Creating New Member Experiences
The Business Challenge
With a large portfolio of commercial and Medicare plan inactive, or low involvement, members and new healthcare innovators moving into the region, this plan needed to increase existing member engagement and step up innovation efforts to compete in an increasingly dynamic marketplace.
A “North Star” Value Proposition in Pursuit of an Ideal Customer Experience
Starting with a wealth of already completed customer research, Aveus began working with the company senior leaders, led by the Chief Operating Officer, in evaluating and mapping the ideal customer experience across their various commercial and Medicare/Medicaid plans. Analysis focused on a large percentage of their consumer member base that had little or no engagement with the plan, creating portfolio churn risks. Contrasting what was happening for members with ideally what should happen for them led the company to a “North Star” value proposition. Using this new value proposition ignited possibilities in pursuit of the ideal. Changes needed at critical moments created wonderful opportunities to strengthen the core business and established a clear need for more innovation.
Through a design thinking process, it quickly became apparent that many of the market changing and growth ideas would not succeed if executed within the framework of the current health plan operating model. A separate agenda of priority innovation projects was established and a “Newco” framework along with resource and capability requirements was constructed and implemented.
Evaluating Change Readiness Before Planning
For an organization that was very financially successful, but uncomfortable with broad change concepts and understanding the risks of a rapidly changing marketplace, it became important to evaluate change readiness. Through an assessment, Aveus helped leaders understand strengths that could be applied to innovation efforts and where gaps existed that needed to be addressed. A roadmap for implementation of both core and Newco prioritized projects was created, accounting for the specific findings from the readiness assessment.
Additional Benefits Realized
The COO reflected that the Aveus approach to this work taught their team a great deal about disciplines to ensure on-time, whatever-it-takes engagement of all the people on teams to own the work and, importantly, to get the best thinking into the process.
Engagement Timeline (10 Months)
The Aveus engagement changed the ‘pH’ value in our culture. From the journey mapping to the innovation work, we started thinking differently. Second, the value proposition you helped us discover is still our ‘north star.’ It informs our priorities and trajectory.
Chief Operating OfficerNortheastern US 3 Million Member Health Plan
The Business Challenge A large hospital system had a goal of becoming the safest hospital in America as measured by a set of key quality metrics after receiving significant penalties from CMS. A Human-Centered Approach Hospital executives recognized an opportunity to use design thinking to create a different approach and new outcomes for patients and…
The Business Challenge With a large portfolio of commercial and Medicare plan inactive, or low involvement, members and new healthcare innovators moving into the region, this plan needed to increase existing member engagement and step up innovation efforts to compete in an increasingly dynamic marketplace. A “North Star” Value Proposition in Pursuit of an Ideal…
The Business Challenge The leaders of a top-rated integrated health system facing a competitive market, an uncertain health insurance landscape, and big cost pressures needed to strengthen the member and patient experience to achieve differentiation and breakthrough performance. Identifying the Ideal Experience Leaders realized that the organization was approaching members and patients as two different…