CMS Innovation Center · solo Designer

Streamlining complex information for health providers and program participants

An MVP redesign that brought structure and consistency to a site unchanged since 2014, making it easier for health providers to find, understand, and act on program information.

2 weeks

Full discovery with repository

1.9K pages

Restructured IA delivered

4 weeks

High fidelity mockups ready for testing

Model page
Mural Drupal Google Analytics Qualtrics Sketch

As solo designer, I contributed equally across research, facilitation, and design.

The CMS Innovation Center website hadn't been meaningfully updated since 2014. With 80K monthly visitors, the site was falling short in a measurable way.

Users were struggling to locate information that already existed on the site, leading them to email CMMI staff directly with questions. Voice of Consumer survey feedback consistently flagged content as overwhelming, insufficient, or confusing.

Staff had begun creating their own workaround FAQ pages to manage the volume — a clear signal that the content strategy needed revisiting.

The content had no consistent structure; the same information was presented differently across pages, making it hard to scan, hard to maintain, and hard for search engines to index accurately. There were over 1,900 pages on the site that lacked a sensible IA.

How might we...

help health providers quickly locate the program information they need and take action confidently — without having to contact staff to get answers?

For health providers trying to enroll in CMS innovation programs, a confusing site wasn't just a frustration, it was a barrier.

User goals

  • Find program information quickly without contacting staff
  • Understand how to access portals and determibne next steps without confusion
  • Navigate a large, dense site without hitting dead ends

Business goals

  • Reduce staff burden caused by repetitive user questions
  • Adopt the CMS design system and integrate with existing APIs
  • Deliver a well-scoped MVP within a constrained timeline

The discovery was thorough, the timeline was tight, and the findings were clear.

Discovery combined quantitative data from Google Analytics with a thorough qualitative effort: Voice of Consumer survey analysis, stakeholder interviews, an accessibility audit, heuristics evaluation, and content, IA, and ROT audits.

Key insight

The through-line across all of it was fragmentation: content, portal access, and institutional knowledge had migrated out of the site and into staff inboxes and workaround pages. That finding drove the core design decision: consolidate and surface, rather than add.

user profiles

I created user profiles for the site's primary audiences

With a constrained timeline, I prioritized the highest-leverage activities: the ROT analysis and stakeholder interviews gave the team a shared picture of how to move forward.

journey map

The culmination of multiple working sessions allowed me to build a journey map

Key directions explored:

  • How to restructure the IA to surface content users were already searching for
  • How to simplify portal access pathways to reduce confusion and friction
  • How to reduce content density without losing important information
  • What to prioritize for the MVP and what to defer to the roadmap

The redesign consolidated a decade of fragmented content into a structured, scalable system — with a rebuilt IA, redesigned model pages, and simplified portal access pathways built on the new design system.

Information architecture

The information architecture was the first place to start, since there were over 1,900 pages to evaluate. We knew the IA would break once the migration happened.

Our immediate focus was on basic hierarchical and URL changes to organize content structure. We found:

  • Pages were largely unorganized, lacked hierarchy
  • Over 900 orphaned and unaliased pages
  • No consistent URL structure
  • Duplicate page titles, with different content
  • Outdated content that needed to be archived
Information architecture diagram

before

A quick visualization helped demonstrate the flat IA issue, without getting into details in spreadsheets

Information architecture workshop page

The new IA was planned to have 7 top-level pages, with a more clear URL structure, which will make content more findable and be easier for engineering to maintain

Search experience

The search and filtering experience was archaic and not easily findable. Users needed to have ways to do both text search and filter down results. We found:

  • Filters did not match the existing design patterns on CMS.gov
  • Users typically knew what they were looking for, and browsing wasn't as common
  • Result cards had a hover effect that was not accessible and prevented information from being read unless hovered
  • Less than 10% of users access the site on mobile, so desktop experience was prioritized
  • By using CMS Design System components, we were confident about meeting accessibility requirements
Search page with explanation at the top

BEFORE

The search page was designed in 2014 (and looked like it)

Search page for innovation models that includes category filters

BEFORE

The search page included a large filtering mechanism that was hidden

Search on Innovation Models page

After

Search was overhauled with more effective, user-centered features, and matched the CMS Design System

Search page with filtering

after

The category filtering was moved to the left column for visibility and ease of use

Three screens showing pages from the CMMI website

AFTER

Switching to the CMS Design System did not sufficiently improve user experience. Examples show how different the user experience was across content pages within the site; many pages included lists of hyperlinks to reports, and the editors had written FAQ pages because the original pages became long and cumbersome.

Content

Even after the site migration to use the design system, the content problem was not solved. We needed to improve the user experience once they landed on a page they were interested in.

The department had multiple writers and editors, and the solution needed to provide enough flexibility for it to meet their needs. We learned:

  • Pages varied greatly in length
  • Users had difficulty locating the information they need
  • Staff faced overwhelm when managing content and duplicated efforts
  • Users were frustrated by confusing portal access and relied on email communication
Four screens showing ideas of how to reorganize content on a page

IDEATION

Iterations for a flexible, structured framework that accounted for the types of content

A model page

before

Switching to the CMS Design System did not sufficiently improve user experience

New model page

after

With the redesign, Design System components were leveraged, information was segmented by priority, and accordions made the pages scannable and interactive

High-fidelity mockups completed and ready for testing in 4 weeks.

This project was scoped as an MVP, and I transitioned to another engagement before launch due to engineering delays — so post-launch behavioral data wasn't available to me. The natural next measurement would be staff contact volume and user self-service rates, which would show whether consolidating the content actually reduced the burden this project set out to solve.

Delivered on time despite a compressed timeline

Consolidated a decade of fragmented content

Established a scalable foundation for future iterations

01

Workarounds are a research signal.

When staff are building FAQ pages to compensate for a broken site, that's one of the clearest indicators a UX team can get that the IA isn't working.

02

ROT analysis aligns teams fast.

On a constrained timeline, identifying what to remove, fix, and defer was more valuable than generating new ideas.

03

This project was scoped as an MVP with future work in a roadmap.

We made the decision to ship on time and iterate rather than delay for a complete solution. I transitioned to another project prior to launch due to engineering delays.

CLIENT

Centers for Medicare & Medicaid Services (CMS)

Product

innovation.cms.gov

PARTNERs

Fearless & CivicActions