SlideShare a Scribd company logo
1 of 1
Download to read offline
Helping employees better
understand their Health
Account Plan on
mypgebenefits.com
Rianna Baeza
Psychology Major
Cal Poly San Luis Obispo
Health and Safety Workforce
Communications Intern
Benefits – Human Resources
rrbu@pge.com
Insert
Picture
Here
*Required
Problem Statement: PG&E employees need help understanding the Health Account Plan
(HAP). Clear and easy to understand communication is necessary so they can easily learn the
details of their health plan and appreciate its luxuries. Any confusion may impact important health
care and benefits decisions.
1 Review information currently available about the HAP
mypgebenefits.com
2 Assess employee confusion about HAP by creating a metrics
dashboard
Use web ergonomics
guidelines to evaluate
the website
Consistency
Simplicity
Cognitive Overload
Cognitive Directness
Card Metrics
Anthem
13,938 active account holder cards
1,441 suspended account holder cards*
17,611 active holder and dependent cards
1,821 total cards suspended
YSA
Active Cards
70%
Suspended
Cards* 30%
Previous Anthem
card vendor
Kaiser
6,727 active cards
10,493 debit card transactions
3 suspended cards
Current Anthem card
vendor
WageWorks
Active Cards
89.7%
Suspended
Cards* 10.3%
PG&E Benefits Service Center
Top Call Subjects*
Ongoing Benefits
Administrative Items
Retirement/Termination
IVR/WEB
Life Events
0
1,000
2,000
3,000
4,000
5,000
6,000
Calls Received
May 2016
Average Calls
Received
Monthly
PG&E Benefits Call Center
16% were not
resolved in a
one and done
Calls
Received May
2016
Website Metrics
In May 2016
• 187 Online Chats Received
• 141 Emails Secured
• 175 Call Center Enrollments
• 6,439 Web Transactions
• 327 Web Enrollments
• 18 Mercer Escalations
• 43 PG&E Escalations
• 5/5 Successful Client QA Calls
from Call Calibration session
Website Mobile site
3 Process for updating website
0
5,000
10,000
15,000
20,000
25,000
30,000
35,000
40,000
Jan - June 2015 Jan - June 2016
Express Scripts Call Center
0
2,000
4,000
6,000
8,000
10,000
12,000
14,000
16,000
Claims
Processed
13,423
Calls to Service
Center 611
Kaiser Claims
0
10,000
20,000
30,000
40,000
50,000
60,000
70,000
80,000
Claims
Processed
67,602
Calls to
Service
Center 3,457
Anthem Claims
Identify changes to be
made and document them
in word
Upload documents
with edits and excel
sheet of details for
programmer to
update
Review test site with
edits from
programmer and
provide approval
Page goes live!
A
B
C
D
17.96%
Make suggestions
• Recode menu on iPad version
so all sections are visible
• Mobile app menu could be
easier to navigate if there were
more than one menu for all
pages
• Quicker access to Kaiser and
Anthem member pages on
home page
• Consistently top viewed pages
should replace existing boxes
on home page
• 15+ individual page content
edits
PG&E’s Health Account Plan
really supports my physical
and emotional wellness!
No copays!4 free primary care
doctors visits a
year!
PG&E gives my family and I up
to $2000 a year to spend on
health expenses!
Employees will understand and appreciate the HAP

More Related Content

What's hot

Explore new possibilities with paperless medical documentation
Explore new possibilities with paperless medical documentationExplore new possibilities with paperless medical documentation
Explore new possibilities with paperless medical documentationRonald Peterson
 
Moving Health Insurance into the Digital World
Moving Health Insurance into the Digital WorldMoving Health Insurance into the Digital World
Moving Health Insurance into the Digital WorldIIBA UK Chapter
 
SaaS LIMS- eData Platform
SaaS LIMS- eData PlatformSaaS LIMS- eData Platform
SaaS LIMS- eData PlatformeData Platform
 
The TELUS Way: An OpenSpan Customer's Journey for Optimizing the Call Center ...
The TELUS Way: An OpenSpan Customer's Journey for Optimizing the Call Center ...The TELUS Way: An OpenSpan Customer's Journey for Optimizing the Call Center ...
The TELUS Way: An OpenSpan Customer's Journey for Optimizing the Call Center ...Frank Wagman
 
Modernizing the credit approval process in 3 simple steps - Sip and Solve
Modernizing the credit approval process in 3 simple steps - Sip and SolveModernizing the credit approval process in 3 simple steps - Sip and Solve
Modernizing the credit approval process in 3 simple steps - Sip and SolveExperian
 
