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Healthcare organizations need to be quick and efficient in communicating with their patients—after all, patients don’t have a lot of time to wait for critical messages like discharge instructions or dosing guidance.  When dealing with patients who have limited English proficiency (LEP), it may be tempting to use automated Machine Translation (MT) tools to speed up the communications process, but MT alone can be a risky approach. Regulations like Section 1557 of the Affordable Care Act emphasize the importance of review and editing by human medical translators. Machine translation may be fast and cost-effective, but compliance with regulations like Section 1557 is non-negotiable. In this blog post, we’ll take a closer look at how hospitals and healthcare organizations can strike a balance, using machine translation post-editing (MTPE) services. Table of Contents Section 1557 and Language Access Machine Translation in Healthcare When Machine Translation is Compliant When MT Needs Human Review (MTPE) Compliance Risks Best Practices for Healthcare Organizations Frequently Asked Questions About Machine Translation Compliance in Healthcare Building Safer, Compliant Translation Workflows in Healthcare Section 1557 of the Affordable Care Act requires individuals with LEP to have meaningful access to information about their healthcare. While it acknowledges that machine translation can be a useful tool for streamlining communications to patients with LEP, it also warns against using it as the sole means of translation for critical documents—things like discharge papers, insurance coverage information, and consent forms, just to name a few examples.  “If a covered entity uses machine translation for critical documents, those translations must be reviewed by a qualified human translator to ensure accuracy, when accuracy is essential, “when the source documents or materials contain complex, nonliteral or technical language, or when the underlying text is critical to the rights, benefits, or meaningful access of individuals with LEP,” reads a 2024 memo on language access and Section 1557 from the Department of Health and Human Services (HHS). This is because machine translation isn’t always reliable on its own—there are numerous instances where machine translation tools produce inaccurate or unclear translations of important information. Having qualified human translators review machine translations ensures that these errors don’t slip through the cracks. HHS does allow for unreviewed healthcare machine translations in emergency situations where a qualified translator is not available and action needs to be taken swiftly: “If an emergency medical technician must provide urgent medical care to an individual with LEP, and no other language assistance services are available, it may be reasonable to use machine translation technology to communicate with that person,” while waiting to find a professional translator or medical interpreter. However, these translations must be reviewed later to ensure accuracy, and any errors should be corrected as needed.  If you’re looking to stay compliant with Section 1557 while ensuring accurate, patient-centered communication, get in touch with Avantpage to learn how our qualified human translators can support your language access needs. Machine translation is any sort of software that automatically translates speech or text from one language to another—think of tools like Google Translate or DeepL. Increasingly, generative AI tools like ChatGPT are being used for machine translation as well. However, it’s important to keep in mind that machine translation tools may struggle to accurately translate medical jargon and clinical terminology. Healthcare organizations can usually get by using unreviewed machine translation for non-critical messages like appointment reminders, patient education handouts, and general clinic info. On the other hand, critical documents like consent forms, discharge instructions, medication guidance need to have a human in the loop.  Whether that means working with human translators to translate them from scratch or having human reviewers edit machine translation output after the fact, there should always be a human professional involved in translating these documents. In the following sections, we’ll go over some examples of when machine translation can be used on its own, and when a human needs to be involved. While you should always strive for 100% accuracy in your communications to patients, there are some non-critical documents where machine translation is unlikely to produce significant errors. In these cases, machine translation alone can be compliant. Below are some guidances for specific examples where unreviewed machine translation meets healthcare compliance standards: As the American Translators Association notes, translations must be reviewed by a human when accuracy is essential to access. That means that when documents have an impact on a patient’s care or feature significant amounts of technical jargon, accuracy is key—here are a few examples of instances where machine translation post-editing is necessary in healthcare settings: Using machine translation improperly can introduce serious risks for healthcare organizations. Accuracy limitations are the most immediate concern: Even small translation errors in discharge instructions, medication dosing, or follow-up care can lead to clinical mistakes, adverse events, or hospital readmissions. Just as concerning are privacy risks—many free machine translation tools are not HIPAA-compliant, meaning protected health information could be stored, reused, or exposed without safeguards. Additionally, if machine translation errors prevent patients with LEP from fully understanding their care, benefits, or legal rights, organizations may fail to provide the “meaningful access” required under Section 1557. In real-world scenarios, incorrectly translated discharge instructions have led to patients misunderstanding treatment plans or medication schedules—outcomes that are both dangerous for patients and legally risky for providers. If you’re not sure when machine translation alone is sufficient, a language service provider can help. Contact Avantpage today to devise a language access plan that uses machine translation effectively and safely. At Avantpage, we work with hundreds of healthcare organizations to safely implement machine translation into their workflow, speeding up the translation process without compromising accuracy. Over the years, we’ve developed the following best practices for healthcare machine translation: Ultimately, integrating MTPE into your translation workflow is a matter of reducing risk—for both you and your patients—while maintaining efficiency and accessibility. When accuracy impacts patient safety and compliance, machine translation alone isn’t enough. Partner with Avantpage to implement secure, human-reviewed MTPE workflows you can trust. A compliant MTPE workflow typically involves generating a machine translation draft followed by a review from a qualified human linguist experienced in healthcare terminology. This ensures accuracy, cultural appropriateness, and legal compliance. Avantpage provides end-to-end MTPE solutions, including workflow design, documentation, and auditing support to keep your organization both efficient and compliant. Yes. Consumer-grade tools often do not meet HIPAA standards, which can expose patient data to privacy risks. Avantpage uses our secure, HIPAA-compliant translation platform and proven processes to protect sensitive patient information while maintaining high-quality translations. The deciding factor is impact on patient care, rights, or compliance obligations. Avantpage provides expert consultation to classify your documents, recommend MT vs. MTPE use, and implement robust processes so you can confidently balance efficiency with legal and patient safety requirements. Section 1557 requires that patients with LEP can understand information affecting their care, rights, or benefits. Raw MT alone often cannot meet this standard for critical content due to accuracy limitations and a lack of cultural nuance. Avantpage’s MTPE solutions ensure that translations are both linguistically precise and compliant with meaningful access requirements. Organizations should maintain records of which materials were machine translated, which underwent post-editing, and who reviewed them. Documenting workflows, vendor qualifications, and review steps demonstrates due diligence in audits. Avantpage provides guidance and templates for proper documentation to satisfy Section 1557 and internal compliance requirements. While MTPE isn’t mandated explicitly in regulations, industry guidance from HHS and the American Translators Association emphasizes that critical patient content must be reviewed by qualified humans. Avantpage applies these industry standards to ensure that every translation meets both legal and clinical expectations. The key is a tiered approach: use MT alone for low-risk communications (appointment reminders, general info) and MTPE for critical content affecting patient care or legal rights. Avantpage assists healthcare organizations in designing these workflows, training staff, and selecting secure, compliant MT tools—so efficiency doesn’t compromise patient safety or legal obligations. Machine translation can be a powerful tool for improving efficiency and expanding language access—but it rarely stands alone. For communications that affect patient safety, rights, or clinical outcomes, qualified human review is essential to meet Section 1557 requirements and ensure meaningful access for patients with LEP.  Healthcare organizations that proactively evaluate their translation workflows—or partner with experienced healthcare-focused language service providers like Avantpage—can move faster without compromising compliance or patient care. Contact us today at (530) 750-2040 or [email protected] to learn more about how we can help you strike the right balance for all your healthcare machine translation needs.

