CASE STUDY

Firefly Health | 2018-2025

Transforming Healthcare: From 5-Person Startup to Enterprise Health Plan

As the founding designer and Head of Product Design at Firefly Health, I spent six years translating an ambitious mission into real user experiences.

The result? Healthcare that members love while delivering better clinical outcomes at lower costs than traditional models.

“Firefly Health has re-designed healthcare and health plans the way they should have always been.”

⭐️ ⭐️ ⭐️ ⭐️ ⭐️
Anonymous, App Store review

Super easy to get set up and was talking to a real care provider (vs a bot) right away.”

⭐️ ⭐️ ⭐️ ⭐️ ⭐️
Anonymous, App Store review

The app is super easy to use and it's extremely convenient to stay in the comfort of your own home.”

⭐️ ⭐️ ⭐️ ⭐️ ⭐️
Ryan M, Google Business review

“Wow! I am so impressed with the ease of this app… What a game changer”

⭐️ ⭐️ ⭐️ ⭐️ ⭐️
Suzi F, Google Play Store review

The app works flawlessly... Much better experience than at any PCP office I’ve been to.”

⭐️ ⭐️ ⭐️ ⭐️ ⭐️
Pranav K, Google Business review

“Their telehealth platform offers a seamless and user-friendly experience.”

⭐️ ⭐️ ⭐️ ⭐️ ⭐️
Gina H, Google Business review

The challenge

Simply put, the U.S. healthcare system was built for 20th century problems - communicable diseases and acute care - not today's chronic conditions driven by lifestyle and behavioral choices. This mismatch drives both costs and poor outcomes.

The market problem

Despite massive investment in digital health solutions over the past decade, healthcare costs continued skyrocketing—deductibles +92%, premiums +54%

The system failure

Healthcare evolved from simple "phone your doctor" to egregious complexity built on the insurance claim

The engagement crisis

Unengaged patients are 3x more likely to have unmet needs, and 2x more likely to defer care, driving costs even further

Working in a fast-moving startup meant wearing many hats - one day I'd be conducting user research, the next building fundraising presentations, then back to designing complex clinical workflows. The constant context-switching taught me to think strategically about where design could have the biggest impact.

My Approach

  • I focused on translating Firefly's ambitious vision - "half-priced healthcare that's twice as good, clinically and emotionally" - into tangible user experiences that members could understand and providers could deliver.

  • I established user research practices from scratch, conducting extensive interviews with patients and providers, facilitating service mapping workshops, and using Jobs-to-be-Done methodology to identify the experiences that would drive both engagement and health outcomes.

  • Every design decision had to align with our immediate product roadmap while building flexibility for future pivots and learnings. I created design systems and user flows that could evolve across our core capabilities, ensuring we could ship quickly in the near term while maintaining coherence as we discovered what members and the market truly needed.

  • As the sole designer initially, I was responsible for translating strategy into every screen, prototype, and user flow, but the best solutions emerged through close collaboration with clinical and engineering teams. This meant balancing rapid iteration with the precision required for healthcare applications, while ensuring designs were both technically feasible and clinically sound.

Firefly Health | 2018-2020

Act I: Building the Foundation

Context: Five-person startup with a vision but no product

Strategic decisions: Mobile-first member experience + web-based provider CRM approach

Contributions:

  • Launched mobile app on iOS and Android with core member experiences

  • Designed all user touchpoints including onboarding experience, virtual visit scheduling and management, and continuous chat with care teams

  • Created provider CRM enabling longitudinal care while integrating with existing EMR system

Results: Successful MVP launch, initial member base, Series A funding

Firefly Health | 2020-2023

Act II: Growth & Iteration

Context: Post-launch scaling challenges, COVID disruption, competitive pressure

Strategic response: Ruthless prioritization focused on engagement and differentiation

Contributions:

  • App rebrand to stand out in crowded market

  • Self-service features reducing operational costs while improving UX

  • Revamp signup and onboarding process to increase first-appointment booking rate by 15%

Results: Strong member growth, 81 NPS, partnerships with BCBS and J.P. Morgan

Firefly Health | 2022-2025

Act III: The Health Plan Transformation

Context: Strategic pivot to "virtual-first health plan", becoming a comprehensive alternative to traditional insurance

Strategic response: Massive product expansion while maintaining care experience quality

Contributions:

  • Comprehensive service mapping for health plan integration requirements

  • App re-architecture supporting Care Members, Coverage+Care Members, and Coverage-Only

  • Digital health plan features: ID cards, claims management, provider search, care passes

  • NPS tracking program with monthly company-wide reporting

The Results:

  • Successfully completed health plan transformation while maintaining industry-leading satisfaction

  • Built scalable member experiences across three distinct coverage models

  • Expanded partnership with BCBSMA. New partnerships with IDEXX and Westinghouse

Systematic workflow mapping enabled our transformation to an enterprise health plan

Proving the model

  • 79 NPS (rare in healthcare), 4.90/5 satisfaction scores, 15+ clinically-significant touchpoints per member per year

  • 50% better outcomes than population benchmarks - 80% diabetes control vs 48% industry standard, 85% hypertension control vs 46% industry standard

  • 20% employer savings on healthcare costs, ~18% TME reduction for members, enterprise contracts with major clients including BCBSMA, J.P. Morgan, and Westinghouse

  • Built user experiences that successfully transitioned from startup MVP to enterprise-grade platform serving thousands of members across multiple business models while maintaining industry-leading satisfaction scores

79

Net Promoter Score

50%

better clinical outcomes

20%

cost savings (and counting)

Insights from the journey

Healthcare requires deep empathy

Every design decision affects real people's health and wellbeing, which means going beyond usability to understand the emotional weight of healthcare experiences.

Understanding creates opportunities

Understanding business constraints and user needs creates opportunities to solve problems that seemed impossible - enabling "previously inconceivable care stories" while delivering measurable health outcomes and cost savings.

Collaboration drives innovation

The best healthcare solutions emerge when designers, clinicians, engineers, and other stakeholders work as true partners, with each discipline challenging and strengthening the others' thinking throughout the process.

Complexity as a competitive advantage

The more complex the problem space, the more design thinking can create meaningful differentiation - turning healthcare's overwhelming complexity into intuitive experiences that competitors struggle to replicate.

4.1

App Store

4.5

Google Business

3.5

Google Play

Let’s Build Something Great

Whether you need strategic UX consulting or hands-on design work, I'd love to hear about your project and explore how I can help.