An User Friendly Healthcare Payer Price Transparency Tool

A transparency solution for cost that aids payers and TPAs in fulfilling CMS transparency requirements. Sparity designed a User Friendly Healthcare Payer price transparency tool for members to make informed decisions.

Client: Healthcare Payers

Services: Web Application

Year: 2023

Key Challenges

Members often receive bills that are difficult to decipher, with little transparency into the actual cost of healthcare procedures, tests, or treatments.
This lack of price transparency can lead to financial stress, surprise medical bills, and an inability to make informed decisions about their healthcare.
Members often visit out-of-network hospitals, resulting in costly double bills.

Table of Contents

Key Challenges
Technologies
Solution
Benefits

Technologies

Solution

Sparity has developed a consumer-friendly Price transparency tool for Healthcare Payer as a compliant and personalised cost estimator into their website.
It also enhances the user experience and helps members with the comparison of prices between healthcare providers
Our UX team interviewed members to create user personas in UX design thinking process, collected services, treatments, costs of healthcare providers, and insurance profiling for easy navigation of user search.
Built a user flow leading to low fidelity wireframing followed by high fidelity wireframing by including features like Search of Services, treatments, Selection of Healthcare Providers and Payers leading to cost estimation.
Created input fields for users to log in and for the service search, along with CPT and ZIP codes.
Enhanced the home screen with popular searches and a curated list of nearby facilities with ratings, distance, address, and prices with a Card System.
Incorporated UI elements, including iconography for location, login, print, email, distance, etc., and visually represented step completion with color and icons on the progress bar table.
As there was no predefined style, we opted for a user-friendly interface with a pleasant color palette, including whitespace with properly aligned elements in layout, enhancing UX by 85%.
A/B testing was conducted during this process.

Benefits

Members can make informed decisions and planning with respect to pricing comparison.
It helps healthcare payers comply with regulatory requirements, such as those set by government agencies like CMS.
Members can identify and choose healthcare providers within their network, maximizing coverage benefits and minimizing out-of-network costs.
Transparent pricing contributes to increased trust between the payer and the insured individuals.

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