Election officials face a complex web of requirements when it comes to providing election translation materials for voters. With federal mandates, state regulations, and tight deadlines converging during election season, understanding what needs to be translated (and when) can feel overwhelming. This guide breaks down everything you need to know about election translation requirements, timelines, and best practices to ensure every eligible voter in your jurisdiction can access their ballot. Table of Content Understanding Federal Translation Requirements
State-Level Translation Requirements
Critical Translation Timelines
Best Practices for High-Quality Election Translations
Common Translation Challenges and Solutions
Measuring Translation Success
Frequently Asked Questions The foundation of election translation requirements comes from Section 203 of the Voting Rights Act. This federal law requires jurisdictions to provide voting materials in languages other than English when specific thresholds are met. Your jurisdiction must provide translated materials if:
Section 203 currently covers Spanish, Chinese, Filipino, Japanese, Korean, Vietnamese, and several Native American languages. The U.S. Census Bureau determines which jurisdictions are covered, updating the list after each decennial census.
If your jurisdiction is covered under Section 203, you must provide professional translation services for all election materials that are available in English. This includes: The requirement extends beyond just paper documents. Any information you provide to English-speaking voters must also be available in covered languages.
Many states have enacted their own language access laws that go beyond federal requirements. California, New York, Illinois, and other states mandate translations even when jurisdictions don't meet Section 203 thresholds.
Before planning your translation needs, verify:
State requirements can vary significantly. Some states specify exact materials that must be translated, while others leave more discretion to local election officials. Understanding your state's framework is essential for compliance with government translation regulations.
The most common mistake election offices make is waiting too long to begin the translation process. Here's why timing matters, and when you should start each phase. Begin vendor selection and onboarding. Research qualified election translation providers, request proposals, and establish contracts. Look for vendors with experience in election translations who understand the stakes of accuracy and timing. Audit your materials. Create a comprehensive list of every document requiring translation. This includes new content for the current election and updates to existing materials. Finalize source content when possible. While some materials depend on candidate filings and ballot measures that come later, many documents can be prepared early. Voter registration information, polling location details, and procedural instructions typically don't change. Begin translating evergreen content. Start with materials that won't change, such as voter registration guides, general election information, and instructional content. Translate ballot content. Once candidates are finalized and ballot measures are set, prioritize ballot translations. This is your highest-priority content because errors here directly impact voting. Plan for quality assurance. Build in time for review cycles. Professional translation requires multiple review passes to ensure accuracy, especially for complex legal language in ballot measures. Complete voter guide translations. These substantial documents require significant time. Voter guides often contain candidate statements, ballot measure arguments, and detailed procedural information. See how Avantpage has successfully translated California's Voter Information Guides with tight deadlines. Conduct community review. Consider having community members who speak the target languages review materials for clarity and cultural appropriateness. Finalize all translations. At this point, every document should be translated, reviewed, and approved for printing. Coordinate with printers. Ensure your printing vendors receive final files with adequate time for production, especially if you're printing multi-language documents. Distribute mail ballots. Many jurisdictions now mail ballots to all registered voters. Translated ballots must be included in mailings to appropriate households. Update online content. Make sure your website displays all translated content accurately and that users can easily find materials in their language. Download the Election Translation Timeline Roadmap Whether you're managing two languages or twelve, having a clear roadmap makes the process more manageable and ensures you meet all requirements on time. Election translation isn't just about language proficiency—it requires understanding legal terminology, ballot formatting, and the consequences of errors. Work with providers who:
Real-world example: When the California Office of State Publishing needed to translate voter materials totaling over 100,000 words into nine languages, having a specialized provider with election expertise made the difference between meeting the deadline and missing it. Much of your election content repeats from cycle to cycle. Professional translation providers use translation memory tools to:

Request that your vendor maintain translation memory for your jurisdiction. This investment pays dividends in future elections.
Elections involve many moving parts, and delays happen. Build two-week buffers between major milestones. This cushion prevents small delays from becoming compliance crises. If candidate statements arrive late or a ballot measure requires last-minute revisions, your buffer time absorbs the impact without jeopardizing printing deadlines. Professional translation ensures linguistic accuracy, but community review adds another layer of quality. Native speakers from your jurisdiction can identify:
This step doesn't need to be formal—even informal feedback from community members improves the final product. Learn more about effective language access consulting strategies.
Ballot measures often contain dense legal text that's difficult to translate clearly. The solution is to start with plain language in English when possible, making translation more straightforward and the final product more accessible. Work with your legal team to identify opportunities for clearer language before translation begins. Some content, like candidate statements, arrives close to election day. Address this by:
Case in point: When a commercial printing company needed election materials translated for three California counties with over 100 files in just 48 hours, having established processes and a dedicated team made it possible. Translation is an investment, but costs can be managed through:

Remember that the cost of non-compliance (both legal and in terms of voter disenfranchisement) far exceeds the cost of proper translation.
Election translation projects often involve coordination between election offices, legal teams, community organizations, and printing vendors. This complexity can lead to miscommunication and delays.
Solutions include: How do you know if your translation program is working? Track these metrics:
- Voter turnout among language minority groups: Are LEP voters participating at rates comparable to English speakers?
- Error reports: Are you receiving complaints about translation quality or accessibility?
- Compliance audits: Are you meeting all federal and state requirements?
- Community feedback: What do community organizations say about your materials?
Regular assessment helps you improve your program over time. The Yolo County Elections Office demonstrates how strategic language access planning can move performance ratings from last place to first in just six months.
Section 203 is a provision of the Voting Rights Act that requires certain jurisdictions to provide election materials and assistance in languages other than English. Jurisdictions are covered if they have more than 10,000 or 5% of voting-age citizens from a single language minority group with limited English proficiency. The U.S. Census Bureau publishes a list of covered jurisdictions after each decennial census. You can check the current determinations on the Census Bureau's website or contact your state's Secretary of State office. The Department of Justice also maintains information about covered jurisdictions. All materials provided to English-speaking voters must also be available in covered languages. This includes ballots, sample ballots, voter registration forms, voting instructions, polling place notices, voter information guides, absentee ballot applications, and election-related websites. Timeline depends on volume and complexity, but most election materials require 3-4 weeks for translation and an additional 2-3 weeks for quality assurance and review. Complex documents like voter information guides may need 4-6 weeks. Always build in buffer time for revisions. While machine translation technology has improved, it's not recommended as the sole solution for official election materials. The stakes are too high for translation errors. However, machine translation with post-editing by professional linguists can be appropriate for some materials. Consult with qualified translation providers about the best approach for your needs. Costs vary based on language combinations, document volume, turnaround time, and formatting complexity. Spanish translations typically cost less than Asian or Native American languages due to translator availability. Rush projects incur premium pricing. Budget 15-30% of your printing costs for translation services, though this varies widely by jurisdiction size. Yes, if your jurisdiction is covered under Section 203 or state language access laws. Web content is considered election material and must be available in required languages. This includes voter registration information, polling place locators, sample ballots, and any other information provided to English-speaking voters online. Translation refers to written materials (ballots, guides, forms), while interpretation involves spoken language assistance. Both are typically required for comprehensive language access. Translation handles printed and digital materials, while interpretation supports in-person interactions at polling places and voter assistance hotlines. Look for translation providers with demonstrated experience in government and election work. Ask for references from other election offices, verify their quality assurance processes, and confirm they have translators familiar with election terminology. Professional associations and state election official networks can provide recommendations. Non-compliance can result in legal action from the Department of Justice, civil rights lawsuits, consent decrees requiring extensive remediation, and federal monitoring of your election processes. Beyond legal consequences, inadequate language access disenfranchises voters and undermines democratic participation in your community. Federal law allows voters to bring someone to assist them at the polls, except in limited circumstances (employers and union representatives are generally prohibited). However, providing official bilingual poll workers and translated materials ensures consistent, accurate assistance for all voters and reduces potential conflicts of interest. Election translation requirements are complex, but they're also manageable with proper planning. By understanding federal and state requirements, starting early, working with qualified providers, and building buffer time into your schedule, you can ensure every eligible voter has access to the information they need. The goal isn't just compliance, it's ensuring that language is never a barrier to civic participation. When you invest in high-quality translation with adequate planning time, you strengthen democracy in your community. Start planning your next election's translation needs today. Your future self (and your community's voters) will thank you. About Avantpage: Avantpage specializes in language access solutions for election offices nationwide, helping jurisdictions meet their translation and interpretation needs while maintaining the highest standards of accuracy and timeliness. With decades of experience translating election materials for California and jurisdictions across the country, we understand the unique pressures of election cycles and deliver quality results on time, every time.

