TDL Healthcare translates, adapts and delivers the member communications that move the measures tied to your plan's performance — CAHPS and HOS for Medicare Advantage, HEDIS and state quality benchmarks for Medicaid.
That matters most for the members most exposed: dual-eligible members, who have 1 in 5 odds of limited English proficiency, are the population where language access moves outcomes fastest.
We help members understand their care, support medication adherence and protect the payments and contract standing that fund your plan, in every language your members speak.
CMS and HEDIS Quality
Language Access Drives Quality Performance For Medicare Advantage Stars and Medicaid HEDIS.
Your Rating Reflects It
These are the two measures most directly impacted by whether members understand the communications they receive.
Due to language barriers in communications related to formulary, refill and gap closure this is where LEP members consistently underperform.
How Much Of Your Bonus Payment
Depends On Your LEP Members?
This calculator Models Medicare Advantage Stars exposure specifically. Medicaid quality incentive structures vary by state contract. Talk to us about modeling exposure for your program.
Your Plan
Members enrolled in your Medicare Advantage contracts.
Dual-eligible members, who have 1 in 5 odds of limited English proficiency, are the population where language access moves outcomes fastest.
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.
Order-of-Magnitude Exposure
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
Adjust the sliders to align with your plan’s membership, LEP share and current STAR Rating. The calculator then estimates your annual quality bonus payment including the portion of which is attributable to language-sensitive measures such as CAHPS, HOS, adherence and gap closure.
Three Levers In Which Proper Language Access Will Move The Needle On Your Stars score.
Increase Your Medicaid Quality Standing.
Language access is one of the few controllable inputs into HEDIS and quality-withhold measures, redetermination timelines and whether your state contract renews.
Hit EPSDT Informing Deadlines.
Federal law requires families be informed of EPSDT benefits within 60 days of a child's initial Medicaid eligibility determination and annually thereafter in the language the family understands. We translate and deliver EPSDT informing materials to that timeline, every cycle.
Meet State-mandated Quality Accreditation Requirements.
In states like California, Ohio, Virginia and Florida, Medicaid MCOs must hold NCQA accreditation — including language-access and cultural/linguistic data requirements as a condition of their contract. We build that documentation into the workflow, ready for audit.
Language Access Is One Of The Few Controllable Inputs Into Your STARs Score. Let’s Find Out What It’s Worth For Your Plan.
A STARs Readiness Review with TDL Healthcare starts with your membership data: how many LEP members, which languages, which measures are underperforming and which communication touchpoints are the gap. From there, we build the workflow. We will work with you to treat language access as a lever (not a reactive translation compliance project) plans that do that will outperform their peers on the measures gaining the most weight under the SY2029 reset.
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Translation Services
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