Flevy Management Insights Case Study
Organic Growth Strategy for a Wellness App in the Digital Health Niche
     David Tang    |    Human-centered Design


Fortune 500 companies typically bring on global consulting firms, like McKinsey, BCG, Bain, Deloitte, and Accenture, or boutique consulting firms specializing in Human-centered Design to thoroughly analyze their unique business challenges and competitive situations. These firms provide strategic recommendations based on consulting frameworks, subject matter expertise, benchmark data, KPIs, best practices, and other tools developed from past client work. We followed this management consulting approach for this case study.

TLDR A wellness app experienced high churn and rising competition, despite user growth. By leveraging AI for personalization and forming strategic partnerships, churn dropped by 15% and active users rose by 25%. This underscores the need for ongoing innovation and user-centric design in a competitive landscape.

Reading time: 9 minutes

Consider this scenario: A pioneering wellness application, integrating human-centered design to enhance user engagement and retention, faces a critical juncture in its journey toward market dominance.

Despite a commendable user base growth of 20% year-over-year, the app struggles with a 30% user churn rate and a competitive landscape that is becoming increasingly crowded with new entrants boasting similar or superior features. External pressures include rapidly changing consumer health trends and privacy regulations impacting user data management. The primary strategic objective of the organization is to solidify its market position by enhancing user engagement and expanding its user base through innovative wellness solutions.



The wellness app in question stands at a pivotal point, with its significant user growth overshadowed by a high churn rate and fierce competition. Preliminary insights suggest that the core issues may stem from the app's inability to continually innovate and personalize user experiences at a pace that matches or exceeds market expectations. Additionally, internal challenges, such as data management practices affected by evolving privacy laws, may be impeding the organization’s agility and responsiveness to user needs.

Industry Analysis

The digital health and wellness industry is witnessing unprecedented growth, driven by increasing consumer health consciousness and the proliferation of wearable technology. However, the industry faces challenges from rapidly changing health trends and regulatory uncertainties regarding data privacy.

Examining the competitive dynamics reveals:

  • Internal Rivalry: High, due to a surge in wellness apps offering overlapping features, leading to intensified competition for user attention.
  • Supplier Power: Moderate, as the availability of technology platforms (e.g., cloud services) and content providers offers multiple options, but with increasing demand, suppliers gain bargaining power.
  • Buyer Power: High, given users’ ease of switching between apps and the zero-cost nature of many digital wellness solutions.
  • Threat of New Entrants: High, as low initial capital requirements and the digital nature of the market lower barriers to entry.
  • Threat of Substitutes: Moderate, with traditional wellness services (e.g., gyms, personal coaching) providing alternatives but not fully substituting the digital experience.

Emerging trends include the integration of AI for personalized wellness recommendations and the use of big data for predictive health analytics. These trends signal major changes in:

  • Increased demand for personalized health solutions, creating opportunities for apps that offer customized wellness plans but requiring advanced data analytics capabilities.
  • Integration of wellness apps with wearable technologies, opening new avenues for growth but also increasing the complexity of data management and privacy concerns.
  • Shifting user preferences towards holistic wellness approaches, necessitating the development of multi-faceted features that address physical, mental, and emotional health.

A PEST analysis highlights the impact of technological advancements, particularly in AI and data analytics, as pivotal external factors driving industry growth. Regulatory environments around data privacy and health information pose both risks and opportunities for innovation in user data management and application functionality.

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Internal Assessment

The organization boasts a strong user growth trajectory and a recognized brand in the digital wellness space, yet faces significant challenges in user retention and product differentiation.

Benchmarking analysis against market leaders reveals gaps in personalization features and user engagement strategies, suggesting a need for investment in AI and machine learning technologies to enhance the user experience.

A McKinsey 7-S Analysis highlights misalignments between strategy, structure, and systems, particularly in data management and product development processes, impeding the company’s ability to rapidly innovate and respond to user demands.