Patients with limited English proficiency (LEP) face a unique set of challenges when it comes to the healthcare system—all too often, breakdowns in communication lead to medical errors, poor understanding, and underutilization of healthcare services.  Given that LEP individuals make up a significant portion of the nation’s population—about 25 million individuals, to be precise—it’s important that health plans have a clear, concise and multilingual communication strategy that enables LEP members to get informed and advocate for themselves. One excellent way to engage your LEP members is to emphasize omnichannel communication, a strategy that provides a single, integrated customer experience across all communication channels, like your website, member portal, printed letters, text messages, and emails. Reaching LEP members effectively requires a strategic, omnichannel approach that ensures understanding and accessibility. In this blog post, we’ll take a closer look at what omnichannel communication is and how you can implement it into your communications processes to boost engagement among your LEP members and enable them to make better, more well-informed decisions about their healthcare. Table of Contents What Is Omnichannel Communication? Why LEP Members Need an Omnichannel Approach Best Practices for Omnichannel Communication with LEP Members How Omnichannel Communication Drives Member Engagement Avantpage’s Role in Supporting Omnichannel Member Communication Measuring Success in Omnichannel Communication Frequently Asked Questions About Omnichannel Communication Making Every Message Meaningful-On Every Platform  Omnichannel communication is a strategy that focuses on delivering coordinated, consistent communications to members across all of your communication channels.  Here’s an example of an omnichannel approach: When sending a member a letter about their health plan in mail, you also make sure that they receive that information in their email inbox, their member portal, and perhaps even a text message notification, all in their preferred language. By delivering the same message via all of the different channels available to you and your members, you’re covering all your bases and increasing the likelihood that members open and review the content of your message. Emphasizing consistent messaging across all of your channels also creates a seamless member experience and makes it easier for members to access and understand them. An omnichannel communication strategy will be helpful for all of your members, but LEP members in particular may benefit from this approach. A major aspect of the omnichannel approach is consistency. This is also key when it comes to language access—if you send LEP members a printed letter and an email in their preferred language, but messages in their member portal and SMS are all in English, you simply aren’t reaching them as effectively as their English-speaking counterparts. Additionally, LEP members may have different preferences around technology than English-speaking members—a recent study found lower engagement in telehealth services among LEP individuals. This could suggest that print messaging may lead to higher engagement among LEP individuals. And the risks of a single-channel approach to your communications are clear: If you only send members emails, they’re more likely to miss appointments, misunderstand their benefits, and lower satisfaction overall. On the flip side, using multiple channels of communication allows members to select the one that works best for them. Implementing an omnichannel communication strategy doesn’t have to be daunting—by following the best practices listed below, you can implement a thorough, well-formed omnichannel communication strategy that boosts engagement for your LEP and English-speaking members alike. For letters, brochures, and other messages that you send via mail, it’s important to use plain language and clear, easy-to-read formatting. Be sure to work with a language service provider to develop multilingual translations of these letters to send letters to members in their preferred language. Using concise and simple language in your original English letter makes the translation process significantly smoother and faster, so try to keep things as straightforward as possible, avoiding complicated jargon and convoluted sentence structure. Your organization’s member portal should have an accessible design and language that complies with the rules laid out in the Americans with Disabilities Act and Section 508. Members should easily be able to switch to their preferred language. As with print communications, any messages or instructions that members receive in the portal should feature plain language that’s easy for readers to understand. Emails should, generally speaking, be a bit shorter than letters sent via physical mail or digital portal messages, while text messages should be no longer than 300 characters. Keep the message brief and direct them to links to the member portal or resources on your website in case they want or need to access more information. And again, be sure that these messages are culturally appropriate and translated into your members’ preferred language. Be sure to have multilingual support options—whether that means hiring multilingual staff to operate the phone lines or working with an interpreting agency for on-demand access to an over-the-phone interpreter. Automated messages should be translated into multiple languages and, just like with written messages, should feature clear scripts written using plain language. Across all of these channels, be sure you’re conveying the same message to members—they should not be receiving conflicting messages between multiple different channels. In order for omnichannel communications to work, every message you send about a particular topic should complement one another.  A well-executed omnichannel strategy boosts member engagement by improving the flow and accessibility of information. When members receive clear messages across their preferred channels, they’re more likely to understand next steps and act accordingly. For LEP members, this means providing those reminders in their preferred language, no matter what channel you use to send it—whether it’s via print, email, portal notifications, or text message. This consistency increases the odds that they’ll see and react to time-sensitive information, such as preventive care reminders or screening instructions. This approach also builds trust. When members receive messaging that is accessible and aligned across formats, they feel more supported by their health plan and more confident navigating their benefits. Omnichannel communication also helps reduce gaps in care. Coordinated messages—for instance, a mailed notice followed by an email and a portal alert—reinforce one another and decrease the likelihood of missed appointments or misunderstood instructions. Over time, this leads to higher participation in preventive care and, perhaps most importantly, better health outcomes for disadvantaged populations. At Avantpage, we’re making omnichannel communication easier with AvantSend, our HIPAA- and ADA-compliant platform that handles every step of member communications—translation, printing, mailing, and tracking. AvantSend uses artificial intelligence to coordinate print, digital, multilingual, and accessible communications. On average, our 200+ healthcare clients have saved $36 per file processed through AvantSend and their print letters have been delivered to members two days faster.  Using AvantSend, you can send critical member correspondence to your members in more than 150 different languages. Built-in QA and compliance checks allow you to rest easy knowing that you’re not compromising accuracy or security. And that’s not to mention the fact that the platform has built-in, real-time tracking from intake to delivery confirmation, so that you can gain instant insight into status, timelines and compliance.  Omnichannel communications become a breeze with AvantSend—use it to reduce administrative burden and speed up the process of developing and sending out member communications across several different channels. As you work to implement an omnichannel communication strategy, you’ll want to track the following KPIs to be sure that you’re headed in the right direction: In general, you should expect these numbers to increase as you improve the consistency of your communications across all channels. It’s also a good idea to conduct surveys of members to get feedback and determine how satisfied they are with your services and outreach efforts. Audits should also be regularly conducted to ensure compliance with relevant regulations. Use these KPIs and feedback from members to fine-tune your communication strategy. As technology and legal regulations evolve, so too does the way we communicate—what works well today may not necessarily work a year from today. By tracking these KPIs and collecting member feedback, you can be sure that your efforts are continuously improving in response to trends in member preferences and technological advancement. It’s a coordinated strategy to reach members across multiple channels — print, digital portals, email, SMS, and voice — with consistent and accessible messaging. Preventive care reminders, appointment notifications, benefits explanations, surveys, and health program communications. LEP members often face language and literacy barriers; using multiple channels ensures messages are received, understood, and actionable. AvantSend coordinates print, email, portal, and voice messages in 150+ languages while ensuring accessibility (ADA/508) and compliance. By taking an omnichannel approach to your communications, you give members the option to engage with you using the channel of their preference.  For LEP members, a multilingual, omnichannel communication strategy is an absolute must-have, as it empowers them to fully understand and act on important messages regarding their healthcare. In turn, your LEP members will be more likely to take advantage of your services and advocate for themselves within the complex healthcare system. Not only does this boost trust and member satisfaction—it also improves  health outcomes for patients with LEP. To help make your communications strategy more inclusive and accessible to all members, consider working with Avantpage. Our AvantSend platform makes it easy to implement a multilingual, omnichannel approach to your communication strategy—contact us today online, email us at [email protected], or call (530) 750-2040 to learn more about how we can help you reach all of your members on any channel.

