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Component 08

Navigation & Employee Experience

Can employees actually figure out how to use the health plan?

Clear definition

Navigation and employee experience give members practical support to find high-quality care, understand benefits and resolve administrative friction during stressful healthcare decisions.

What to measure

Evidence before assumptions.

  • Navigation utilization
  • Member satisfaction
  • Resolution time
  • Avoided billing friction

Common mistakes

What weakens performance.

  • Expecting employees to become healthcare economists
  • Offering support that is difficult to find or use
  • Measuring engagement only at open enrollment

High-performance practices

Build a deliberate approach.

01

Provide advocacy, concierge and claim-support pathways

02

Make price, quality and provider information easier to act on

03

Design communication around real employee care moments

Book connection

Chapters 22–23: Making the plan usable

Chapters 22–23

The book connects navigation to the real decisions employees make when care becomes complicated.

Explore the book

Health Plan Score connection

Navigation & Employee Experience

Can employees find and use practical support for benefits, claims, provider choice and care decisions?

A lower score means the plan should map common employee friction points and simplify the route to help.

Take the Health Plan Score

Employer Benefits IQ resource

Navigation Program Evaluation

A printable Employer Benefits IQ worksheet for defining the decision, evidence, accountable owner and review cadence.

Download the component workbook

Author perspective

By Corry Hull, REBC, CSFS — Author, The High Performance Health Plan and Founder, Employer Benefits IQ.

Explore the Health Plan Score