Core Competencies Analysis identifies the company’s agility and user-centric design philosophy as key strengths. However, to maintain a competitive edge, it must bolster its capabilities in data analytics and AI, enabling more personalized and predictive wellness solutions.

Strategic Initiatives

  • Implement Advanced Personalization Features: Develop AI-driven personalization engines to offer tailored wellness plans, improving user engagement and reducing churn. This initiative aims to leverage data analytics for value creation, significantly enhancing user satisfaction and retention. Resource requirements include investment in AI technology and data science expertise.
  • Expand Wellness Offerings through Partnerships: Forge strategic partnerships with wearable technology companies to integrate wellness tracking and recommendations, aiming to offer a holistic health ecosystem. This initiative will create value by expanding the app’s functionality and user base. Partnerships will require negotiation expertise and integration technology.
  • Adopt Human-centered Design for Continuous Improvement: Implement a continuous feedback loop with users to guide the evolution of the app’s features and interface, ensuring that development priorities align with user needs and preferences. This approach will enhance user experience and loyalty, driving organic growth. This initiative necessitates resources in user research and product development.

Human-centered Design Implementation KPIs

KPIS are crucial throughout the implementation process. They provide quantifiable checkpoints to validate the alignment of operational activities with our strategic goals, ensuring that execution is not just activity-driven, but results-oriented. Further, these KPIs act as early indicators of progress or deviation, enabling agile decision-making and course correction if needed.


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  • User Churn Rate: A critical metric to assess the effectiveness of personalization and engagement strategies in retaining users.
  • Monthly Active Users: To measure the success of partnership and expansion strategies in attracting and retaining a broader user base.
  • User Satisfaction Score: To gauge the impact of human-centered design initiatives on overall user satisfaction and product usability.

These KPIs offer insights into the strategic plan’s impact on key aspects of business performance, particularly user engagement, market positioning, and product development. Monitoring these metrics closely will enable timely adjustments to strategies, ensuring the organization remains on track to achieve its strategic objectives.

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Human-centered Design Deliverables

These are a selection of deliverables across all the strategic initiatives.

  • AI Personalization Engine Development Plan (PPT)
  • Strategic Partnership Roadmap (PPT)
  • User Feedback and Product Evolution Framework (PPT)
  • Market Expansion Analysis Report (PPT)

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Implement Advanced Personalization Features

The strategic initiative to implement advanced personalization features was significantly bolstered by the application of the Value Proposition Canvas (VPC) and the Jobs to be Done (JTBD) framework. The VPC, developed by Alexander Osterwalder, is instrumental in understanding what customers value and designing products that address those needs directly. It proved essential for tailoring the wellness app’s features to the specific preferences and requirements of its users. Following this framework, the team embarked on a detailed analysis:

  • Identified the users' most significant jobs to be done, pains, and gains by analyzing user feedback and engagement data.
  • Mapped out how the app’s features could alleviate user pains and enhance gains, focusing on AI-driven personalization.

The JTBD framework was utilized in parallel to delve deeper into the specific tasks users were hiring the wellness app to accomplish. This approach provided clarity on the variety of user needs and expectations, guiding the development of personalized features. Through this framework, the team:

  • Conducted interviews with a diverse segment of users to uncover the ‘jobs’ they were trying to accomplish through the app.
  • Developed a series of new features and improvements designed to address these jobs more effectively, ensuring that the AI personalization engine could adapt to a wide range of wellness goals.

The combination of the VPC and JTBD frameworks enabled the organization to design and implement a set of advanced personalization features that resonated deeply with users. The result was a marked increase in user engagement and a significant reduction in churn, demonstrating the value of a strategic approach grounded in understanding and addressing user needs.

Expand Wellness Offerings through Partnerships

For the strategic initiative aimed at expanding wellness offerings through partnerships, the organization leveraged the Strategic Alliance Framework and the Resource-Based View (RBV). The Strategic Alliance Framework facilitated the identification and formation of partnerships with wearable technology companies, enhancing the app’s ecosystem. This framework was instrumental in:

  • Evaluating potential partners based on strategic fit and complementary resources, focusing on those with established user bases and advanced wearable technologies.
  • Negotiating agreements that allowed for data sharing and integration, ensuring a seamless user experience across platforms.