Patient Eligibility Estimation
Patient Eligibility EstimationPatient Eligibility Estimation
Patient Eligibility EstimationAustinmyres
 
Audit management solution
Audit management solutionAudit management solution
Audit management solutionRelevantz
 
Doctor4US Investor presentation
Doctor4US Investor presentationDoctor4US Investor presentation
Doctor4US Investor presentationRekha Jogi
 
Electronic medical records solution
Electronic medical records solutionElectronic medical records solution
Electronic medical records solutionRelevantz
 
Kanji Consulting_marketing material current
Kanji Consulting_marketing material currentKanji Consulting_marketing material current
Kanji Consulting_marketing material currentShamsha Kanji, P.Eng.
 
The Essential EMR Features Your Small Practice Needs
The Essential EMR Features Your Small Practice NeedsThe Essential EMR Features Your Small Practice Needs
The Essential EMR Features Your Small Practice NeedsSoftware Advice
 
Voice and chat enabled cognitive rpa bots to lift customer experience - nividous
Voice and chat enabled cognitive rpa bots to lift customer experience - nividousVoice and chat enabled cognitive rpa bots to lift customer experience - nividous
Voice and chat enabled cognitive rpa bots to lift customer experience - nividousSwapnil Kanage
 

What's hot (16)

Explore new possibilities with paperless medical documentation
Explore new possibilities with paperless medical documentationExplore new possibilities with paperless medical documentation
Explore new possibilities with paperless medical documentation
 
Aimed bp1
Aimed bp1Aimed bp1
Aimed bp1
 
Moving Health Insurance into the Digital World
Moving Health Insurance into the Digital WorldMoving Health Insurance into the Digital World
Moving Health Insurance into the Digital World
 
SaaS LIMS- eData Platform
SaaS LIMS- eData PlatformSaaS LIMS- eData Platform
SaaS LIMS- eData Platform
 
The TELUS Way: An OpenSpan Customer's Journey for Optimizing the Call Center ...
The TELUS Way: An OpenSpan Customer's Journey for Optimizing the Call Center ...The TELUS Way: An OpenSpan Customer's Journey for Optimizing the Call Center ...
The TELUS Way: An OpenSpan Customer's Journey for Optimizing the Call Center ...
 
Modernizing the credit approval process in 3 simple steps - Sip and Solve
Modernizing the credit approval process in 3 simple steps - Sip and SolveModernizing the credit approval process in 3 simple steps - Sip and Solve
Modernizing the credit approval process in 3 simple steps - Sip and Solve
 
Patient Eligibility Estimation
Patient Eligibility EstimationPatient Eligibility Estimation
Patient Eligibility Estimation
 
HealthCell
HealthCellHealthCell
HealthCell
 
Audit management solution
Audit management solutionAudit management solution
Audit management solution
 
Eprescription
EprescriptionEprescription
Eprescription
 
Doctor4US Investor presentation
Doctor4US Investor presentationDoctor4US Investor presentation
Doctor4US Investor presentation
 
Electronic medical records solution
Electronic medical records solutionElectronic medical records solution
Electronic medical records solution
 
Kanji Consulting_marketing material current
Kanji Consulting_marketing material currentKanji Consulting_marketing material current
Kanji Consulting_marketing material current
 
The Essential EMR Features Your Small Practice Needs
The Essential EMR Features Your Small Practice NeedsThe Essential EMR Features Your Small Practice Needs
The Essential EMR Features Your Small Practice Needs
 
Voice and chat enabled cognitive rpa bots to lift customer experience - nividous
Voice and chat enabled cognitive rpa bots to lift customer experience - nividousVoice and chat enabled cognitive rpa bots to lift customer experience - nividous
Voice and chat enabled cognitive rpa bots to lift customer experience - nividous
 
Hospital erp software
Hospital erp softwareHospital erp software
Hospital erp software
 

Similar to BaezaRianna_2016

Advanced process analysis project report
Advanced process analysis project reportAdvanced process analysis project report
Advanced process analysis project reportShruti Anil Narkhede
 
Benita C. Pennick's Resume Final
Benita C. Pennick's Resume Final Benita C. Pennick's Resume Final
Benita C. Pennick's Resume Final Benita Pennick
 
Gregory Shireman PM 12 05 2016
Gregory Shireman  PM 12 05 2016Gregory Shireman  PM 12 05 2016
Gregory Shireman PM 12 05 2016Greg Shireman
 
