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Centers for Medicare and Medicaid Services (CMS)


The 2010 Patient Protection and Affordable Care Act revolutionized health care in the United States. Early efforts for an online marketplace at were met with major difficulties, but stabilized over time. Together with CMS and our prime contractor Ad Hoc, we were tasked with providing an online hub where Americans can learn more about receiving health coverage through a centralized, government-run health insurance marketplace. website homepage


We worked with CMS stakeholders and partner companies to provide the American public with accurate, up-to-date information about health care options and enrollment. Our efforts helped to strengthen content documentation, governance, and process to ensure rapid delivery and consistent quality of content for users.

What we did

Our content team: 

  • Managed weekly content deployments and QA

  • Worked with CMS to plan content updates for enrollment phases throughout each year

  • Provided copy editing for both English and Spanish content

  • Conducted content audits and analyses to drive site improvements




Content deployments

Tickets cleared

Of all pages on edited


In collaboration with CMS and our partner companies, we helped make it easy for people to understand how to enroll in a health plan on This drove an increase in enrollments and a decrease in the number of uninsured Americans.

8.7 m enrollments 
in 2018 alone


Average customer satisfaction rate through call center during 2018 open enrollment

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