In 2010, the Centers for Medicare & Medicaid Services (CMS) and Center for Medicaid and CHIP Services (CMCS), which serves 72 million beneficiaries, launched the Medicaid and CHIP Business Information Solutions (MACBIS) initiative to improve internal technology and data infrastructures. The MACBIS technology ecosystem is large, complex, and home to 11 product teams staffed by multiple vendor companies with high turnover and limited collaboration. This led to inconsistent use of Human-Centered Design (HCD) principles, the same stakeholder and user groups being tapped for redundant and costly research sessions by separate vendors, and a frustrated user community.


CMS developed a vision for unifying the MACBIS ecosystem and brought on our teammade up of Fearless, XCell, A1M, and For Peopleto execute that vision. We designed the MACBIS Ecosystem Map Tool to give onboarding contractors a comprehensive guide to the other product suites, vendor teams, and stakeholder groups in their orbit.

Slider eco left
Slider eco right

The before photo is the first iteration of the ecosystem map. The after photo is version 4 of the ecosystem map. Both versions were built as interactive Figma prototypes.

11+ Established MACBIS  Product Teams use the map in their day-to-day work to visualize how they connect to and interact with each other, streamlining communication across the MACBIS community.

2,000 CMS employees use the MACBIS Ecosystem Map as a resource.

Departments and Divisions within CMCS have seen a decline in the number of redundant stakeholder meetings and workshops, reducing the organization’s costs and administrative burden.

Ecosystem Components
Accesability colors
V2 eco capture
Prototype example
V2 Product MAC Fin