The document proposes a Universal Lifecycle Model to improve a healthcare organization's ability to deliver on market demands and requirements under healthcare reform. The model integrates separate processes like portfolio management, program management, and project development management into a centralized structure. This eliminates redundancies and improves communication to expedite addressing issues and risks. The model was also applied to specific initiatives around benefits exchanges, appeals processing, and other projects requiring testing improvements, environment setup, and multi-year development work.