Kennedy Castelli
Product and User Experience Designer
Work
Workshops
Studio
New Mexico Primary Care Payment Reform (NM PCPR)
Led end-to-end product design for one of the nation's first statewide Medicaid value-based payment platforms.New Mexico's Primary Care Payment Reform (PCPR) is a statewide Medicaid initiative that aligns provider reimbursement with quality and patient outcomes. I led end-to-end product design for the enterprise platform administrators used to manage provider participation, quarterly reporting, incentive payments, and statewide analytics.
The challenge wasn't simplifying Medicaid policy; it was making it manageable. As program requirements evolved, I designed reusable workflows and interaction patterns that helped administrators complete complex processes accurately while keeping the platform and users’ habits consistent over time.
Role
Team
Scope
Impact
The Challenge
My Process
Product Designer
PM, Engineers, QA, SMEs
Enterprise Workflows · Reporting · Data Visualization · Design System Implementation
- 60+ enterprise screens
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$25M+ revenue
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250% above projected growth
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17% YoY growth
Design a platform that could adapt to changing Medicaid requirements while remaining simple enough for administrators to use accurately every quarter.
I worked closely with PMs, SMEs, engineers, and administrators to understand evolving program requirements. I mapped complex workflows, designed reusable interaction patterns, and iterated with engineers throughout implementation to ensure the platform remained scalable as requirements changed.
Systems Thinking
Rather than designing isolated features, I established reusable workflow concepts that scaled across five interconnected product areas. Much of this thinking comes into play when building a design system, being able to zoom out and see the gestalt. It also means zooming in and understanding that changes in one area affect many others. This makes consistency and flexibility essential.
Who Uses the Platform
Practice Management
State administrators manage hundreds of participating healthcare practices with varying organizational structures,
provider relationships, and quarterly participation requirements. I designed configurable administrative
workflows that scaled without exposing operational complexity to users or requiring engineering reconfiguration.
The Challenge: How can someone manage hundreds of practices?
Key Decisions:
Configurable Data Model
Designed a flexible data model that adapted to different provider structures while keeping workflows consistent.Administrative Workflows at Scale
Standardized search, editing, validation, and export workflows so administrators could efficiently manage hundreds of participating organizations.Platform Foundation
Practice management became the shared foundation for payments, reporting, analytics, and downstream administrative workflows.Managing Quarterly Payment Workflows
Every quarter, participating practices completed reporting, quality attestations, and payment activities thatThe Challenge: Help administrators complete recurring Medicaid reporting accurately despite changing program requirements.
determined incentive reimbursement. I developed structured reporting workflows that helped administrators
understand requirements, complete submissions accurately, and review payment outcomes.
Medicaid policy changes frequently. Rather than hard-coding workflows for each program, I designed configurable, reusable interactions.
Organized recurring reporting into guided tasks with clear progress, required actions, and validation.
Prevents administrative errors by validating submissions throughout the workflow instead of only at the end.
Quality Attestations
Because Medicaid reporting requirements couldn't be simplified, the design focused on reducing uncertainty instead.
Progressive disclosure and inline validation help make long forms feel more manageable.
Progressive disclosure and inline validation help make long forms feel more manageable.
- Inline validation before submission
- Progressive multi-step workflow
- Reusable patterns
Practice Payment Summary
Design Problem:
Administrators needed to verify complex payment calculations without jumping between multiple reports.
Administrators needed to verify complex payment calculations without jumping between multiple reports.
I combined summaries, detailed tables, and visual comparisons into a single review workspace so users could validate payment calculations before exporting payments.
- 60+ enterprise screens
- Five interconnected product areas
- Quarterly reporting workflows
- Quality attestations
- Incentive payment calculations
- Analytics dashboards
- Power BI reporting
- Design system implementation