Health Spendings

Cost Transparency In Healthcare Part 1: Discovery

The CVS Super App was an initiative to combine various health services into a single platform, with features like health triage, caregiving, medication management, rewards, and health spending. Health spendings, was a new epic that was undefined, offering both challenges and opportunities for exploration. The main hurdle was the lack of clarity around health spendings—both within the epic and for users struggling to understand costs and payment due to the complexities of healthcare and insurance.

Role UX Designer

Timeframe 3 months

Platform iOS

Deliverables

  • Persona

  • Customer Journey

  • Workshop planning + facilitation

Tools Miro

Notes I was one UX designer collaborating with a Design Lead/Strategist, who oversaw the broader design efforts and coordinated with other designers. While she delegated tasks to all of us, she worked directly with me on key elements like personas and the journey map. Based on our discovery work, she broke the Health Spendings epic into several features, one of which I was assigned to. This case study focuses on the discovery part of the work. For design, visit Cost Component Design case study.

Background

The “Super App” was a new offering from CVS Health that integrated various health services into a single platform combining efforts across all business lines - Aetna, CVS retail, Specialty, & Caremark. The app would support insured, uninsured or users with unknown insurance, with features ranging from health triage, caregiving, medication management, rewards, and health spending - A one stop shop for all things CVS. Health spending, in particular, was uncharted territory with no existing product or business ownership. This made it ambiguous, but also exciting as an open space for creative freedom and exploration.

The Problem

One of the biggest challenges was the lack of clarity surrounding health spending—both in terms of the epic and the real-world issue of understanding how much things cost and why. People struggle with basic questions like "How much does it cost?" and "How do I pay for it?" due to the complexity of healthcare and insurance systems. As mentioned before, there was no single team owning this space, leaving it undefined and uncertain on how to navigate.

My task

My initial task was to improve the user experience around health spending, specifically by addressing cost transparency with the goal of making navigating health spendings straightforward and clear for all users - whether insured, uninsured, or paying out of pocket. This meant a flexible solution to provide clarity in pricing and payment methods, so users know what their medications and/or services will cost, and how they could pay before seeking care, so they could make the most informed healthcare decisions. Although this was the first ask, we had to do discovery work to figure out the “how”.

My Approach - Starting with Research

The epic was loosely defined as "allowing users to view, save, and apply insurance balances to purchases.” With little direction, my design strategist and I decided to zero in on the core question: “What would make this easy for the user?”

We reviewed the research which highlighted price transparency as key. However, the research focused more on care services than health spending. We realized that colleagues viewed health spendings through their own lines of business, such as Aetna’s focus on service costs, while health spendings can also include prescription costs, retail purchases, and other out-of-pocket expenses.

We needed to bring colleagues together to view health spending holistically from the user's perspective, beyond business lines. We decided to broaden the view of health spendings through a journey map to show where users spend money on general health services, how they pay, whether it's considered a "health spending” and where users care about this. By taking a broader, user-focused approach, we could then identify specific areas of need, and collaborate with stakeholders to narrow the scope.

Personas

Before starting the journey map, I needed to refine our personas. CVS had two universal personas, Sophia and Michael, that were commonly used across various projects. I tailored these personas to better suit our specific problem to solve focusing on our core question of “What would make this easy for the user?”. For Michael, the emphasis was on understanding financial costs without letting costs hinder him from getting care. For Sophia, this was managing a busy schedule and staying on top of tracking her health-related tasks. These adjustments helped us align the journey map more closely with the needs of our target users.

Task Flow

I collaborated with my design lead/strategist, starting with a flow chart derived from a Jobs To Be Done (JTBD) analysis of Health Services, Pharmacy, and Retail, which was conducted with actual users and validated by the research team which ensured two important points:

  • Our approach was grounded in real user needs rather than assumptions

  • There were significant overlaps in experiences and patterns across all channels for users.

Journey Maps

The next step was mapping out the users’ individual journeys. There was no template on the visuals, and I wanted to move beyond the traditional happy sad faces on a classic journey map, so I used images and animations to capture the users’ experience and illustrate what it felt like to be in their shoes.

I began with Michael’s frustrations during his visits to Health Services, Labs, and the pharmacy, followed by Sophia’s journey through Vaccination and Specialty services, highlighting her fears and anxieties at each stage, which made the pain points and challenges extremely clear.

For detailed journeys up close, see figma link.

Michael’s journey through Health Services & Labs Figma link

Michael’s journey through the pharmacy Figma link

Michael’s journey through retail Figma link

Sophia’s journey through vaccination Figma link

Sophia’s journey through specialty pharmacy Figma link

Workshop Day 1 - Establishing Alignment

With our journey maps and pain points visually laid out, it was time to align the different lines of business and clarify what was needed. We had four main objectives for this workshop:

  1. Discuss what Health Spending looks like through different lines of businesses (LOBs) from both colleagues’ and users’ perspectives.

  2. Empower communication, familiarize each other between different business units, and encourage collaboration.

  3. Make sure we were designing & building the right thing before focusing on building it right.

  4. Align on the overall direction and priorities for Health Spending to maintain focus on our big-picture vision for the Super App, guiding how we measure success and layout the 2024 roadmap.

We kicked off the workshop by reviewing these objectives and then presented our Journey Maps.

On day two, we started the dialogue between colleagues by asking them to define "health spending" in their own words. This activity highlighted differing perspectives on health spendings and by enabling colleagues to hear each other perspectives across other business lines, colleagues gained insight to just how complex expectations and cost transparency must be for users and how necessary it was for us as designers, to lessen that burden for them.

Workshop Day 2 - Brainstorm

Next, we ran an exercise to get colleagues thinking about desired user and business outcomes for our features (epic). We first clarifyied the difference between business outcomes (organizational benefits) and user outcomes (product benefits for users), as well as some insights we had dug up from prior existing research done on Health Spendings.

Participants then came up with as many business objectives and distinct user outcomes as possible, which we then categorized as a group. With our desired outcomes in mind, we began ideating outcome-centered ideas. However, sensing uncertainty due to the new broader scope of Health Spendings, we pivoted the exercise to foster discussions and extract value where we could which ultimately provided us with enough insights to define features for the Super App.

Result:

Drawing on colleagues’ perspectives on health spending, user emotions, customer journeys across business lines, and discussions from the workshop, my design lead/strategist outlined four key features to enhance cost transparency within the Super App. These included the Drug Cost Component—aimed at simplifying cost transparency and building user trust by addressing pain points around medication costs; Checkout—designed to streamline payment, minimizing steps for users; Cart—enabling users to review and manage selections before purchase; and Health Balances—helping users track their healthcare funds for financial clarity. I was assigned the Drug Cost Component.