Introduction

The Problem

Shopping Online but Enrolling Over the Phone

Our online shopping had no decision support, resulting in shoppers calling in to complete their enrollments over the phone. Enrolling by phone took an average of 4 hours.

Healthcare Shopping Is Complicated

With healthcare costs at an all-time high, personalized coverage was more valuable than ever. Our 22,000 shoppers had 45 days to enroll in coverage. Without proper self-service, our shopping experience left customers confused and overwhelmed.

We created a Health Profile to instill confidence by providing decision support for our shoppers.

Skip to Resolution

The Kickoff

A journey map walking through the new pre-enrollment assessment and all it's entry points

Journey map highlighting all possible entry points to the Assessment

Identifying Dependencies & Ideal Feature Placement

I started to map out our existing product to select the appropriate place for our new assessment experience and to identify possible dependencies from corresponding teams.

Our journey map brought a lot of early insights and value to my team while also adding clarity when communicating our plans with shareholders.

Early mockup for a single individual (Not compatible for families)

Relevant for Both Shoppers and Agents

I needed to make this assessment relevant and clear for both online shopper agents. Moving from a paper guide to digital, the questions needed to be worded so that agents could read them like a script while still being clear enough for the online shopper to interpret.

I also had the challenge of creating an assessment that the whole family could answer, which required a dynamic design that would scale with larger families.

Research

User testing scores on a diagram

Graph showing the usability test scores (SUS)

Value vs. Effort Affirmed Through Testing

My goal was to test the usability and understand the user’s perception of ease of completion vs. value provided. The results were outstanding. Over 80% of testers considered it an "Excellent Experience", and the average System Usability Scale (SUS) rating was 76.5.

The qualitative insights gained were the most impactful:

  • Tooltips were needed to better define the questions.
  • The questionnaire was easy to fill out, and users found it a valuable use of their time.
  • The progress bar confused users more than it helped them.
Teams Meeting to get user feedback

Feedback session on Microsoft Teams

Agents Wanted To Dig Deeper

I conducted early interviews and held a focus group with our agents. The feedback corresponded closely to the testing insights and offered many possible solutions.

  • Go deeper than yes or no questions.
  • List out reasons for the provided recommendation.
  • Add an open text field to list any additional health needs.

The Launch

The health questionnaire MVP (2022)

The MVP

Our MVP release allowed shoppers to fill out the assessment, and based on their answers, they received a metal tier recommendation. This data allowed us to offer the right product based on their healthcare needs.

Within the first few months, over 60,000 assessments were completed.

Post-Launch Insights

During development, another high-priority initiative came on our plate with an extremely tight deadline, causing our MVP to be slimmed down and developed by another dev team. This significantly affected the success of the project.

  • Returning shoppers weren't sent to the review page and had to click through the entire assessment or skip it, resulting in poor plan recommendations.
  • Due to poor QA testing, the agent experience was missing the assessment, causing agents to use their script and not answer the assessment on their computer.
  • Many users that were recommended private plans still shopped and enrolled on the Marketplace.

Today's Vision

Simplified Shopping Flow

After years of observations and research, we decided to minimize the number of Prepare to Shop steps to get shoppers to see plans as fast as possible. This meant moving the Health Profile into the shopping experience as a flyout for those who are seeking a plan recommendation.

  • Moving the health profile reduces the Prepare to Shop steps from 10 to 3.
  • Not every shopper wants a recommendation; this allows window shoppers to get to plans instantly, while serious buyers can dive deeper.
  • We required a minimum of 40% confidence to get a recommendation to ensure accuracy and build trust with our shoppers.

Featured health profile flyout designs

Inline Plan Recommendations

Our plan recommendations were a completely separate experience, requiring the majority of shoppers to bounce between both the shopping and plan recommendation. We decided to merge the experiences to slim down waste and focus our efforts on building the recommendation algorithm.

  • Shoppers wouldn't enroll in recommendations without looking at other plans first. Recommending plans within shopping allows shoppers to easily compare and refine their recommendations as they shop.
  • We chose to build trust through transparency, showing how the recommendation is tied directly to their health profile and individual needs.

The plan recommendation flyout design

The Outcome

Online Enrollments Were Sky High

The Health Profile was originally launched in the summer of 2022. Since then, we've expanded from just a questionnaire to an entire collection of doctors, drugs, and health needs. This work has been foundational for building our plan recommendation engine.

Key Takeaways

  • Design for the majority while ensuring flexibility to accommodate diverse use cases.
  • Iterative development is critical when building out robust features. Work in milestones, always keeping the end goal in mind.
Austin Andriese blue headshot

Austin Andriese

Senior Product Designer @WTW

WTW

Global insurance service provider.

Product

Website, Healthcare Coverage E-Commerce Decision Support Tool

Role

Designed the product end-to-end, conducted user research, closely collaborated with developers and external teams.

Date

January 2022 - November 2024

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