For Medicare Advantage, Medicaid MCOs and D-SNPs

Your Stars flywheel runs on whether members understand you.

The 2029 reset has moved the rating onto measures your LEP members directly influence. We translate, anonymize and deliver regulated communications that move CAHPS, hold adherence and protect the bonus payments that fund your benefits.

HITRUST
CSF Certified
ISO 17100
Translation quality
ISO 18587
MT post-editing
HIPAA
Aligned workflows
PHI/PII
Anonymization
STREAM
AI platform
At-Risk Estimator

What does a half-star drop actually cost a plan like yours?

Use this as a directional view of the Quality Bonus Payment exposed by LEP-sensitive measures. For a contract-level number, book the Readiness Review.

Your plan inputs

Move the sliders to match your current book. The output updates automatically.

Annual Quality Bonus Payment at risk
$165M

Estimated from membership × benchmark PMPM × 12 × 5%.

Language-attributable exposure
$41.3M
LEP members in your book
50,000
Per-LEP-member PMPM
$69
Status
At threshold
The 2029 Reset

The administrative era of Stars is over. The clinical and experience era is now scoring.

Language access is no longer just a compliance requirement. It is now tied to the measures that decide performance.

89%

of contracts would decline under SY 2029 math applied to current performance.

40%

of contracts hit 4+ Stars this year, the lowest rate in five.

$18.6B

net Trust Fund impact from the rule changes across 2027 to 2036.

Where We Move The Score

Three places where LEP performance becomes rating performance.

CAHPS & HOS

Member experience touchpoints engineered for comprehension before they ever reach a survey.

Adherence

Formulary, refill, pharmacy and intervention content in language and on time.

Gap closure

Outreach that helps members act, rather than creating confusion or friction.

Complaints

Denial, grievance and regulatory letters that are understandable at first read.

Three Programs

Built around how your year actually works.

AEP, ongoing member letters and always-on experience content are connected into one managed operating model.

01 / AEP & STAR YEAR
AEP & Star Year Readiness

ANOC, EOC, SB, formularies, directories, welcome kits and AEP marketing, built for the peak print window.

02 / LETTER PROGRAM
Secure Member Letter Program

UM determinations, A&G, denial letters, prior authorization, care management and regulatory notices.

03 / MEMBER EXPERIENCE
Always-On Member Experience

Member portals, app strings, IVR, CAHPS instruments, gap-closure outreach and care materials.

Compliance

The floor, not the headline, but it is our floor.

Stars is why plans buy language operations strategically. Compliance is why the operating model has to be governed from the start.

Section 1557

Meaningful access obligations handled inside the same workflow as your CMS-mandated communications.

CMS Final Rule

Marketing and communication requirements mapped to your content calendar and plan risk.

HIPAA & PHI

PHI/PII anonymized at intake and reinserted at recomposition. Translators never see member data.

Section 508 & ADA

Accessible outputs are built into the same workflow instead of bolted on later.

State Mandates

Letters routed by jurisdiction, language, service line and risk level.

Audit-Ready

Traceability from receipt to delivery, with documentation available for regulator review.

Proven at Scale

Real volume. Real SLAs. Real outcomes.

2,000+ chronic care letters per week

Multilingual, large print, braille and audio variants, managed under SOC 2 controls. Peak weeks treated as normal weeks because capacity is engineered into the program.

99%

on-time delivery

99.5%+

accuracy on regulated content

3-day

SLA held through peak windows

Built for Four Buyers

Different teams own different parts of this problem. We work with all of them.

Stars & Quality

A measurable lever on CAHPS, HOS and adherence, mapped against the 2029 math.

Member Comms

A governed letter program where peak weeks look like normal weeks.

Compliance

HITRUST, HIPAA, Section 1557 and Section 508 in one operating model.

Marketing

AEP marketing translated with the same terminology governance as regulatory content.

Start With an Assessment

Move from the estimator to the contract-level number.

In 30 minutes we work the math against your contracts, county benchmarks, LEP mix, current operations and the 2029 measure shift. You leave with a written read of where you are most exposed.

Book the Review