Retooling Find Local Help using human-centered design

Agency

Centers for Medicare & Medicaid Services (CMS)

When people hit the moment in the HealthCare.gov sign-up process where they need in-person help, they’re likely frustrated and at risk of abandoning the process altogether.

To help, Ad Hoc designers on the Centers for Medicare & Medicaid Services (CMS) Find Local Help team extensively researched user pain points and used human-centered design to create a tool that respects the stress users may experience and delivers the information they need as quickly and simply as possible.

The research

Find Local Help is a tool from CMS, which runs HealthCare.gov, that connects people to in-person, one-on-one help signing up for health insurance. Users can enter their location and get a list of local experts who can help them complete the process for free.

When we began work on the system, we discovered two primary constraints limiting users’ experience:

  • Slow search results restricting the tool’s design
  • A user interface designed for internal stakeholders

The system would ask users clarifying questions between the screen where they entered their location and the screen that showed the results. Our CMS stakeholders explained these additional questions were included to give the tool’s backend system time to complete and prepare the search results. When the search results page appeared, users received a “No Results” notification – instead of a loading indicator – while the system located people near them.

An animated screenshot that captures what the Find Local Help tool looked like before we redesigned it. There is a field where users can enter their ZIP code or city and state.
The original search tool was slow and wasn’t built to address users’ needs.

We knew it was important to shorten the time between asking for help and receiving it. After some investigation, our team found responses were taking anywhere between two and six seconds. The problem? The location search didn’t use an index when returning results for users (read a deep technical dive on how the team used query plans and R-Tree spatial indexes to reduce the average response time to 150 milliseconds).

Drastically shortening the search response time would expand the possibilities for how we could redesign the search flow to address the users’ needs and mirror the experience of consumer tools.

The redesign

We first removed the extra questions between entering a location and seeing results. We then gathered examples from prominent search tools like Yelp and Google to show our stakeholders industry standards.

In the original tool’s design, users received two separate lists of people who could help them: one for assisters and one for agents and brokers. Separating the search results into two separate lists makes sense for stakeholders, but for people who need one-on-one help, the priority is to get them one single list of everyone who can help.

We condensed the search results into a single page that includes clear explanations of the differences between available experts, understandable labels, and simple filters to let users see the list that’s right for them. This makes the Find Local Help tool comparable to consumer search tools and ensures the design respects the circumstances users are in when they visit the site.

An animated screenshot that shows what the Find Local Help tool looks like after Ad Hoc redesigned it. There is a field where users can enter their ZIP code or city and state. There is also a Use your current location button users can click instead. A background image shows two people working together on documents.
The redesigned search tool produced faster, more understandable results built for users.

The outcome

While these changes weren’t especially complex, they made a real difference in the experience for Find Local Help users by:

  • Prioritizing users in the research process
  • Using a human-centered design approach
  • Deploying technical updates to speed up the search

Ad Hoc was able to help CMS better serve their users and strengthen this critical step in the process of getting health insurance.

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