If you want to make sure your services are accessible to as many people as possible, multilingual outreach is pretty much non-negotiable. After all, if people with limited English proficiency (LEP) don’t know about your services or how to use them, they can’t fully benefit from what you offer. This is why multilingual outreach campaigns are so important—they ensure that people with LEP are informed about critical services, from healthcare to government. Launching outreach campaigns in multiple different languages allows you to tap into diverse populations and expand your scope. As with any sort of communications or marketing process, it’s important to track the success of your multilingual outreach efforts. In this blog post, we’ll identify several key performance indicators (KPIs) that you can use to assess the ROI of your multilingual outreach efforts. We’ll also look at some strategies to boost these KPIs and improve your work if you find that you’re lagging behind a bit. Table of Contents What Is Multilingual Outreach? Why Measuring ROI Matters for Multilingual Outreach Key KPIs to Track the Effectiveness of Multilingual Outreach Calculating Your Return on Investment How Technology Supports Measuring Multilingual Outreach ROI Best Practices for Continuous Improvement Frequently Asked Questions About Multilingual Outreach ROI You Can Measure: The Power of Multilingual Outreach Multilingual outreach is any form of coordinated communication campaign that’s delivered in multiple languages to reach a diverse group of members. Take, for example, a social media marketing campaign: In addition to launching ads in English, a multilingual outreach campaign would also feature translations (or transcreations) of those ads targeted to users whose primary language is not English. Multilingual outreach encompasses a wide range of different media—from print media like letters, informational brochures, and paperwork to digital media like email, text messages, and phone calls. Pretty much any form of communication that your organization sends out can be localized into different target languages to create a multilingual outreach campaign. In doing so, LEP individuals—who make up nearly 10% of our country’s population—will better understand what your organization does and will be more inclined to actually take advantage of your services and programs. Just like any other communication effort, measuring the ROI of your multilingual outreach will allow you to understand where your organization is doing well and where you can improve. Measuring ROI gives you a better sense of where your resources need to be allocated—perhaps you want to invest more time and money into your multilingual outreach efforts. Maybe you’re even thinking about hiring full-time staff members to oversee language access projects. If you’re able to show that your multilingual outreach efforts have increased engagement and generated revenue for your organization, you’ll be more likely to convince key stakeholders of the value of investing these resources into multilingual outreach. Additionally, multilingual outreach may also be a factor for regulatory compliance, depending on your industry. Particularly in healthcare and government, regulations like the ADA and Section 508 mandate certain language access standards, making effective multilingual outreach an absolute must-have. While multilingual outreach can be costly—high-quality translations aren’t free, after all—it’s worth the investment, thanks to the increased engagement and member satisfaction it tends to drive. In this section, we’ll take a look at six different KPIs you can use to track the effectiveness of your multilingual outreach efforts. To gauge member engagement, you can look at the following metrics: A well-done multilingual outreach campaign should lead to an increase on all of these metrics. There are a couple of ways to measure comprehension and accuracy. First, you can conduct a survey that directly asks members about the comprehensibility of your communications and marketing efforts. Another way to do so is to look at the rate of errors and misinterpretations members make when interacting with your office—for example, you can compare the number of errors on paperwork members made before and after you translated said paperwork into different languages. To look at member satisfaction, you can use the net promoter score (NPS) or conduct satisfaction surveys. Satisfaction surveys should ask members for feedback on clarity, relevance, and the accessibility of your messages. Multilingual outreach campaigns should boost participation in relevant programs; look at the participation rates of members from different linguistic backgrounds in certain programs. For example, if you put out ads in Spanish and Chinese for a wellness program, expect to see higher participation rates among Spanish and Chinese-speaking members. Successful multilingual outreach will likely reduce call volume, as members are less likely to misunderstand the communications they receive from you. As time goes on, you may end up saving time and money as you spend less on correcting errors, translating, and re-issuing communications. Track engagement, utilization, and outcomes among LEP members over time to determine whether multilingual outreach is successfully reducing access gaps. Compare performance not only to English-speaking members, but also to each group’s historical baselines and known structural barriers. By tracking these KPIs and more, you can easily calculate your return on investment in multilingual services. Here are just a few simple formulas you can use to calculate the return on investment of multilingual outreach efforts. Using the table below, fill in your past and current (after updating your multilingual outreach strategy) metrics to estimate time and cost savings: For example, let’s say you’re calculating Experience ROI—perhaps your phone operators field 900 calls per month from LEP members. If you implement a thorough and clear multilingual outreach strategy that cuts those calls down to 400 per month, you can expect to save anywhere from $2,500 to $7,500, depending on how much each call costs you. Want to learn more about how to boost your organization’s efficiency and savings? Check out this recording of our webinar, “Modernizing Member Communication Workflows.” Technology makes it much easier to measure the ROI of multilingual outreach with accuracy and consistency.  Platforms like AvantSend centralize multilingual and accessible communications, offering integrated reporting and real-time dashboards that surface engagement, compliance, and member feedback across languages. Instead of relying on scattered reports or delayed data, you can see how campaigns perform the moment they launch and quickly spot where outreach is resonating—or falling short. Automation further streamlines the process by reducing manual tracking and ensuring that messages go out accurately and on schedule. These workflows minimize errors, improve data quality, and give you a clear, reliable view of how effectively you’re reaching LEP members. Effective communication doesn’t end with one or two messages—it’s a continuous process that needs to be adjusted over time to ensure clarity. Organizations should strive for constant improvement in their multilingual outreach efforts, and measuring the above KPIs can help you adjust your approach accordingly. Below are some best practices to use these KPIs for continuous improvement: If your organization interacts with populations from different linguistic backgrounds in any sort of capacity, it’s a good idea to launch multilingual outreach campaigns. Additionally, if your organization provides healthcare, government, or legal services, state or federal regulations likely require some sort of multilingual outreach efforts. This depends on several factors, such as:

- The size and scope of your multilingual outreach efforts
- The language service provider you work with for translation and localization
- The languages you need your content translated into (low-resource languages tend to be more expensive)
- Whether or not you use machine translations or other technological solutions 

Your best approach is to consult several different language service providers to get a quote for your project and determine which option is right for you.
Here are a few examples of multilingual outreach campaigns:

- A social media advertising campaign that’s translated into multiple different languages and targeted to speakers of each language.
- A customer service hotline that allows members to speak with a representative in their preferred language (instead of just English).
- Discharge papers and care instructions translated into a patient’s preferred language. When done well, multilingual outreach delivers measurable, repeatable results.  By tracking clear KPIs, you can see exactly how your efforts improve engagement, strengthen equity, and make services more accessible to all members, regardless of their linguistic background. Gauging your performance based on these metrics can turn a basic compliance requirement into a strategic advantage, showing where outreach is succeeding and where targeted improvements can drive even greater impact. Avantpage offers a streamlined way to manage, track, and evaluate multilingual outreach. With tools like AvantSend, we help teams understand the true ROI of their efforts and confidently scale what works. If you’re interested in learning more about how our translation services can help you expand your reach, contact us online, email [email protected], or call (530) 750-2040. Watch the full webinar and download our free workbook about how healthcare organizations can identify areas of improvement for multilingual member communication workflows and how to calculate ROI.

