Product Description

The Treatment Cost Calculator is a consumer price transparency tool that helps consumers manage their healthcare costs, objectively evaluate treatment alternatives and find savings by comparing providers and facilities.

It mines MarketScan® claims data of more than 300 employers with 25 million covered lives to create cost estimates through advanced algorithms, event grouper methodologies and more.

Research and plan for healthcare expenses
Estimate deductibles, out-of-pocket costs and coinsurance
Compare price differences among providers, facilities and regions
Search for and compare providers with quality information and patient reviews
Improve health literacy and interactions with providers

Design Problem

Research showed that although consumers are paying a larger portion of their healthcare costs than ever before, they are increasingly confused about their benefits and rarely have access to accurate cost information before treatment.

Business goal:

Prepare for upcoming US Regulations on healthcare transparency
Improve health literacy by establishing expectations regarding the end-to-end journey of a plan member's upcoming procedure such as Knee Replacement or Maternity Care and other services across the continuum of care
Expand provider comparison feature to allow the procedure cost map to be personalized, by shopping for best cost by preferred physician / facility
Breakdown of costs using both aggregate and granular data
Create a design pattern that is flexible to ensure it can handle a wide variety of episode of care configurations for each client

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Design Solution

Introduce new feature - procedure cost map

Explored alternative ways to visualize episode of care journey through rapid wireframing.
Expanded price transparency from an individual procedure or service (micro), to a collection of procedures and services (macro) and grouped into a single episode of care.
Surfaced new insights including explanation of each step in the journey, expected cost and duration including the impacts to out-of-pocket costs based on when an episode of care is scheduled and the current plan / benefit year so the user can make informed decisions.

Enhance UX/UI

Usability testings of prototype received a SUPR-Q score of 4 or higher for usability, credibility, loyalty and appearance.
Updated / aligned style of UI with existing design system.
Improved information architecture to reduce misunderstanding
Reduced the amount of clicks to get to relevant information by grouping all steps into a single episode of care.