Welcome to the clinical and experience era of the Stars scoring system.
The ratings now depend onto
measures your LEP members directly influence.
We translate, anonymize, and deliver the regulated communications that move CAHPS, hold adherence, and protect the bonus payments that fund your benefits.

How much of your bonus payment
depends on your LEP members?

By Star Year 2029, CAHPS and HOS will drive 36% of your rating, and HEDIS and pharmacy adherence 48%.
These are all measures your LEP members directly influence. Move the sliders to see how much of your Stars revenue is exposed to language.

Members enrolled in your Medicare Advantage contracts.
Roughly 1 in 5 MA members nationally; runs higher in CA, TX, FL, NY, NJ.
2026 average is ~$1,100. Higher in dense urban counties; lower in rural.
A drop below 4.0 forfeits the 5% benchmark bonus entirely.
CAHPS, HOS, adherence and gap-closure measures where LEP performance moves the needle. You own this assumption.

Annual Quality Bonus Payment at risk if you drop below 4 Stars

$165M
Estimated from benchmark PMPM × 12 × 5% × membership.
Language-attributable exposure: $41.3M
LEP members in your book: 50,000
Per-LEP-member PMPM equivalent: $69
Status vs 5% bonus threshold: At threshold
Order-of-magnitude only. Real exposure depends on contract structure, rebate share, applicable benchmarks, plan bid, and how the SY 2029 measure shift lands against your current performance. We work the detail with you in the workflow review.

For plans with significant LEP membership, language access is one of the few controllable inputs into the measures that matter most.

The measures gaining weight under the 2029 reset are the same measures most exposed to language gaps. Three places where we focus our work.
Member experience
Translated, culturally adapted instruments. Member touchpoints engineered for comprehension before they ever reach a survey. Score protection without changing the questions.
Medication adherence
Formulary, refill, pharmacy and intervention content in language and on time. Where the heaviest pillar lives or dies for LEP members.
Gap closure & disenrollment
Outreach that actually closes gaps. Denial and grievance letters comprehensible at first read. ANOC and EOC that don't drive members out the door.