Each year, the Centers for Medicare and Medicaid Services (CMS) publish quality ratings for Medicare Part C and D plans. Plans are given a rating between 1 and 5 stars, with Quality Bonus Payments (QBPs) going to plans earning 4 or 5 stars. According to one study, these QBPs can amount to an extra 5% per member annually.
Star assignments are based on a formula examining a series of indicators, including the Accuracy and Accessibility Study. CMS conducts the study between February and May by placing calls to prospective enrollee call centers to evaluate performance in assisting Limited English Proficient (LEP) callers. The study measures the availability of an interpreter, as well as the accuracy of the information provided by the customer service representative. Most plans strive to earn a grade of 90% or above to obtain a 4- or 5-star rating.
Learn how your Medicare plan can receive a 4- or 5-star rating and the qualifying bonus payment that comes with it.
READ: We invite you to read our guide for important information about how the CMS study works.
Learn the steps your organization can take to improve your chances of receiving a high rating.
Don’t wait until an auditor from CMS is on the line. The risk is too great to leave to chance. Contact us today to be sure your call center is ready.
About LanguageLine®
LanguageLine has been the world leader in innovative language-access solutions since 1982. The company sets the global standard for phone, video, and onsite interpreting, as well as translation of the written word. LanguageLine is trusted by more than 30,000 clients to enable communication with the limited English proficient, Deaf, and Hard of Hearing communities. LanguageLine provides the industry’s fastest and most dependable access to more than 35,000 professional linguists in 290-plus languages — 24 hours a day, seven days a week, 365 days a year. Please do not hesitate to contact us!