Multilingual event planning requires careful preparation to ensure all attendees can engage fully, whether your event is in-person or online. From understanding your audience’s language needs to coordinating with interpreters and technology, successful multilingual events rely on thoughtful organization. In this guide, we’ll walk you through the steps to execute both multilingual virtual event planning and navigating in-person events successfully. Ready to make your next event fully accessible and engaging? Contact Avantpage to request a consultation or free quote. Table of Contents - Step-by-Step Guide to Planning for Multilingual Events - 1. Gather Information About Your Attendees - 2. Set Expectations for the Attendees - 3. Inform the Interpreter(s) of Which Language and Dialects Will Be in the Audience - 4. Coordinate With Your Language Service Provider Early - 5. Translate Event Materials - 6. Conduct Test Runs with Your LSP - 7. Set Expectations at the Beginning of the Event - 8. Capture Feedback at the End of the Event - 9. Use the Feedback for the Next Event - How Avantpage Supports Multilingual Event Planning - We Provide On-Demand Event Interpreters - AvantInterpret - Additional Language Support Services for Your Event - Frequently Asked Questions About Multilingual Event Planning - Make Every Guest Feel Understood, In Every Language Planning an event is already a complex process, and accommodating audiences who speak different languages adds additional steps to ensure everyone can participate fully. This guide will walk you through best practices for multilingual event planning, so your attendees feel included, engaged, and confident throughout the experience. Learn as much as you can about your attendees well before the event so you can give them the best experience. Ask questions about their language, including things like demographics and age. For example, if an attendee is a Chinese speaker, you’ll want to know the region that the person is from and their age. A 70-year-old man from New York City will require a different Chinese dialect than a 22-year-old woman from San Francisco. Collecting this information allows your language service provider (LSP) to select the best interpreters for your audience. Tip: Ask attendees if they have accessibility needs, such as hearing or vision impairments, to ensure your event is fully inclusive. Attendees may feel uncertain or uncomfortable before the event. Prepare them by sharing: Providing this information in the attendees’ language well in advance is critical for engagement. Clear communication can set the tone for a successful multilingual event. Give the interpreter(s) the language and disability information you received from your attendees so the interpreter(s) will be as prepared as possible to address the audience. As we mentioned before, languages can have nuances that vary per region, so the interpreter(s) should speak in whatever language and dialect are most relevant to the audience. Also, the speaker may need to change the cadence of the speech. Start organizing with your LSP at least two weeks in advance, though more time is always better. Early coordination allows: For multilingual virtual event planning, this step is even more critical to troubleshoot platform or connectivity issues before the event. Work with your LSP to have all materials translated into the necessary languages. This includes: For virtual events, ensure digital materials are screen-reader friendly and accessible to attendees with disabilities. Have a plan for distributing hard copies or digital copies to participants in advance. Be prepared for the event! Run through whatever interpretation requirements you may have with your LSP. Test out the equipment, even if you can’t do it in the event’s facility. If possible, have backup equipment.  Doing test runs is even more important if the event is online, as you want to address any technical issues before the event. For virtual events: Also, check in with your interpreters to verify that they’ve got everything they need.  At the start of the event, set clear expectations: Setting expectations should make the attendees feel more comfortable and engaged. When the event ends, ask for positive and negative feedback on the event, language services, and technology. Ask the limited English proficient (LEP) participants and participants with disabilities how accessible the event was, and ask for specific ways to improve the services. Review the feedback with the necessary participants, from the speakers to the LSP to IT support, then take that feedback into consideration for the next event. Avantpage provides expert support when planning for a multilingual event, with a focus on providing a suite of fully custom language access services: When you need to communicate with individuals with limited English proficiency (LEP) in real time, you need an interpreter. From determining the language to finding the right linguist, this can feel challenging — that’s where Avantpage comes in. Our interpreting services include: AvantInterpret was designed to make connecting with qualified interpreters simple, secure, and fast. Through AvantInterpret, you can access our vast network of interpreters for OPI or VRI, giving you round-the-clock access in over 150 languages. This platform allows you to focus on the conversation, not logistics, whether it’s a one-on-one appointment, a community service interaction, or a virtual meeting. Watch our explainer video about the AvantInterpret platform. Beyond interpreting, Avantpage provides comprehensive support to ensure your multilingual event runs smoothly and inclusively. For virtual events, our team offers platform setup and technical guidance, including testing audio, video, and simultaneous interpreting features, so your online attendees can participate seamlessly.  We also provide accessibility guidance, helping you accommodate LEP participants and attendees with disabilities by ensuring materials, communication channels, and event logistics meet their needs. By combining technical support with a focus on accessibility, Avantpage helps you deliver a professional, inclusive, and engaging experience for all participants. We can also work with you to ensure all of your printed and digital materials are translated and are culturally appropriate. If needed, we can also provide desktop publishing services, which ensure your branding and formatting are adapted to your multilingual messaging.  We can provide the translation and localization of: Request a consultation or free quote to make your next multilingual event accessible, engaging, and seamless with Avantpage and AvantInterpret. At least two weeks is recommended, but earlier is better for large events or those with attendees who will need accommodations in multiple languages. Absolutely! We provide simultaneous interpreting for multiple languages, both in-person and virtually. Interpreters work via a virtual platform with separate audio channels for each language. Attendees select the channel for their preferred language. Conferences, webinars, workshops, board meetings, educational events, and more — both in-person and virtual. Effective multilingual event planning ensures that every attendee, regardless of language or ability, can engage fully. By combining translation, interpreting, and localization with thoughtful planning, your organization can improve engagement, accessibility, and attendee satisfaction.We’ve helped clients put on multilingual conferences, educational events, business meetings, and more. Whether your next event is in-person or virtual, Avantpage can help you deliver a smooth, inclusive experience. Call us today or request a free quote to get started.

