Improved and simplified messaging

10 Surveys

California residents enrolled in health plans, focusing on pain points and selection criteria

2 Personas

Collaborated with teams to create personas for human-centered recommendations

Interview Insights


To gain perspective on the current state, I conducted 10 45-minute interviews with both health plan employees and non health plan employees that reflected our member population. The interviews provided us with qualitative data on:


Why members selected their plans

How they utilized their plans

Their relationships with primary care providers

Their onboarding experience

Feelings around plan renewal


Survey Focus Areas

Ideal benefits expectations

Plan selection Criteria

Onboarding Experience

Reenrollment intentions

PCP selection experience

Provider network experience

Overall member pain points

Primary care provider selection

Key Findings


Many study participants struggled with the HMO onboarding process, and the selection of a trusted primary care provider.

Interview Insights


To gain perspective on the current state, I conducted 10 45-minute interviews with both health plan employees and non health plan employees that reflected our member population. The interviews provided us with qualitative data on:


Why members selected their plans

How they utilized their plans

Their relationships with primary care providers

Their onboarding experience

Feelings around plan renewal


10 Interviews

10 Interviews

45-minute interviews with health plan employees and non-employees reflecting member demographics

45-minute interviews with health plan employees and non-employees reflecting member demographics

Research Process

Research Process

Addressing a $127 PMPM loss on underutilized members through strategic UX research and digital onboarding redesign

Overview


This health plan's HMO plan was losing $127 per member per month on members who weren't utilizing the plan (members with 0 claims), versus $88 PMPM on healthy plan members. Retention was also an issue. Members would enroll, but switch plans after the first year. I was tasked with finding out why enrolled Trio members were not using their plan, what they were unsatisfied with, and what strategic improvements could be made to increase member retention.


Approach

I used the double-diamond design process to create and facilitated surveys, interviews, and usability studies of our member population to define and discover plan onboarding and benefit pain points. I then collaborated with the health plan's Product Strategy team, and Covered CA Portfolio Team to create a product definition that outlined the necessary capabilities for a new digital onboarding process and virtual health risk assessment. Finally, I supported my manager in developing and delivering digital onboarding recommendations and design modification mockups.

Design Improvements

Project Details



Client

Blue Shield of CA


Timeline

6 months


Roles

User Research & Design


Tools

Figma, UserTesting (formerly UserZoom), Microsoft Teams

Design Process

Initial Process Map

Final Process Map

Design Evolution

Full-screen lightbox instead of partial window takeover for popup onboarding window

Direct and simple calls to action

Adding a benefits needs survey to provide appropriate care management recommendations

Adding a post-survey screen to thank participants for

completing the survey

Improved messaging around PCP auto-assignment

Improved call to action to schedule first PCP assignment with information about the associated $0 co-pay

Usability Testing

Note: Usability testing of onboarding mock-ups performed better than existing onboarding designs overall (however results were not statistically significant due to testing platform limitations)

20%

0%

The redesigned full screen lightbox completely eliminated user exits during onboarding

Final design

Exit Rate

Initial design

The plan strategy was developed during 2022 to address significant financial losses and improve the quality of care and the member experience by developing a new guided digital onboarding process. This was aimed at ensuring the appropriate plan selection and guiding members through their plan benefits at the start of enrollment.


I used the double-diamond design process to create and facilitated surveys, interviews, and usability studies of our member population to define and discover plan onboarding and benefit pain points. I then collaborated with the health plan's Product Strategy team, and Covered CA Portfolio Team to create a product definition that outlined the necessary capabilities for a new digital onboarding process and virtual health risk assessment.


We aligned with the health plan's Covered CA Team on the recommended onboarding flow and associated virtual health risk assessment. Recommendations were approved by stakeholders, and implemented. The product redesign produced cost savings between $5-10M from risk adjustment and improved disease management.

Solution

Results & Impact

100%

Stakeholder Approval

Enhanced

Member Experience

The redesigned digital onboarding process delivered significant cost savings and improved member experience

Cost Savings Generated

$5-10M

Disease Management

Improved

My survey research was limited to the members and member size available through the UserZoom platform, so that data is not completely representative of the product's member demographics. Next time I would place more strict filters and screening criteria to ensure we get perspectives that are representative of the member population.

Limitations

Key Learnings

This project has taught me how difficult it can be to gain diverse perspectives through a limited research budget.

I also realized how valuable qualitative data is to understanding member or customer motivations. Interviews allowed me to dig deeper into the things that influenced their purchasing behavior and improve overall plan messaging.

Back to the Top

Featured Case Study

Featured Case Study

Survey Skips

50%

Reduction

Survey completion rates improved significantly, providing better member data for care recommendations

UX Researcher & Designer

UX Researcher & Designer

Portfolio

Portfolio

View More

Addressing a $127 PMPM loss on underutilized members through strategic UX research and digital onboarding redesign

Project Details



Client

Blue Shield of CA


Timeline

6 months


Roles

User Research & Design


Tools

Figma, UserTesting (formerly UserZoom), Microsoft Teams

Overview


This health plan's HMO plan was losing $127 per member per month on members who weren't utilizing the plan (members with 0 claims), versus $88 PMPM on healthy plan members. Retention was also an issue. Members would enroll, but switch plans after the first year. I was tasked with finding out why enrolled Trio members were not using their plan, what they were unsatisfied with, and what strategic improvements could be made to increase member retention.


Approach

I used the double-diamond design process to create and facilitated surveys, interviews, and usability studies of our member population to define and discover plan onboarding and benefit pain points. I then collaborated with the health plan's Product Strategy team, and Covered CA Portfolio Team to create a product definition that outlined the necessary capabilities for a new digital onboarding process and virtual health risk assessment. Finally, I supported my manager in developing and delivering digital onboarding recommendations and design modification mockups.

Scoop Designs