Managed Care, Designed for Humans

CHANNELS: RESPONSIVE WEB

ROLE: UX LEAD | UX RESEARCHER | CONTENT STRATEGY

A Broken Digital Experience

Millions of people rely on managed healthcare to improve their quality of life, yet the digital experience meant to support them is confusing, fragmented, and inaccessible. Patients struggle to navigate complex medical and legal jargon, compare plans, and find providers; while healthcare providers face cumbersome administrative processes that make delivering care harder.

As a UX leader of a mixed discipline design team, I saw this as more than a design challengeโ€”it was an opportunity to reshape the healthcare experience into something intuitive, empowering, and human-centered.

Through patient volume and analytics research, we discovered two key barriers hindering user engagement with the platform. First, patients struggled to navigate their healthcare options due to dense, regulation-heavy content, which emphasized the need for clear, plain-language information. Furthermore, state-specific regulations complicated access to localized, personalized guidance, leaving patients uncertain about their eligibility and next steps.

On the provider side, doctors and administrators needed better tools to track patient progress and streamline authorizations. Without addressing these gaps, the company risked losing patient engagement, slowing provider adoption, and missing regulatory targets risking financial implications. This level of financial risk, afforded my team the opportunity to deliver a large scale discovery process.

Map diagram showing the 6 states and numerous providers my design delivery team collaborated with to provide insights for the solutions.

During discovery, we shifted the business stakeholder approach by focusing on real user needs, conducting a gap analysis of patient personas and engaging with healthcare providers across multiple states. Our design decisions were driven by data-backed insights funneling into:

Simplified patient decision-making by introducing narrative-based content flows and interactive plan comparisonsโ€”resulting in a 30% increase in plan selection rates and more confident choices, aligning with industry research that better digital experiences improve healthcare outcomes.

Health literacy metric details

Simplifying health content through narrative-based experiences and interactive tools directly enhances patient confidence in plan selection by addressing health literacy barriersโ€”a critical issue affecting up to 36% of adults. Research highlights that patients with limited health literacy struggle to interpret complex information, leading to poorer outcomes.

As design leadership, we created positive impact by aligning digital experiences with human decision-making patternsโ€”leveraging plain language, progressive content flows, and side-by-side plan comparisons. This approach empowers users, evidenced by the 30% lift in plan selection rates, validating how intuitive design positively influences healthcare outcomes.

Improved provider efficiency by restructuring care tracking and authorization workflowsโ€”reducing administrative burden and cutting processing times by 25%, reflecting evidence that streamlined digital systems enhance provider productivity.

Healthcare digital tools metric details

Healthcare providers consistently report that fragmented digital systems increase cognitive load, disrupt workflows, and contribute to burnout. Research shows that seamless UX designโ€”focused on workflow alignment, information clarity, and reduced manual entryโ€”can significantly improve provider experiences and efficiency.

By restructuring care tracking and authorization workflows, providers saw 25% faster processing times, directly addressing administrative burden. This approach validates how human-centered design not only enhances efficiency but also alleviates digital fatigueโ€”key to improving provider well-being and care delivery.

Through an evidence-based and design-led digital transformation, the healthcare company created an intuitive, scalable platform that connected patients, providers, and payersโ€”streamlining care coordination and decision-making. As a result, provider portal adoption surged, enhancing collaboration and reducing administrative burden. Additionally, improved self-service options empowered patients to take charge of their care, leading to higher retention rates. Meanwhile, personalization and optimized workflows ensured consistent compliance, minimizing regulatory risks and reinforcing how human-centered design drives both operational efficiency and better health outcomes.

Looking Ahead: AI as the Next Evolution

With a strong digital foundation in place, the next opportunity lies in leveraging AI to enhance user interactions:

Predictive analytics to anticipate patient care needs and suggest proactive interventions.

Natural language processing (NLP) to simplify complex healthcare terms and improve patient understanding.

AI-driven provider matching for better patient-provider connections, ensuring higher satisfaction rates.

By keeping human needs at the core, we transformed a fragmented healthcare journey into an intuitive, patient-first digital experience. Our work didnโ€™t just improve usabilityโ€”it drove measurable business impact, boosting engagement, reducing operational inefficiencies, and ensuring regulatory compliance.

With value realized for both patients and providers, this project’s success proves that when design leads, business thrivesโ€”and in healthcare, that means better care, stronger provider relationships, and empowered patients.

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