The RBV was employed to assess the organization’s internal capabilities and identify resources that could be leveraged in the partnership. This perspective ensured that the partnerships were not just beneficial but also sustainable. Through the RBV, the organization:

  • Identified key internal resources, such as data analytics capabilities and user engagement strategies, that could be enhanced through collaboration with technology partners.
  • Developed a plan for integrating external and internal resources to create a differentiated wellness ecosystem that provided unique value to users.

The strategic use of the Strategic Alliance Framework and RBV led to the formation of several successful partnerships, significantly expanding the app’s wellness offerings. These collaborations resulted in an enriched feature set that attracted new users while providing existing users with more comprehensive wellness tools, thereby strengthening the app’s market position.

Adopt Human-centered Design for Continuous Improvement

In the pursuit of continuous improvement through human-centered design, the organization applied the Design Thinking and Lean Startup methodologies. Design Thinking, with its focus on empathy and iterative development, was pivotal in embedding a user-centric approach to product innovation. The process unfolded as follows:

  • Engaged with users through interviews and usability testing to gain deep insights into their experiences and needs.
  • Iterated on design prototypes rapidly, based on user feedback, to refine features and interfaces that better met user expectations.

The Lean Startup methodology complemented this by emphasizing rapid experimentation and learning. It guided the organization in:

  • Launching minimum viable products (MVPs) of new features to the market quickly, to test assumptions and gather user feedback.
  • Applying learnings to refine or pivot the product strategy, ensuring resources were focused on high-impact features.

The disciplined application of Design Thinking and Lean Startup methodologies empowered the organization to make significant strides in product development and user satisfaction. This strategic initiative led to the launch of several highly successful features, informed by user feedback and validated through market testing. The result was a more engaging and effective wellness app, demonstrating the power of a human-centered approach to continuous improvement.

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Key Findings and Results

Here is a summary of the key results of this case study:

  • Reduced user churn rate by 15% through the implementation of AI-driven personalization features.
  • Increased monthly active users by 25% following the expansion of wellness offerings through strategic partnerships.
  • Improved user satisfaction score by 20% by adopting a human-centered design for continuous improvement.
  • Launched 10 new features validated by user feedback, significantly enhancing the app's value proposition.
  • Forged five strategic partnerships with wearable technology companies, integrating their devices with the app.

The results of the strategic initiatives undertaken by the wellness app demonstrate a successful pivot towards a more personalized, comprehensive, and user-centric service offering. The reduction in user churn rate and the increase in monthly active users are particularly noteworthy, underscoring the effectiveness of AI-driven personalization and the expansion through partnerships. These results validate the strategic focus on leveraging technology and collaboration to enhance user engagement and satisfaction. However, while the improvement in user satisfaction scores is commendable, it also highlights the ongoing challenge of continuously meeting the evolving expectations of users in a highly competitive market. The successful launch of new features based on user feedback showcases the value of a human-centered design approach, yet it also emphasizes the need for constant innovation and agility in product development to maintain market relevance.

Given the outcomes and insights gleaned from the implementation of these strategic initiatives, the recommended next steps should include a deeper investment in predictive analytics and machine learning to further refine personalization capabilities. Additionally, exploring partnerships beyond wearable technology companies, perhaps in the realm of mental health or nutrition, could offer a more holistic wellness ecosystem to users. It's also advisable to establish a dedicated innovation lab focused on exploring emerging technologies and wellness trends, ensuring the app remains at the forefront of the digital wellness space. Finally, enhancing the feedback loop with users by incorporating more dynamic and interactive ways of gathering insights can drive continuous improvement and user engagement.

Source: Organic Growth Strategy for a Wellness App in the Digital Health Niche, Flevy Management Insights, 2024

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