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Elevance Health

GLP-1 End-to-End Experience Design

Transformed GLP-1 coverage from a binary insurance decision into a personalized metabolic health journey with AI coaching and clinical supervision.

$4BGLP-1 market addressed
25+members, providers, and employers in research
4%enrollment target among clinically eligible members in pilot
My role
Guide & Relationship Lead
Timeline
Nov 2025 – Jan 2026
Status
Pilot targeting Q1 2026
People
  • IDEO team across research, product strategy, and service design
  • Elevance Health pharmacy, clinical, and commercial teams

The challenge

GLP-1s created an impossible bind for insurers: enormous member demand, unsustainable costs, and a coverage experience reduced to a binary yes/no. Elevance asked how a differentiated offering could go beyond prescription access to deliver wraparound care and sustainable outcomes.

My role

Guide and relationship lead, within the multi-sprint Elevance Growth Studio program I originated.

The work

Research with 25+ members, providers, and employers informed four core concepts: ReadyCheck (eligibility forecasting), GLP-1 First Plan (transparent coverage), Metaboflow AI (a clinician-supervised companion), and Forward Path (denial navigation). Together they reframe GLP-1 coverage as a personalized metabolic health journey with AI coaching under clinical supervision.

The impact

Elevance committed to a GLP-1 pilot in Q1 2026, targeting 4% enrollment of clinically eligible members — and a differentiated employer value proposition in a $4B market.