Chapter 1 · A member with coverage questions

Chapter 1

Mass General Brigham Health Plan

Members couldn’t find their way around the portal, and former members had to call for their tax forms. I redesigned both, and tax form requests fell 45%.

Role
Sole UX Designer: research, IA, UX and service design
Tools
Figma, Qualtrics
Team
Amy Lam, Abe Moses, Regina O’Neil, with engineering, legal and customer service
Timeline
2023 to 2025
A member using the redesigned portal on a laptop.

Part I

Finding Care

The Problem

Fewer than one in five active members had signed up for the portal, and the ones who had found it hard to use. In the 2023 member survey, only 35% said the portal was easy to navigate. Its menu followed how the plan was organized inside, not how members look for things.

Problem statement

How might we help members find what they need without calling for help?

Research

With our UX lead and the director of customer experience, I audited the portal and the app, studied Aetna, Blue Cross Blue Shield, Cigna, Anthem and EmblemHealth, and designed three tests: a card sort of the menu, four mobile menu styles, and three homepage concepts.

The app audit: two rows of member app screens, each marked up in red with issues.
I audited the portal against WCAG, and the app screen by screen. The homepage gave little real information, help like live chat sat at the bottom of the page, and nothing was personalized.

What We Learned

  1. Members come to the portal for care first. In the homepage test, 55% had a favorable first impression of the care-focused homepage, against 48% and 44% for the other two.

    Led to: Find Doctors & Care moved to the front of the menu, and the homepage leads with care.

  2. Menu labels confused members. In the card sort, they grouped items differently from the menu.

    Led to: Each section was renamed with clear, action-led words members already know.

  3. Some pages, like View Claims, fit more than one category.

    Led to: Those pages appear everywhere members might look for them.

The Design

Designed for membersRelabeling for Clarity, Clearer menu names show members what lives in each section, using words they already know from other sites.
Designed for membersCare First in the Menu, Testing showed members came to find care first, so Find Doctors & Care moved to the front of the menu. The redesigned IA launched in April 2024.

The new navigation launched in April 2024.

Results

Find information easily (35% → 61%)
+26 pts
Answer questions without help (44% → 60%)
+16 pts
Overall satisfaction (54% → 70%)
+16 pts

Source: member survey, 2023 against 2024.

“This homepage would make me feel like my health insurance provider genuinely wants to empower me to manage my health care.”

A member

Part II

Tax Forms for Former Members

The Problem

When a member’s plan ended, they lost access to the portal, but they still needed their tax forms. Each January and February, customer service got over 400 requests for them, and reps could only send them by email, PHI included.

Problem statement

How might we help former members get their tax documents safely, without calling customer service?

Research

I interviewed customer service reps, reviewed their calls, and audited the portal a former member would land in: 5 top-level sections and 35 submenu items between them and one form. Two people came up again and again: a former member who needs their tax forms, and a member switching plans who isn’t sure where to look.

What We Learned

  1. Former members came back for one thing: their tax forms.

    Led to: Tax documents became the main action, with a status banner pointing to them.

  2. 35 submenu items meant too many paths to the wrong place.

    Led to: 4 top-level sections and 12 submenu items.

Constraints

  • Five months, to launch before tax season in January.
  • Two engineers and a PM, also shipping other releases at the same time.
  • Access and legal requirements around PHI.

Design Decisions

Two Paths to a Portal for Former Members

Considered
Reuse the standalone product I designed in September 2023 for pre-effective members, adopt its newer UI and add new features. Those features would later move into the main portal. I took it as far as lo-fi prototypes.
Chose
Strip down the existing portal, built on the CRM and connected to member data. Keep only what inactive members needed, including the secure document portal, so customer service could send PHI there instead of email.
Why
Time, engineering capacity, and access and legal requirements. A bonus: former members kept the portal they already knew, with features removed instead of a new interface to learn.

The Design

Designed for membersStripped to What They Actually Need, Former members only needed tax documents. A status banner points them there, and the menu shrank from 35 items to 12.
Designed for customer serviceSocializing the Change, Quarterly guides explained each release in plain language, so the support team could answer questions without escalating.

The portal for former members launched in January 2025, just before tax season. I tested the pared-down flows with customer service reps first, and wrote a release brief each quarter so the team could answer members’ questions.

Results

Fewer tax form requests (400+ → 222)
45%
PHI sent by email (down from 400+)
Zero

Source: customer service requests, January to February, the season before launch against the first after.

“You should have seen the Teams screen today ‘light up’ with hearts and applaud emojis. There is so much less activity to CS as a result :)”

Customer service

Reflections

Security Is a UX Problem
Emailing PHI by hand was a support burden, a security risk and a broken experience all at once. Solving all three made the case for design as a business function.
Constraints Refine Impact
There was no time for a new portal, so I redesigned the navigation logic instead. Taking things away, not adding them, is what cut the calls.
What I’d Do Differently
Measure findability directly. The survey gains can’t separate the new navigation from everything else that changed that year. Next time I’d run a tree test before and after launch.

Notes

  1. MGBHP member survey, 2023.
  2. MGBHP homepage concept test, three concepts with 103, 100 and 105 members.
  3. MGBHP member survey, 2023 against 2024. Gains are percentage points.
  4. Customer service tax form requests, January to February: the tax season before launch against the first one after.