinds of fast deliveries Yeah, so with cloud foundry as I'm sure most of you are aware We're able to do What would take filling out a web form getting a litany of approvals and then someone actually like a network ops person going to the Server and go okay, they said copy the files from there to there and then if it didn't work Then they've got to fill out another web form because well, it's not in the first web form. So Cloud Foundry pivotal cloud foundry specifically has really enabled us to do that, you know CF push and we're done and there's no nonsense And we're able to deliver that value to our users be it in testing or in production in a much more rapid fashion And it also really allows an empowerment of our Interdisciplinary product teams that has not been realized otherwise exactly it's it's becoming that first-class user of the data center as was stated previously So when we look at how do we you know manage these products? How do we manage the development lifecycle of them one tool we use is pivotal tracker and that comes from obviously being embedded with Pivotal and it's their product and it is a great product Let's us simply see you know What's coming up next it forces us to focus on one thing at a time in contrast to the tools that we use Internally already which there may be a tool for the development team There may be a tool for the testing team and there may be a different tool for audit And so this just kind of says alright, let's get down to one tool That's really just focused on the product and not on the project So another set of simpler tools that we use they're just kind of information radiator tools We use project monitor. It's an open-source Pivotal product. These are just tiles that set up on TVs at the top of the kind of workspace to give quick visibility into the health of builds Green means good red means we had a failing test and then those little bars and numbers at the bottom are integration from the related tracker project So that works well, you know for day-to-day development, but when it comes to production monitoring right now we're using a product called dashing IO and This is the dashboard that's currently live in our in the digital experience center for human vitality Each one of those little green tiles is kind of a step that goes on in the login process We had problems because there's so many dependencies as you can see from the eight tiles on login that we needed to know Specifically, okay, who do we go talk to so we set up eight different tiles for that and the top right? We're kind of keeping that consumer voice in the forefront, you know What are people saying about us in the app store? How can we you know keep that at the forefront of them of our mind because that's as important as the health of our builds? And then in the purple tiles what you'll notice is this is an integration with flurry to say it How many people are actually using our app is the content? We're producing this month. Is that relevant to people's lives? Is it making them engage with the app? So I think health is really something that can resonate with all of us And you know, humana is really set on orienting The entire company around bolstering health for its customers and for the communities it serves What when we think about the digital experience center and its role in doing that, you know We realize we have to help simplify health care and meet people where they are and deliver them value and experiences that resonate with them and the goal absolutely is to drive a healthier culture and For obvious reasons, that's you know of utmost importance But it's also a financial win for everyone You know, certainly it reduces costs for companies like humana, but it also reduces the cost of health care For all of us and the role that the deck the digital experience center has within the company to help orient the company around health is The way that we work the tools that we use the culture that we have been able to create That really flies in the face of this Big bang approach to development. Otherwise it just must become common and We cannot emphasize the importance of the lean agile product development practice the set of tools that we have to really Disrupt to this culture that doesn't really otherwise beg the question of change why change The human is extremely profitable as it stands today, but the point is We are looking to transform to be prepared to be healthier in every respect Tomorrow and Jason and I are trying to do our part to ensure that this agile and cultural Transformation occurs for that very reason. Thank you. Thank you