Preserving endangered languages is a mission-critical task for linguistic and translation professionals worldwide. Beyond the historical implications of protecting indigenous languages, it’s also important to safeguard the native tongue of global cultures for individuals who currently speak the language. Let’s take a look at what’s involved in preserving languages and what it means for the translation industry as a whole. Table of Contents Benefits of Preserving Endangered Languages 1. Provides Equal Access to Critical Resources 2. Languages Teach Us About Culture and History Why Language Loss Matters Examples of At-Risk and Endangered Languages How the Translation Industry Can Help What You Can Do to Help Preserve Endangered Languages Frequently Asked Questions About Endangered Languages Improve Your Organization’s Linguistic Diversity with Avantpage Preserving endangered languages offers far-reaching benefits that go beyond communication. Each language carries cultural identity, ancestral knowledge, and access to essential resources for those who speak it. By protecting and revitalizing these languages, we strengthen communities, promote inclusivity, and ensure that future generations can continue to learn from the wisdom embedded in every word. As languages grow closer to becoming extinct, the circle of people who speak them grows smaller. However, whether the language is as common as Italian or as rare as Pitkern, existing speakers still need access to translation resources. Efforts to preserve endangered languages help translators provide services to people in communities where their native language is not primarily spoken. Through crowdsourced or direct translation projects, speakers of endangered languages can access community resources like healthcare, education services, and other necessities that directly impact their quality of life. According to UNESCO, more than 40% of the world’s estimated 7,000 languages are endangered, and one language disappears roughly every two weeks. When a language dies, entire communities risk losing not only their ability to communicate but also their connection to ancestral knowledge, stories, and cultural identity. This makes translation professionals key advocates for linguistic equity. By helping to translate documents, signage, and resources into lesser-spoken languages, they ensure that speakers of endangered languages are not excluded from essential systems of care and communication. Human language is a fluid, ever-changing form of communication. Its content and structure change over time to reflect the culture of its native speakers and hold clues to its history. Naturally, one of the biggest benefits of the preservation of endangered languages is the impact it has on the understanding of how languages grow and develop. Since communication is a fundamental part of human interaction, the study of indigenous languages offers limitless insight into humanity itself. “Every language has poetry,” says Bob Holman, host of PBS program Language Matters. “Each [one] holds a little piece of information or a lot of information, can hold information about medicines and health, can hold information about the constellations in the sky. And that’s information that, if you lose the language, you lose that connection with that place, with that way of thinking, with tens of thousands of years of that language’s lineage.” As with any avenue of historical study, researching a language’s past can provide clues to its future. Endangered languages are particularly vulnerable, so it’s important to learn all we can from them before they go extinct. Beyond history, every language represents a unique worldview. For example, the Hawaiian and Māori language revitalization movements show how reconnecting with native tongues strengthens cultural identity and community pride. In both regions, immersion schools and media programs have helped new generations become fluent speakers, proving that with support and documentation, even highly endangered languages can be brought back to life. When a language disappears, humanity loses more than just words — we lose access to generations of collective wisdom. Many endangered languages contain ecological, agricultural, or medicinal knowledge specific to the lands where they developed. Without these languages, valuable information about sustainable living, environmental balance, and local biodiversity may be lost forever. Language loss also has deep social implications. Communities that can no longer use their mother tongue often face barriers to education, healthcare, and civic participation. Preserving endangered languages supports inclusivity, empowerment, and human dignity — values that align closely with Avantpage’s mission to ensure everyone has equal access to information, regardless of the language they speak. The translation and localization industry plays a critical role in language preservation. Translators, linguists, and language service providers are uniquely positioned to: Anyone can contribute to language preservation, whether by volunteering time to translate documents, supporting local revitalization projects, or simply learning and using endangered languages in daily life. Translators and global businesses can also partner with preservation organizations to ensure that Indigenous voices remain heard and respected in the digital era. Organizations like The Enduring Voices Project and the Endangered Language Project are making great strides in language preservation. However, the continued globalization of the internet is positively impacting efforts as well. “While the dispersal of speech communities across the globe has led to the demise of some languages, technology popularized by globalization is playing an equally important role in their revitalization. Through the internet and mobile communications, people are reconnecting with fellow speakers using digital tools to revive languages on the endangered list,” writes Yale linguistics expert Mark Turin. UNESCO’s Atlas of the World’s Languages in Danger lists 576 languages as critically endangered, but thousands more are threatened. The translation industry needs to support measures that slow down or mitigate the loss of an important part of global cultures. Equally, businesses that provide resources to individuals with limited English proficiency must do what they can to help lessen the impact of languages that may be lost forever. Endangered languages are languages at risk of falling out of use because their speakers are shifting to a dominant language or because intergenerational transmission is declining. When a language loses its youngest speakers and relies only on older generations, it faces a high risk of extinction. Preservation efforts are critical for maintaining language diversity and protecting human history embedded in linguistic traditions. Language documentation preserves the grammar, vocabulary, and cultural knowledge of a language before it disappears. Organizations like the Endangered Languages Project and resources like Ethnologue compile detailed data on language use, language vitality, and speaker populations. Documentation ensures that languages can be studied, revitalized, and used to support human rights, including the right to cultural and linguistic expression. The number of endangered languages worldwide is estimated at over 2,500, though some sources suggest up to 3,000. Certain regions, like Papua New Guinea, are particularly linguistically diverse, with hundreds of small language communities at risk. Other countries, such as Canada, also report multiple endangered Indigenous languages. Organizations like the United Nations and national governments work to support these communities and track language endangerment. Speakers often include both older generations and younger speakers, though in many cases, the youngest members of a language community may not be fluent. Revitalization efforts aim to pass languages to the youngest speakers, maintaining language vitality and ensuring that knowledge tied to the language is not lost. Languages carry unique knowledge about human history, including local traditions, human rights norms, ecological practices, medicine, and social customs. When a language disappears, this cultural heritage vanishes. Protecting endangered languages helps preserve both cultural identity and valuable historical insights for researchers and global communities, from New York to remote villages worldwide. - Support language documentation projects and the Endangered Languages Project.
- Collaborate with linguists to record, transcribe, and archive languages.
- Promote language diversity in education, media, and digital platforms.
- Provide resources to language communities to maintain language vitality.
- Recognize that access to one’s native language is a human rights issue. The United Nations and UNESCO maintain initiatives to track language endangerment, fund revitalization programs, and promote human rights related to cultural and linguistic identity. Urban centers like New York also host workshops, language classes, and community gatherings to support immigrant and Indigenous language communities. At Avantpage, we believe that linguistic diversity is essential to cultural understanding and inclusion. Every language represents a living story. By supporting translation, education, and revitalization efforts, we help those stories continue to be told. If you’re ready to expand your language access program, use one of our online forms to reach out or call (530) 750-2040.

Following plain language guidelines is an important starting point for producing source material that’s ready for translation services. Although translators can produce some pretty impressive work, they aren’t miracle workers. For a translator to create a high-quality, easily readable document in the target language, the source text must be equally high in quality and just as easy to read. In other words, the source text should be written in plain language. When creating content that you know will be translated later on, following plain language guidelines is a proactive step toward a final product that’s as easy to read as the source text. Here’s our guide to observing plain language guidelines and making sure your writing is as clear and concise as possible. Table of Contents What Is Plain Language? When to Use Plain Language? Example of Plain Language in Action Why Is Plain Language Important for Translation Services? Plain Language Guidelines & Writing Tips Frequently Asked Questions About Plain Language Guidelines Make Your Message Clear The term “plain language” refers to writing that’s concise and easy to understand on the first read. Although federal agencies are already required to produce official communications using plain language under the Plain Writing Act of 2010, anybody can — and should — use plain language in their internal or external communications. Plain language is particularly helpful when you need to have a document translated. When translators have to wade through lots of dense, confusing language, it can slow down the translation process, creating unnecessary or burdensome work for the translator.
