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Development of a User-Friendly Digital Platform for Senior Healthcare Plan Selection
  1. case
  2. Development of a User-Friendly Digital Platform for Senior Healthcare Plan Selection

Development of a User-Friendly Digital Platform for Senior Healthcare Plan Selection

e-point.com
Medical
Insurance
Financial services

Challenges Faced by Seniors in Navigating Complex Healthcare Plans

Senior users encounter significant difficulties when selecting appropriate health insurance plans due to complex, jargon-heavy information and the need for expert consultation, leading to increased time, stress, and potential suboptimal choices.

About the Client

A mid-sized healthcare technology firm focused on simplifying health insurance options for seniors through innovative digital solutions.

Goals for Streamlining Senior Healthcare Insurance Selection

  • Create an intuitive, user-friendly digital interface that simplifies healthcare plan research and comparison for seniors.
  • Integrate with existing government healthcare databases to enable automatic import of personal medical information.
  • Implement AI-powered personalized plan recommendations based on user-entered data.
  • Develop tools to clearly explain insurance options in simple language to enhance user understanding.
  • Facilitate online purchase of selected insurance plans directly through the platform.
  • Achieve faster, less stressful, and more effective health insurance decision-making for senior users.

Core Functional Capabilities for the Senior Healthcare Plan Platform

  • User account registration and profile management with secure login.
  • Data import module from government health databases (e.g., Medicare.gov) to autofill medical and prescription information.
  • AI-based personal shopper to generate customized insurance plan recommendations based on user profiles and preferences.
  • Plan comparison tool allowing filtering, side-by-side view, and detailed plan component analysis.
  • Educational interface (Medicare coach) offering plain-language explanations of plan options and terms.
  • Secure online payment gateway enabling plan purchase within the platform.
  • Integration with third-party insurance providers for real-time plan enrollment and transactions.

Technology Stack and Architectural Preferences

Frontend: React or Angular for responsive, accessible UI
Backend: Java Spring Boot or equivalent robust backend framework
AI/ML: Integration of AI algorithms for personalized recommendations
APIs: RESTful APIs for integration with government databases and third-party insurers

Essential External System Integrations

  • Government healthcare database API for automatic data import
  • Third-party API providers to facilitate plan purchase and enrollment
  • Secure payment processing systems

Performance, Security, and Scalability Standards

  • High system availability with 99.9% uptime
  • Data security compliance with HIPAA and other relevant standards
  • Response time under 2 seconds for major user interactions
  • Scalability to support increasing user base of seniors accessing the platform

Anticipated Business Impact and Benefits

The platform is expected to streamline senior users' ability to research, understand, and purchase health insurance plans, reducing decision time by over 50%, decreasing reliance on agents, and increasing user satisfaction and trust. It aims to improve insurance plan selection accuracy and reduce the overall stress and complexity experienced by seniors in choosing healthcare coverage.

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