Designing explainable health scoring systems in regulated financial decisions

HealthTech · FinTech

Data Visualization

Role

Lead UX Designer

Team

UX Design
Engineering

Timeline

6 months

Focus

Trust & Clarity

Overview

A system redesign, not a UI refresh

I led the end-to-end redesign of HealthGrade, a regulated health scoring system used in insurance decisions.
Users could see their score, but could not understand or verify how it was calculated — creating a critical trust gap.
I redesigned the system to make scoring transparent and explainable, improving comprehension, verification, and completion rates.

Impact

3 years in this company

Increased User base
by 10,000 X

6 months in this project:

0

%

Monthly Active Users (MAU)

0

x

HealthGrade-related support inquiries

0

%

Dropout rate during HealthGrade calculation

Problem

Users could not verify or explain their HealthGrade scores — a critical risk for a system used in insurance and financial decision-making.

Opportunity

Redesign HealthGrade into a transparent and explainable system that helps users understand how their health data affects financial outcomes.

Solution

01

Make HealthGrades understandable at a glance

Redesigned the grade interface so users could understand their score instantly.

02

Make scoring logic transparent and verifiable

Made score calculations transparent so users could see what affected their grade and why.

03

Reduce uncertainty during grade calculation

Redesigned the calculation flow to reduce uncertainty and prevent drop-off.

Journey to find an answer

Design Process

Collaboration across teams

with Designers

with Designers

Co-designed flows, refined components, and enforced cross-screen consistency.

with Developers

with Developers

Synced weekly to validate scoring logic, data flow, and feasibility trade-offs.

with Legal & Security

with Legal & Security

Reviewed UX writing and visuals for privacy, compliance, and insurance regulations.

with Insurers

with Insurers

Collected feedback and resolved usability and regulation issues to align product goals.

HMW question

How might we help users understand and trust their HealthGrade without compromising its credibility as a financial signal?

Research & Problem

Through UI diagnostic testing with 30 participants..

Through UI diagnostic testing with 30 participants..

I found that users dropped off due to complex terms, unclear scores, and slow processing.

1. Complex terms 

'Medical terms are too complex. I can't understand my health status.'

2. Unclear scores

'I don't understand how this score was calculated. Can I really trust it?'

3. Slow processing   

'Why does grade calculation take so long? I left the app while waiting.'

Design Priorities

These findings led me to focus on three design priorities:

  1. Make health scores understandable at a glance
  1. Make scoring logic transparent and verifiable
  1. Reduce anxiety during the calculation process

Given engineering constraints, we phased the redesign and prioritized the features that most directly improved comprehension and completion rates.

UX Strategy

1. Making Health Grades Clear

Hypothesis

Strategy

Medical jargon and unclear scoring methods → Eroded trust in HealthGrades

Simplify medical terms and visualize score calculations → Enhance transparency and user understanding

2. Transparent HealthGrade System

Hypothesis

Strategy

Users couldn’t understand how their HealthGrade was calculated, leading to mistrust and disengagement.

Build a clear, visual breakdown of HealthGrade calculations to enhance transparency and trust.

3. Pleasant HealthGrade Calculation

Hypothesis

Strategy

The progress bar and lack of engaging feedback during grade calculation caused user drop off.

Introduce animations and interactive content to create a pleasant and engaging calculation experience.

Design Accessibility

Accessibility as a system constraint

Accessibility was treated as a core system constraint — not a post-design checklist — given the financial and medical implications of misinterpretation

Takeaway

Designing for regulated products means balancing clarity, risk, and timing.

During this project, we had to carefully decide what information could be shown, how it should be explained, and when it was safe to release it.

This required balancing user trust, legal constraints, and development timelines — and taught me to design systems that can evolve through phased releases rather than trying to solve everything at once.

Next Project

Role

Lead UX Designer

Team

UX Design
Engineering

Focus

Trust & Clarity

Timeline

6 Months

Overview

A system redesign, not a UI refresh

A system redesign, not a UI refresh

I led the end-to-end redesign of HealthGrade, a regulated health scoring system used in insurance decisions.
Users could see their score, but could not understand or verify how it was calculated — creating a critical trust gap.
I redesigned the system to make scoring transparent and explainable, improving comprehension, verification, and completion rates.

Problem

Users could not verify or explain their HealthGrade scores — a critical risk for a system used in insurance and financial decision-making.

Opportunity

Redesign HealthGrade into a transparent and explainable system that helps users understand how their health data affects financial outcomes.

Solution

Impact

3 years in this company

Increased User base
by 10,000 X

6 months in this project:

0

%

Monthly Active Users (MAU)

0

x

HealthGrade-related support inquiries

0

%

Dropout rate during HealthGrade calculation

01
Make HealthGrades understandable at a glance

Redesigned the grade interface so users could understand their score instantly.

02
Make scoring logic transparent and verifiable

Made score calculations transparent so users could see what affected their grade and why.

03
Reduce uncertainty during grade calculation

Redesigned the calculation flow to reduce uncertainty and prevent drop-off.

Journey to find an answer

Let's Collaborate

Let's talk about a project,
collaboration or an idea you may have

Research & Problem

Through UI diagnostic testing with 30 participants..

I found that users dropped off due to complex terms, unclear scores, and slow processing.

1. Complex terms 

'Medical terms are too complex. I can't understand my health status.'

2. Unclear scores

'I don't understand how this score was calculated. Can I really trust it?'

3. Slow processing   

'Why does grade calculation take so long? I left the app while waiting.'

UX Strategy

1. Making Health Grades Clear

Hypothesis

Strategy

Medical jargon and unclear scoring methods → Eroded trust in HealthGrades

Simplify medical terms and visualize score calculations → Enhance transparency and user understanding

2. Transparent HealthGrade System

Hypothesis

Strategy

Users couldn’t understand how their HealthGrade was calculated, leading to mistrust and disengagement.

Build a clear, visual breakdown of HealthGrade calculations to enhance transparency and trust.

3. Pleasant HealthGrade Calculation

Hypothesis

Strategy

The progress bar and lack of engaging feedback during grade calculation caused user drop off.

Introduce animations and interactive content to create a pleasant and engaging calculation experience.

Let's Collaborate

Let's talk about a project,
collaboration or an idea you may have

Design Process

A system redesign, not a UI refresh

Collaboration across teams

with Designers

Co-designed flows, refined components, and balanced visual consistency across screens.

with Developers

Synced weekly to verify logic, data flow, and prototype feasibility.

with Legal & Security

Checked UX writing and visuals for compliance with privacy and insurance regulations.

with Insurers

Collected feedback and resolved usability and regulation issues to align product goals.

HMW question

How might we help users understand and trust their HealthGrade without compromising its credibility as a financial signal?

Design Accessibility

Accessibility as a system constraint

Accessibility was treated as a core system constraint — not a post-design checklist — given the financial and medical implications of misinterpretation

Design Priorities

These findings led me to focus on three design priorities:

Given engineering constraints, we phased the redesign and prioritized the features that most directly improved comprehension and completion rates.

  1. Make health scores understandable at a glance
  1. Make calculation logic transparent and verifiable
  1. Reduce anxiety during the calculation process

Takeaway

Designing for regulated products means balancing clarity, risk, and timing.

During this project, we had to carefully decide what information could be shown, how it should be explained, and when it was safe to release it.

This required balancing user trust, legal constraints, and development timelines — and taught me to design systems that can evolve through phased releases rather than trying to solve everything at once.