If you’ve ever asked somebody to explain a long-winded, convoluted topic to you “in layman’s terms,” you already have some familiarity with the concept of plain language. In fact, the phrase “plain language” is essentially a, well, plainer way of referring to layman’s terms. Here are a few instances when using plain language is best:  Plain language is any form of writing that emphasizes clarity and conciseness. When writing in plain language, a writer’s goal is to ensure that the text is easy for readers to understand and quickly gloss over. Here’s an example of some decidedly not plain language provided by the US General Services Administration: “Apply if you are aged (65 years old or older), blind, or disabled and have low income and few resources. Apply if you are terminally ill and want to receive hospice services. Apply if you are aged, blind, or disabled; live in a nursing home; and have low income and limited resources. Apply if you are aged, blind, or disabled and need nursing home care, but can stay at home with special community care services. Apply if you are eligible for Medicare and have low income and limited resources.” Now, here’s a revised version of that passage, written to follow plain language guidelines: “You may apply for Medicaid if you are: Notice how much easier it is to follow the second one. While the first example consists of a single, nearly 100-word paragraph, the second uses simple sentence structure and a series of bullet points to make the text a little bit easier on the eyes. Plus, it cuts the total word count down to 60. Ultimately, plain language allows individuals to find the information they need faster, making complicated topics easier to understand for wide, non-specialized audiences. Plain language isn’t just important for improving accessibility in general communications. It’s also a way to simplify the translation process from the get-go. By doing this, you can get faster translation delivery times, increased accuracy, and potentially lowered costs. Writing in plain language makes things easier for the translator(s) rendering your texts into the target language. Because translators aim to convey the meaning of the source text in the target language, content writers should aim to make that meaning as clear as possible. It may not be possible to use plain language in every piece of content — highly regulated areas like the pharmaceutical industry and legal services often have specific and formal terminology that can’t be easily simplified into plain language. Thus, it’s important to keep your target audience in mind — a scientific review committee will surely understand more niche terms than the general public. When producing public-facing content like blogs, informational pamphlets, or advertisements, plain language is critical to ensuring that both the translator and the target audience can easily understand your intended meaning. Here are a few basic tips that we recommend for writers creating content they intend to have translated later on: While jargon can be difficult to avoid, it’s also important to note that the general public may not have a solid understanding of terms you use daily in your field. For instance, the medical condition “myocardial infarction” is more commonly known as a “heart attack.” Unless you absolutely have to use the phrase “myocardial infarction,” the term “heart attack” will likely serve you better, as it’s just plain easy for readers to understand. Long sentences packed with several different ideas can be hard to follow. Try to stick to one idea per sentence and try to keep the average number of words per sentence down to 20 or fewer. When writing, you’ll often find that some words are redundant or unnecessary. For instance, why would you call something “very good,” when you can call it “great?” Not only is “great” a more specific word — it’s also quicker to read than “very good.” More often than not, you can replace phrases like “very,” “really,” or “actually,” with more purposeful words. In addition to being a key tenet of plain language guidelines, this rule’s also a staple in grade-school English classes. Passive voice constructions tend to be wordier than those in the active voice. As a result, they add unnecessary words to the sentence and can make it harder for a translator to understand the meaning. Moreover, active voice generally illustrates the main idea of the sentence more effectively than passive voice. From the writer’s perspective, direct subject-verb-object sentences may seem a bit dry and repetitive. But the truth is that they’re much easier to follow than winding sentences that have all sorts of additional clauses and information that can be expressed in a separate sentence. Directness in your word choice is also key. Whenever appropriate, try addressing the reader directly using the personal pronoun “you,” to help engage them and form a connection between the reader and writer. Plain language guidelines provide rules and best practices to make written communication clear, concise, and easy for the intended audience to understand. They focus on improving readability, reducing technical terms, and structuring content logically with tools like headings and bullet points. All healthcare and federal employees are encouraged to follow the federal plain language guidelines when creating content for the public, including government communication materials, reports, and .gov websites. Compliance ensures accessibility and transparency for citizens. Please refer to PlainLanguage.gov or learn how to build a terminology glossary for more accurate translations. The U.S. government provides resources through PlainLanguage.gov, maintained by the Plain Language Action and Information Network (PLAIN). This site includes training materials, examples, templates, and the latest updates on federal plain language guidelines. Plain language improves accessibility, promotes citizen engagement, and ensures that critical information, such as public services, health guidance, or legal documents, is understood by everyone. Agencies like the National Institutes of Health use plain language to make medical and scientific information accessible to non-experts. - Use clear headers to organize content.
- Write short sentences and simple paragraphs.
- Avoid unnecessary technical terms unless explained.
- Focus on the important information and what the reader needs to know.
- Use active voice and clear verbs. Yes! Plain language training is available through federal agencies and online resources. First-time users can access beginner-friendly modules on plainlanguage.gov, while advanced courses are offered to help improve government communication skills across departments. Federal agencies may submit a compliance report annually to demonstrate adherence to federal plain language guidelines, showing how they have improved readability, simplified language, and enhanced communication for the public. Using plain language principles can simplify the translation process. It will help language service providers connect with your message and convey it in simple terms. As a quick reminder:  If you’ve already got your content drafted up in plain language and need professional translation services, contact our linguists and translators online or call us at (530) 750-2040.

If your organization provides Medicare or Medicaid insurance plans, the Healthcare Effectiveness Data and Information Set (HEDIS) acts as the scorecard that shows just how well you’re caring for your members. HEDIS, developed by the National Committee for Quality Assurance (NCQA), is a standardized set of performance measures that are used to assess the quality of care that healthcare organizations provide to their patients. The Centers for Medicare and Medicaid Services (CMS) requires many health insurance plans to report their HEDIS data as a part of their Medicare Star Ratings—as such, HEDIS data can have a strong effect on a provider's revenue and enrollment.  While health outcomes are a significant part of HEDIS measures, communication, engagement, and patient satisfaction play a key role as well. So, if you’re looking to improve your organization’s HEDIS performance, you may want to take a look at your member engagement and communication strategies. In this blog post, we’ll take a deeper look at what HEDIS is and how health plans can improve their performance by rethinking their engagement strategy. Table of Contents What Are HEDIS Measures? The Link Between Member Engagement and HEDIS Performance Common Barriers to Effective Member Engagement Inclusive, Accessible Member Correspondence: The Foundation of Engagement Member Engagement Strategies That Directly Impact HEDIS Measures Measuring Success: Tracking HEDIS Improvement Through Engagement Avantpage's Role in Supporting Better HEDIS Outcomes Frequently Asked Questions About HEDIS Measures and Member Engagement Your Message, Measured: Turning Communication Into Better Outcomes More than 235 million people across the United States are enrolled in health plans that report data on HEDIS measures, making it one of the most widely used performance improvement and quality assurance tools in the healthcare industry. The NCQA uses around 90 different HEDIS measures to evaluate health plans. These measures are organized into six domains of care: By collecting and analyzing this data, HEDIS enables health plans to monitor performance and improve member outcomes. HEDIS measures are also an important way to meet regulatory requirements, while giving members and stakeholders a transparent, standardized way to compare the quality of care across plans. Member engagement is a way to improve your performance on HEDIS measures—when members understand their benefits, feel connected to their care teams, and receive timely, accessible communication, they’re more likely to schedule preventive visits, complete screenings, and adhere to treatment plans. This in turn improves a health plan’s scores in HEDIS domains like Experience of Care and Utilization and Risk-Adjusted Utilization. It should come as no surprise then, that health plans with strong engagement strategies consistently report higher HEDIS scores, especially when outreach is personalized, multilingual, and easy to understand. When health plans successfully engage their members, members feel more trust toward their health insurance provider, leading to improved patient satisfaction and an increased willingness to use their health insurance and advocate for themselves within the healthcare system. Research shows that improved care coordination—a form of member engagement involving “the deliberate effort by two or more healthcare professionals to facilitate and coordinate proper delivery of care to a patient”—also leads to improved performance on HEDIS measures, often by more than five percentage points. Below are a few examples of some common issues health plans encounter when trying to boost member engagement: - Limited language access: It’s hard to engage members if you’re not speaking their language. If you don’t offer thorough medical translation and interpretation services, members with limited English proficiency are much less likely to make use of their health plan.
- Poor health literacy: All too often, health plans communicate to their members in jargon-laden benefits letters, notices of action, and other media. But this can be difficult for patients to understand, making them less likely to engage and utilize their insurance.
- Outdated outreach methods: While there’s certainly a place for print media and letters, keep in mind that many members prefer to use more modern means of communication like email, text message, and online member portals.
