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Company focus

GoHealth

Why has GoHealth's Medicare Advantage plan enrollment rate dropped by 15% in the last quarter?

Prepared by NextSprints

15 mins
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Data Analysis Problem-Solving Strategic Thinking Healthcare Insurance Digital Health User Experience Root Cause Analysis Competitive Analysis Healthcare Enrollment Optimization
Product Management Root Cause Analysis Question: Investigating GoHealth's Medicare Advantage enrollment rate decline

Introduction

The recent 15% drop in GoHealth's Medicare Advantage plan enrollment rate is a significant concern that requires immediate attention and a thorough root cause analysis. As we delve into this issue, we'll systematically examine various factors that could be contributing to this decline, considering both internal and external influences on our enrollment process.

Framework overview

This analysis follows a structured approach covering issue identification, hypothesis generation, validation, and solution development.

Step 1

Clarifying Questions (3 minutes)

  • Looking at the timing, I'm thinking there might be seasonal factors at play. Has this 15% drop been compared to the same quarter last year?

Why it matters: Seasonal trends can significantly impact enrollment rates. Expected answer: Yes, this is a year-over-year comparison. Impact on approach: If it's not seasonal, we'll focus more on recent changes or market shifts.

  • Considering potential changes in our user base, have we seen any shifts in the demographics of our target audience?

Why it matters: Changes in our user demographics could explain enrollment rate fluctuations. Expected answer: There have been no significant demographic shifts. Impact on approach: If demographics have changed, we'll need to reassess our marketing and product strategies.

  • Given the competitive nature of the Medicare Advantage market, have there been any notable actions from our competitors recently?

Why it matters: Competitor actions can directly impact our enrollment rates. Expected answer: A major competitor launched a new plan with attractive benefits. Impact on approach: If true, we'll need to analyze our competitive positioning and value proposition.

  • Thinking about internal changes, have we implemented any significant updates to our enrollment process or plan offerings in the last quarter?

Why it matters: Internal changes can inadvertently create friction in the enrollment process. Expected answer: We rolled out a new online enrollment system. Impact on approach: If confirmed, we'll need to closely examine the new system's performance and user experience.

  • Considering the importance of data accuracy, has there been any change in how we measure or define enrollment rates?

Why it matters: Changes in measurement could lead to misinterpretation of actual performance. Expected answer: No changes in measurement methodology. Impact on approach: If there have been changes, we'll need to recalibrate our analysis based on the new methodology.

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Updated Jan 22, 2025