New product design · HealthTap, 2021

Virtual primary care

  • Shipped
  • 1-month research, 6-month design + eng (07.2020 – 01.2021)
  • Product designer
  • 2 PM, 6 front-end engineers, 1 back-end engineer
  • Web, iOS, and Android
Virtual primary care on phone and desktop
Background
HealthTap provided 24/7 virtual urgent care to consumers and partner employees.
Problem
Subscribers often cancelled after their first visit because urgent care solved an occasional need, not an ongoing one.
Approach
Research asked what would make users come back to virtual care. The answer was a primary care service based on an ongoing doctor–patient relationship. An A/B test compared it with an experience offering any available doctor.
Outcome
The MVP launched in January 2021 and officially launched in March. Over the following six months, subscription retention, total revenue and NPS increased.
2×Higher subscription retention
3×Higher total revenue
+12%Higher NPS

Problem

Subscribers rarely needed urgent care

HealthTap’s 24/7 virtual urgent care gave subscribers fast access to a doctor. But they rarely needed urgent care, so many cancelled after their first visit.

An ongoing primary care relationship could make the subscription worth keeping.

The existing urgent care video visit experience

User research

Users valued an ongoing relationship with one doctor

Interviews with prospective users asked what they valued in primary care. The answers showed three themes: access, doctor quality, and an ongoing relationship.

Fast, affordable access

Users wanted care without insurance or high costs, and the ability to see a doctor within two days.

A doctor they trusted

Nearly half of participants checked ratings and reviews before choosing a doctor.

An ongoing relationship

7 of 10 interviewees had seen the same primary care doctor more than twice in the past year. They trusted the doctor and felt comfortable with them.

The third finding changed the direction of the project: the product needed to give people a reason to keep seeing the same doctor.

“From the very first visit, I knew I had found the right doctor. She listened, remembered my history, and actually cared. In the last year I’ve had three visits with the same doctor. The ongoing relationship I’ve built with her has made me feel truly supported.”

Sarah M., HealthTap member

Design strategy

A design based on an ongoing relationship

The design changed from one-time visits to a primary care model in which a patient keeps seeing the same personal doctor.

The MVP focused on four experiences that supported that relationship: a personalised home, appointment booking, a personal doctor, and ongoing messaging.

Customer journey map across research, seek care, book a visit, pre visit, visit and post visit, with goals, pain points and opportunities at each stage
Feature backlog scoring every item by user story, phase, customer value, product priority rank, platform, dev cost and UX ETA
Roadmap prioritisation with PM, leadership, and engineering.

MVP design

Designed to choose a doctor and come back

The core flow was designed around one question: what helps a user choose a personal doctor and come back?

Discover primary care

Paid care services were placed higher in the information structure, and upcoming appointments appeared on the home screen. Features that did not support the new model, such as the Symptom Checker, were removed.

The previous home screen, led by a tasks banner and symptom-checker tiles, beside the new one led by Talk to a Doctor with a named doctor, next available appointment and price

Choose a personal doctor

Users said ratings and reviews mattered. A browsable doctor list was tested against full doctor profiles. The list performed better: users could compare doctors by photo, rating, and availability in fewer steps.

The available doctor list, each row carrying a photo, speciality, rating, review count, next available appointment and a Book button, beside the full doctor profile with visit reviews

Schedule before intake

Scheduling and payment were placed before the five-step intake form, so users could book and pay before filling out the long form.

The booking flow in five numbered steps — access primary care from the home page, select a doctor, choose a date and time, check out with the membership and visit fee, then start the intake process
Scheduling with a new doctor in five numbered steps — tap the more icon on the current doctor, choose Change your Doctor, select a new primary care doctor, choose a date and time, then start the intake process

Return to the doctor

Upcoming appointments were added to the logged-in home screen, and SMS and email reminders told users when to return for their visit.

Joining a video visit in five numbered steps — receive an SMS appointment reminder, preview and test video and sound, join and wait for the doctor, talk to the doctor, then rate the visit

Hypothesis validation

A/B test: a personal doctor or any available doctor

Rather than assume users wanted a personal doctor, the team tested two versions. Version A first showed the patient’s personal doctor. Version B offered any available doctor.

The results supported the relationship hypothesis.

A/B test: version A leads the home screen with the assigned doctor and goes straight to their schedule; version B offers generic Primary Care and sends patients to a list of any available doctor
Version A, personal doctor, against Version B, any available doctor.

Higher visit ratings

Version A received higher ratings than Version B.

More messages between visits

Patients and doctors exchanged more messages in Version A.

Version A kept patients with the same doctor

Version B led patients to any available doctor instead.

Impact

The relationship model improved retention

The MVP launched in January 2021, followed by the official launch in March. Compared with the previous period, the next six months showed:

2×Higher subscription retention
3×Higher total revenue
+12%Higher NPS

“It’s not a random app doctor — I always see the same doctor who listens and understands my conditions. It’s worth much more than $15 a month.”

Shirley T., HealthTap member

“Best doc I’ve ever had. Love her. She is so kind, compassionate and loving! I want to see her all the time! So proud she’s my doc! Also I feel like she’s my friend! We love you and thank you from the bottom of our heart!”

Rhonda M., HealthTap member

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