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 ServicesWeb 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.

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.
  • β€―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.