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HMA

Making Healthcare More Accessible for Employers and Their Employees

Opportunity

Healthcare Management Administrators (HMA) is a leading third-party benefits administrator that is focused on making healthcare more affordable and easy to understand for employers and their employees.

HMA is known for their ability to customize self-funded benefit plans for employers, enabling those employers to create unique plan offerings for their employees. Managing these custom plans for multiple employers and their thousands of employees is very complicated.

Providing members with health plan options, services and a digital experience that match market expectations and rivals those of the National Carriers is a standard that HMA strives for. And having an intuitive, user-friendly Member Portal that can be easily accessed on mobile, tablet and desktop devices is a critical requirement to meet today’s consumer expectations.

Project Info

CLIENT
HMA (Healthcare Management Administrators)
services
Ideation/Envisioning, Solution Architecture
Type
Mobile App
So, redesigning their Member Portal and Mobile Apps to match the level of care that their members have come to expect when interacting with HMA’s team was a key objective for this initiative.

But, this was more than simply redesigning the user interface.
Prior to engaging UpTop Health, HMA’s product team had compiled a list of almost 100 requirements that their new Member Portal would need to meet.

HMA had to make some critical decisions:
  • Build vs. Buy
  • Invest in the future vs. the most immediate needs
  • Modernizing legacy systems, architecture and processes
  • Ensuring scalability, security and performance
The existing Member Portal was built on a 3rd party portal solution in which HMA had very little control over the user experience. As concierge services have been added, there was no elegant way of incorporating them into the information architecture, navigation or user flow.

Legacy systems, architecture and processes needed to be assessed and in some cases replaced. But doing this within the constraints of budget and timeframes, was something that needed to be carefully considered.

HMA made the bold decision to build and to invest in the future, and that’s where UpTop entered the picture.
challenge
HMA’s legacy Member Portal and Mobile App were reliant on 3rd-party solutions that limited their ability to control the customer experience. They had a relatively small IT organization that had not built a digital product from the ground up.
solution
We applied Design Thinking to create an intuitive Member Experience as well as streamlined employee experience for HMA’s operations, customer support and claims management.
outcomes
Modernized architecture and technical capabilities that position HMA for growth and changes in the Healthcare payer landscape. Extensible design system that provides HMA with a blueprint for creating future experiences.
“We had made the decision to build a portal for our members and an accompanying mobile app. We have a relatively small IT org and I knew we didn’t have the number or right mix of skills to execute on that project successfully. I had the benefit of working with UpTop previously and I felt confident that you would be able to help us fill that skill and expertise void.”
— Kimberley Bryant, COO, HMA

Leveraging Expertise

UpTop was initially brought in to envision and design the new Member Portal and throughout the UX design process we worked closely with the Business and IT stakeholders to align on the vision for the product. This was the first time HMA would build a digital product from the ground up, so the design process was new to many on their team. To gain alignment on the product vision and build confidence among the project leadership team, we leveraged working sessions, prototypes and insights from lean user research.

As with any digital project, designing the experience with the user needs, business objectives and technical constraints in mind are the charter for the UX team. Bringing our outside-in perspective allowed for the HMA project team to have vigorous discussions about the product vision and design, and to prioritize requirements and features for their product roadmap.

During the UX design phase, HMA shared that they needed to add technical leadership and skills to the project team to meet their objectives, so we expanded our team to provide leadership and execution of technical architecture, backend development, frontend development, mobile app development, and DevOps.
“I had a high degree of confidence that you would be able to help our team be successful based on my prior experience working with UpTop – I knew what I was going to get, as well, as we talked about the project, it was clear to me that the specific resources that you were able to bring to the table, you and your team would have a level of expertise that would help us both in terms of getting work done and leadership, to help move the project forward and anticipating the challenges along the way.”
— Kimberley Bryant, COO, HMA
We worked along-side HMA’s team to architect and build the backend systems and services, web applications, iOS and Android mobile apps, and stand up the cloud infrastructure-as-a-service that are the foundation of HMA’s new Member Portal and Mobile Apps.

Outcomes

HMA invested the time to understand their Members and build an experience that makes managing their health easier by providing the right information, at the right time and in the right context.

In addition to the Member facing experience, the platform integrates backend systems and services to streamline operations, customer support and claims management.
“At HMA, we have a value to win together. UpTop exemplified that value, constantly and consistently looking for ways that they could help our team and project deliverable be better.”
— Lindsay Harris, President, HMA

Areas of Focus

  • Human Centered Design that eliminates frustration by providing members information relevant to their care journey
  • Designed intuitive layout and navigation to provide Members with information
  • Created self-service experiences on the web portal and in the mobile app to empower Members and reduce reliance on customer support
  • Built state of the art messaging center to enable HMA to resolve Member issues with fewer interactions
  • Streamlined workflow for operations, customer support, claims management by integrating backend systems into a single data flow

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