For primes
Easy to budget, easy to work with.
As your subcontractor, we add a senior design team, a federal health track record and Section 508 expertise to your proposal. Kimothy Joy Pikor has designed for federal health programs since 2011, from CMS payment models to ACL evaluations.
Woman-owned small business
Based in Colorado
NDA-ready for embargoed content
Firm-fixed-price
Why primes bring us to the table
A partner that strengthens your proposal.
Stronger proposals
A named design and 508 partner shows CMS how the model will reach every participant, and helps meet your small business subcontracting goals.
One program, one look
Every infographic, report, toolkit, fact sheet and video shares one visual system, so states, providers and the public see a single, clear program.
Accessibility handled
Every file is designed and tested to pass Section 508 review the first time. If a file we deliver doesn’t pass your 508 review, we fix it at no cost.
Budgets that hold
Fixed prices for a launch year, each option year or a single piece, with scope agreed up front, so you know the cost of a change before it happens.
Four ways to partner
Whatever your budget or contract, there’s a way in.
A typical path: Launch Partner in the base year, then Sustain Partner in each option year.
Launch Partner
For a new model or major refresh, when content is still evolving. We plan, design and adjust the full launch with you, including short explainer videos.
Sustain Partner
For the life of the program, once materials are live. We keep every piece current, consistent and accessible as policy and terms change.
Program Launch Kit
For a launch you can scope up front. A complete launch set with fixed deliverables on a fixed timeline.
Ă€ la carte
For single pieces, as needs arise. Order any piece, or set a yearly budget cap.
Projects start at $4,500.
Every proposal is sized to your program: how complex it is, how many people review it, and how much hands-on support you want.
Feedback rounds are built in, and we flag anything new before it changes the plan.
Past performance
Work you can check on cms.gov.
CMS CJR evaluation reports, 2024
Design and 508 production for Drivers of Impact and Drivers of Care Transformation, credited by name on cms.gov, with alt text on all 14 figures. Subcontractor to The Lewin Group.
More past performance on request
We’ve designed for federal health programs since 2011, including CMS payment models and ACL evaluations. Details and references are shared on request, only as far as each client allows.




Your core team
Senior people on every project.
Kimothy Joy Pikor, owner and creative lead
A senior graphic designer
A technical designer
A 508 accessibility design specialist
A health and science technical writer
Plus design and communications specialists as needed.
Our 508 promise
If a file we deliver doesn’t pass your 508 review, we fix it at no cost.
Every file is designed and tested to pass Section 508 review the first time, with a specialist’s sign-off and a conformance note.
Writing a proposal? Ask us for a teaming letter and a fixed price.
Let’s plan your next launch or option year.