Top 10 Medical Billing KPIs That Show You Where You’re Losing Money
Top 10 Medical Billing KPIs That Show You Where You’re Losing MoneyTop 10 Medical Billing KPIs That Show You Where You’re Losing Money
Top 10 Medical Billing KPIs That Show You Where You’re Losing MoneyKareo
 
Acquire, grow and retain customers with IBM Big Data & Analytics - Client Exa...
Acquire, grow and retain customers with IBM Big Data & Analytics - Client Exa...Acquire, grow and retain customers with IBM Big Data & Analytics - Client Exa...
Acquire, grow and retain customers with IBM Big Data & Analytics - Client Exa...David Pittman
 
Acquire, grow and retain customers with IBM Big Data & Analytics - Client Exa...
Acquire, grow and retain customers with IBM Big Data & Analytics - Client Exa...Acquire, grow and retain customers with IBM Big Data & Analytics - Client Exa...
Acquire, grow and retain customers with IBM Big Data & Analytics - Client Exa...IBM Analytics
 
Sample - E-Futures healthcare-solutions 02
Sample - E-Futures healthcare-solutions 02Sample - E-Futures healthcare-solutions 02
Sample - E-Futures healthcare-solutions 02Nsid123456
 
Kevin Bunch Resume
Kevin Bunch ResumeKevin Bunch Resume
Kevin Bunch Resumekbunch08
 
How to strenghten revenue for asc practice ecare
How to strenghten revenue for asc practice   ecareHow to strenghten revenue for asc practice   ecare
How to strenghten revenue for asc practice ecareecare India
 
Final Week 8 Capstone presentation (1)
Final Week 8 Capstone presentation (1)Final Week 8 Capstone presentation (1)
Final Week 8 Capstone presentation (1)Joshua Roundtree
 
Strategic Application of IT for Performance Improvement in hospital industry_...
Strategic Application of IT for Performance Improvement in hospital industry_...Strategic Application of IT for Performance Improvement in hospital industry_...
Strategic Application of IT for Performance Improvement in hospital industry_...DrDevTaneja1
 
Digital assistants for hire - Emagia Gia Docs AI
Digital assistants for hire - Emagia Gia Docs AIDigital assistants for hire - Emagia Gia Docs AI
Digital assistants for hire - Emagia Gia Docs AIEmagia
 
Anthem presentation
Anthem presentationAnthem presentation
Anthem presentationJay Howell
 
Anthem Presentation
Anthem PresentationAnthem Presentation
Anthem PresentationJay Howell
 
DanaBrown_Resume
DanaBrown_ResumeDanaBrown_Resume
DanaBrown_ResumeDana Brown
 

Similar to BaezaRianna_2016 (20)

Advanced process analysis project report
Advanced process analysis project reportAdvanced process analysis project report
Advanced process analysis project report
 
Benita C. Pennick's Resume Final
Benita C. Pennick's Resume Final Benita C. Pennick's Resume Final
Benita C. Pennick's Resume Final
 
Gregory Shireman PM 12 05 2016
Gregory Shireman  PM 12 05 2016Gregory Shireman  PM 12 05 2016
Gregory Shireman PM 12 05 2016
 
Top 10 Medical Billing KPIs That Show You Where You’re Losing Money
Top 10 Medical Billing KPIs That Show You Where You’re Losing MoneyTop 10 Medical Billing KPIs That Show You Where You’re Losing Money
Top 10 Medical Billing KPIs That Show You Where You’re Losing Money
 
Acquire, grow and retain customers with IBM Big Data & Analytics - Client Exa...
Acquire, grow and retain customers with IBM Big Data & Analytics - Client Exa...Acquire, grow and retain customers with IBM Big Data & Analytics - Client Exa...
Acquire, grow and retain customers with IBM Big Data & Analytics - Client Exa...
 
Acquire, grow and retain customers with IBM Big Data & Analytics - Client Exa...
Acquire, grow and retain customers with IBM Big Data & Analytics - Client Exa...Acquire, grow and retain customers with IBM Big Data & Analytics - Client Exa...
Acquire, grow and retain customers with IBM Big Data & Analytics - Client Exa...
 
