Enhancing Member Access for Sharp Health Plan
Delivering a personalized, EHR-integrated mobile application and web portal that unifies health plan resources, claims tracking, and Epic MyChart capabilities.
1st
Payer-Epic collaboration of its kind to integrate MyChart data tiles and SDKs
100%
Unified member experience across both mobile apps and web portal
1
Single login destination for health plan details, medical records, and digital ID cards
THE CHALLENGE
Overcoming Out-of-the-Box Payer Portal Limitations
Sharp Health Plan wanted to improve how members accessed their insurance information. While Epic’s suite of apps offered robust clinical features, its out-of-the-box payer capabilities did not meet Sharp Health Plan’s needs.
Sharp identified an opportunity to create a custom mobile app and portal that would integrate with Epic and deliver essential plan functions while also offering a more personalized consumer experience. The initiative aimed to provide a high-quality mobile app and portal to support care management while offering a tailored experience that fosters member engagement.
Tailored mobile app and portal providing a unified login for plan benefits, digital ID cards, and clinical records.
OUR APPROACH
Strategic Alignment Meets Pioneering Epic Payer Integration
Modea partnered closely with Sharp Health Plan and Epic to bridge clinical data with custom consumer-facing health plan functionality.
Uncovering Member Needs Through Data-Driven UX Research
Modea’s product strategy and design teams conducted in-depth UX research analyzing Sharp Health Plan’s customer care data, user interviews, and existing personas. To inform design decisions, Modea performed a competitive evaluation of leading payer experiences to establish usability benchmarks. The team refined target audience personas and mapped user flows to clarify feature opportunities prior to technical development.
Integrating Epic EHR Architecture for a Unified Mobile and Portal Experience
Working directly in partnership with Epic, Modea helped define which features would leverage Epic’s standard frameworks and which required custom engineering. Modea integrated Epic data tiles and Software Development Kits (SDKs) to embed clinical and health plan features into custom interfaces. The build ensured full compliance with California’s strict insurance and privacy regulations while creating a shared, responsive experience across mobile and web.
- Epic Data Tiles & SDK Integration: Embedded live Epic data directly into proprietary mobile and web interfaces.
Expertise & Capabilities Doc - Unified Single Sign-On (SSO): Allowed members to log in once to view health records, claims, and coverage details.
- Advanced Provider Search: Built robust directory filtering across Sharp Health Plan’s provider network.
Expertise & Capabilities Doc - Digital ID Cards & Claims Tracking: Streamlined access to high-frequency member plan tools.
Expertise & Capabilities Doc - State Regulatory Compliance: Engineered strict data privacy controls adhering to California healthcare regulations.
User-centric mobile interface engineered to give members clear visibility into deductibles, provider search, and prescription management.
THE RESULTS
Measurable Impact on Member Access and Payer Innovation
Successfully launched, the platform delivered a groundbreaking, compliant digital experience that unifies payer and clinical functions for all Sharp Health Plan members. By bringing essential health plan tools and care resources into one connected experience, the platform made it easier for members to access information, manage their benefits, and engage with their care.
Pioneering Industry Collaboration
Delivered one of the first payer collaborations with Epic, establishing a new model for custom health plan mobile products.
Unified Cross-Platform Access
Created a seamless, responsive experience across iOS, Android, and web portal touchpoints.
Streamlined Member Self-Service
Simplified member management of digital ID cards, claims tracking, wellness tools, and secure provider messaging.
Achieved Accessibility Compliance
Designed and tested the entire application ecosystem to meet strict WCAG AA standards.
TECHNOLOGY STACK
Driven by High-Performing Digital Infrastructure
FAQs
How can Epic integrate with a health plan mobile app?
Epic data tiles and SDKs allow health plans to integrate member information, claims data, provider search, messaging, and other healthcare services into custom digital experiences while maintaining secure access to underlying Epic systems.
What are the benefits of a unified member portal and mobile app?
A unified experience allows members to access plan information, medical records, communication tools, and care management resources through a consistent interface across devices. This reduces friction and improves engagement.
How can health plans improve member engagement through digital experiences?
Health plans can improve engagement by simplifying navigation, personalizing experiences, and making essential information easier to access. Features such as provider search, digital ID cards, claims tracking, and secure messaging help members manage their healthcare more effectively.
Why is digital product strategy important for health plans?
Digital product strategy helps health plans align member needs, business goals, technology constraints, and regulatory requirements before development begins. This creates a stronger foundation for long-term adoption, member satisfaction, and digital engagement.