For VP Quality and HEDIS leads
Most HEDIS gaps close only when a member does one thing. Does your letter ask for one thing?
Measurement year 2026 closes on December 31, and outreach for 2027, which feeds the 2029 Star Ratings, is being written now. A letter that asks for five things makes the one that counts harder to find. HealthLiteracyCopilot checks each outreach letter for one clear ask, in English and Spanish, and scores how easy it is to act on (PEMAT).
Send a blank template, not a copy with a patient's or member's details.
HealthcareGPS is SOC 2 Type II audited and HIPAA compliant. How we protect your documents
3x
weight in the 2027 Star Ratings for the two Health Outcomes Survey (HOS) outcome measures and the Part D adherence measures. CAHPS patient-experience measures count 2x.
Source: CMS, 2027 Star Ratings measures (2026)
37%
of Medicare Advantage drug-plan contracts earned 4 stars or more in the 2027 Star Ratings. Five-star contracts fell to 15, from 22 in CMS's revised 2026 ratings.
Source: CMS, 2027 Star Ratings fact sheet (October 2026)
At least $13.4 billion
in Medicare Advantage quality bonus payments in 2026. A plan earns the bonus at 4 stars or more.
Source: KFF, Medicare Advantage Quality Bonus Payments (2026)
What we fix
A screening letter with one ask
- One request, stated first.
- Kit steps numbered in the order people do them.
- Your own gap-closure data shows what changes.
Illustrative example.
Measures this work supports
- HEDIS: screening and chronic-care gap closure.
- CAHPS: Getting Needed Care, Care Coordination and Rating of Health Plan.
A letter is one lever. Your own gap-closure data shows what it adds.
The documents we review first
- FIT and colorectal-screening kit letters
- Gap-in-care outreach
- Care-coordination letters
Prove it on your own members
Split your next gap mailing, for example colorectal screening. Half your members get today's letter, half get the one-ask version your reviewers approved. Same envelope, timing and channels. From a 30% baseline, about 3,800 members in each group can detect a 3-point difference.
Before it starts, you pick the measure (gaps closed within 90 days, from your claims and supplemental data) and write the rule that decides, such as "expand if the revised group does better and the 95% interval excludes zero." No lift is promised. Your data decides, not ours.
We work from templates only. Your members' data stays with you.
In their words
What people using it say
…sent exactly what you sent us to our privacy legal team for review and approval and they had no notes. … the tool knocked it out of the park on the first try.
Director of communications, regional health plan I'm impressed with this tool and I think it'll help us a lot to improve our outreach with our members.
Director of customer experience, Medicare Advantage plan
From people using HealthLiteracyCopilot, shared anonymously by role and type of organization. Trimmed where marked (…), never reworded.
Built for each role on your team
What each person is measured on, the documents they own and the parts of the platform they'd use most.
- Member communicationsFewer review rounds. Every change explainedFor directors of member communications at health plansOn-time AEP mailingsReview cycles per documentMember complaints Read more
- Stars and quality leadersFind the letters behind your CAHPS scores, before the survey doesFor VP Stars, chief quality officers and VPs of qualityStar ratingCAHPSHEDIS gapsQuality bonus payments Read more
- Utilization managementA specific denial reason is required now. Make it one the member can followFor VPs of utilization management, prior authorization and appeals at health plansCMS-0057-F complianceAppeal volumeOverturn rate Read more
Test a letter this month
The HEDIS Gap-Closure Letter Kit has a one-ask template and before-and-after examples. Or try one gap letter free.
Send a blank template, not a copy with a patient's or member's details.
HealthcareGPS is SOC 2 Type II audited and HIPAA compliant. How we protect your documents
Questions
Can better member letters improve CAHPS scores?
CAHPS asks members whether they got needed care, understood their plan and found forms easy. Letters shape each of those experiences. HealthLiteracyCopilot doesn't promise a score change. It finds the notices most likely to cause confusion. Then you can split a mailing and let your own data show what changed.
Do you need member PHI?
No. A review uses your template library: blank or sample notices. No member data is needed.