Patient Access department plan
Patient Access department planPatient Access department plan
Patient Access department plan
 
Pas Department Plan
Pas Department PlanPas Department Plan
Pas Department Plan
 
Sample - E-Futures healthcare-solutions 02
Sample - E-Futures healthcare-solutions 02Sample - E-Futures healthcare-solutions 02
Sample - E-Futures healthcare-solutions 02
 
Kevin Bunch Resume
Kevin Bunch ResumeKevin Bunch Resume
Kevin Bunch Resume
 
Close Loop Marketing "CLM"
Close Loop Marketing "CLM" Close Loop Marketing "CLM"
Close Loop Marketing "CLM"
 
How to strenghten revenue for asc practice ecare
How to strenghten revenue for asc practice   ecareHow to strenghten revenue for asc practice   ecare
How to strenghten revenue for asc practice ecare
 
Final Week 8 Capstone presentation (1)
Final Week 8 Capstone presentation (1)Final Week 8 Capstone presentation (1)
Final Week 8 Capstone presentation (1)
 
Strategic Application of IT for Performance Improvement in hospital industry_...
Strategic Application of IT for Performance Improvement in hospital industry_...Strategic Application of IT for Performance Improvement in hospital industry_...
Strategic Application of IT for Performance Improvement in hospital industry_...
 
David Wilkinson, MBA Resume
David Wilkinson, MBA ResumeDavid Wilkinson, MBA Resume
David Wilkinson, MBA Resume
 
Digital assistants for hire - Emagia Gia Docs AI
Digital assistants for hire - Emagia Gia Docs AIDigital assistants for hire - Emagia Gia Docs AI
Digital assistants for hire - Emagia Gia Docs AI
 
Anthem presentation
Anthem presentationAnthem presentation
Anthem presentation
 
Anthem Presentation
Anthem PresentationAnthem Presentation
Anthem Presentation
 
DanaBrown_Resume
DanaBrown_ResumeDanaBrown_Resume
DanaBrown_Resume
 
Ravichandra_Nagendla
Ravichandra_NagendlaRavichandra_Nagendla
Ravichandra_Nagendla
 

BaezaRianna_2016

  • 1. Helping employees better understand their Health Account Plan on mypgebenefits.com Rianna Baeza Psychology Major Cal Poly San Luis Obispo Health and Safety Workforce Communications Intern Benefits – Human Resources rrbu@pge.com Insert Picture Here *Required Problem Statement: PG&E employees need help understanding the Health Account Plan (HAP). Clear and easy to understand communication is necessary so they can easily learn the details of their health plan and appreciate its luxuries. Any confusion may impact important health care and benefits decisions. 1 Review information currently available about the HAP mypgebenefits.com 2 Assess employee confusion about HAP by creating a metrics dashboard Use web ergonomics guidelines to evaluate the website Consistency Simplicity Cognitive Overload Cognitive Directness Card Metrics Anthem 13,938 active account holder cards 1,441 suspended account holder cards* 17,611 active holder and dependent cards 1,821 total cards suspended YSA Active Cards 70% Suspended Cards* 30% Previous Anthem card vendor Kaiser 6,727 active cards 10,493 debit card transactions 3 suspended cards Current Anthem card vendor WageWorks Active Cards 89.7% Suspended Cards* 10.3% PG&E Benefits Service Center Top Call Subjects* Ongoing Benefits Administrative Items Retirement/Termination IVR/WEB Life Events 0 1,000 2,000 3,000 4,000 5,000 6,000 Calls Received May 2016 Average Calls Received Monthly PG&E Benefits Call Center 16% were not resolved in a one and done Calls Received May 2016 Website Metrics In May 2016 • 187 Online Chats Received • 141 Emails Secured • 175 Call Center Enrollments • 6,439 Web Transactions • 327 Web Enrollments • 18 Mercer Escalations • 43 PG&E Escalations • 5/5 Successful Client QA Calls from Call Calibration session Website Mobile site 3 Process for updating website 0 5,000 10,000 15,000 20,000 25,000 30,000 35,000 40,000 Jan - June 2015 Jan - June 2016 Express Scripts Call Center 0 2,000 4,000 6,000 8,000 10,000 12,000 14,000 16,000 Claims Processed 13,423 Calls to Service Center 611 Kaiser Claims 0 10,000 20,000 30,000 40,000 50,000 60,000 70,000 80,000 Claims Processed 67,602 Calls to Service Center 3,457 Anthem Claims Identify changes to be made and document them in word Upload documents with edits and excel sheet of details for programmer to update Review test site with edits from programmer and provide approval Page goes live! A B C D 17.96% Make suggestions • Recode menu on iPad version so all sections are visible • Mobile app menu could be easier to navigate if there were more than one menu for all pages • Quicker access to Kaiser and Anthem member pages on home page • Consistently top viewed pages should replace existing boxes on home page • 15+ individual page content edits PG&E’s Health Account Plan really supports my physical and emotional wellness! No copays!4 free primary care doctors visits a year! PG&E gives my family and I up to $2000 a year to spend on health expenses! Employees will understand and appreciate the HAP