- Limited accessibility: Without options like large print, screen-reader compatible digital content, or ADA-compliant materials, members with disabilities are less likely to understand their benefits, complete preventive care, or follow through on recommended screenings. Improving member engagement starts by tackling these problems head-on. By developing a more accessible communication strategy, you can better engage your members and boost your organization’s performance on HEDIS measures. Effective member engagement begins with clear communication. Inclusive and accessible correspondence ensures that all members, regardless of language, literacy level, disability, or cultural background, can confidently navigate their care. This involves using plain language, ADA- and Section 508-compliant formats, multilingual materials, and multiple communication channels. Members who receive clear, understandable messages are more likely to schedule preventive screenings, follow treatment recommendations, and complete necessary follow-ups. Examples of inclusive communication include sending appointment reminders in a member’s preferred language, providing visually clear benefit explanations, and offering audio or video versions of critical information for those who need alternative formats. This foundation of trust and clarity empowers members to take charge of their care and directly supports HEDIS measures related to Effectiveness of Care, Access/Availability, and Experience of Care. In short, even the best care programs may fail to reach the members who need them most without accessible correspondence. Below, we’ll take a look at five different strategies that health insurance providers can take to improve their communication and member engagement strategies. Tailor outreach to each member based on demographics, claims history, and identified care gaps. Personalized reminders for screenings, vaccinations, and chronic condition management increase adherence and close gaps, directly improving HEDIS measures like Effectiveness of Care. Ensure appointment notices, telehealth links, and coverage information are easy to understand and accessible in multiple formats. Using mail, email, SMS, and portal notifications reduces barriers and encourages timely care. Use inclusive language, culturally relevant translations, and community-specific messaging to foster respect and belonging. When members feel respected, they tend to report higher satisfaction. This improved satisfaction goes hand in hand with improved member engagement, as members are more likely to trust and engage with their health plan if they feel satisfied with it. Encourage preventive visits and follow-ups with personalized outreach to plan members. Automated systems can flag members who are overdue for screenings, which will help your organization manage utilization and ensure appropriate care delivery. Integrate AI, automation, and translation tools to scale outreach while maintaining accessibility and language compliance. Technology ensures timely, consistent communication that reaches all members and supports better performance on HEDIS measures. However, it’s important to integrate technology carefully—there should always be a human in the loop to review the messages you’re sending out. Once you’ve implemented the above strategies and begun working to improve your member engagement, there are a few key metrics you can look at—aside from overall HEDIS scores—to determine the success of your efforts: As you track member engagement and HEDIS improvement, try to establish feedback loops that capture member responses and interaction data. For example, after sending out preventive care reminders, you can track open rates, click-throughs, appointment completions, and survey feedback. These insights allow you to adjust messaging, choose the most effective communication channels, and personalize outreach for different member populations. And keep in mind that improving member engagement is an ongoing process—the way we communicate today is very different from the way we communicated 20 years ago. That means that your engagement strategy needs to be constantly evolving to meet the ever-changing needs of your members. At Avantpage, we’ve recently launched a tool to help you improve member engagement and boost performance on HEDIS measures: AvantSend. AvantSend is our new, AI-enabled correspondence platform that supports 150+ languages and ensures ADA and Section 508 compliance. This platform handles all of your communication needs, from translating letters to printing them out and mailing them directly to your members, speeding up the turnaround time for delivery by about two days. Here’s an example of how you can take advantage of AvantSend: Using AvantSend, a health plan was able to automate end-to-end mailing of preventive screening reminders, including multilingual and ADA-compliant formats. By tracking responses and appointment completions, the organization was able to follow up with members who hadn’t scheduled screenings, ultimately increasing participation rates and closing care gaps more efficiently. By streamlining your communications workflow and getting correspondence out to your members faster, AvantSend boosts member satisfaction and bridges gaps in care—in turn boosting your HEDIS performance. HEDIS measures are standardized performance metrics used by health plans and the NCQA to evaluate care effectiveness, accessibility, experience, and utilization. Higher engagement leads to better follow-up, preventive care, and satisfaction — directly improving scores in domains like Effectiveness of Care and Experience of Care. Personalized outreach, multilingual materials, accessible appointment reminders, and culturally responsive communication all boost engagement and HEDIS outcomes. When members understand their benefits and next steps, they feel respected and informed — leading to higher satisfaction scores and stronger plan loyalty. AvantSend automates inclusive, ADA-compliant, multilingual member correspondence — helping health plans communicate clearly and consistently across all populations. Clear, inclusive communication is essential for helping members understand their benefits and take advantage of them.  Ultimately, when communication is inclusive and intentional, members are more engaged, overall satisfaction improves, and your HEDIS measures get even better. In this sense, a good communication strategy can be seen as a clinical quality tool, rather than just a small administrative task. If you’re looking to boost your HEDIS performance, Avantpage can help. We offer translation, interpretation, and accessibility services that can transform the effectiveness of your communication strategy. And that’s not to mention our latest development, AvantSend. Get a free quote online or call (530) 750-2040 to learn more about how we can help you modernize member correspondence and drive measurable quality outcomes.

ADA compliance ensures that all people, including those with disabilities, have meaningful access to your organization’s services, products, and communications. For organizations serving diverse audiences, providing accessible translation, interpreting, and localization services isn’t just best practice — it’s a legal requirement under the Americans with Disabilities Act (ADA). In this guide, we’ll cover what ADA compliance is and a few ADA compliance services that can help your organization adhere to ADA guidelines. If you’re ready to make your organization accessible to everyone, contact Avantpage to get started. Table of Contents - What Are ADA Compliance Services? - Key Aspects of ADA Compliance in Language Services - ADA-Compliant Translation - ADA-Compliant Interpreting - Localization and Cultural Adaptation - Industries Where ADA Compliance Is Critical - How Avantpage Supports ADA Compliance - Frequently Asked Questions (FAQ) About ADA-Compliant Services - Avantpage Is Your ADA Compliance Partner ADA compliance services ensure all individuals, including those with disabilities, can meaningfully access your content, products, and services. This includes providing: - Translation of written materials
- Interpreting for verbal communication
- Localization and cultural adaptation
- Accessible digital content Compliance is not just about translating words — it’s about ensuring information is usable, understandable, and culturally appropriate for every audience. The ADA is structured around five titles, three of which are especially relevant for organizations providing language services: Key takeaway: ADA compliance goes beyond simple translation — it’s about creating meaningful access at every point of communication, whether written, spoken, or digital. Compliance is nuanced, but it doesn’t have to be complicated. Depending on the types of products, services, or information your organization offers to the public, you may need one or all of the following ADA-compliance services:  Translation ensures that written content is accessible to individuals with communication disabilities, including vision, hearing, or speech impairments. Key services include: Examples: Interpreting services ensure verbal communication is accessible for individuals with hearing or speech disabilities. Key services include: Examples: Localization ensures translated content is meaningful and culturally appropriate for the target audience. Examples: Localization ensures that compliance isn’t just about language, but about effective, culturally aware communication. ADA compliance is required across sectors, but particularly in areas where communication access can impact safety, rights, or health. - Healthcare: Patient forms, medical instructions, and appointment communication must be accessible.
- Government: Voting materials, public service notices, and in-person services (polling, city meetings).
- Education: Enrollment forms, course materials, and announcements must be fully accessible.
- Businesses & Public Services: Customer communications, websites, signage, and digital platforms. Avantpage provides expert ADA compliance services across translation, interpreting, and localization, ensuring your organization meets legal and accessibility requirements. Our language services include: Request a free quote or consultation with Avantpage to make your documents and communications fully accessible. Translation makes written content accessible, while interpreting ensures verbal communication is accessible. Both are essential for ADA compliance. Any organization covered under ADA Titles I, II, or III should ensure its communications are accessible to individuals with disabilities. Absolutely! Interpreters can work in-person, over the phone, or via video platforms that meet ADA standards. Vital documents like legal agreements, medical forms, HR materials, member communications, and digital content. Our team combines professional translation, interpreting, and localization expertise with accessibility best practices to create content that is accurate, culturally appropriate, and fully ADA-compliant. ADA compliance is more than a legal requirement — it’s a commitment to inclusivity and accessibility for all audiences. By providing ADA-compliant language access services, your organization can communicate effectively, reduce legal risk, and demonstrate a commitment to equity.Whether you need large print, braille, audio formats, sign language interpreting, or localized member correspondence, Avantpage can help. Give us a call or request a free, no-obligation quote to ensure your organization meets ADA standards and communicates with all audiences effectively.

Translation, at its core, is about providing meaningful access for all people to the services, products, and general information that you provide. For organizations serving diverse audiences, ensuring documents meet ADA standards is key to compliance and accessibility. ADA translation is based on the requirements of the Americans with Disabilities Act (ADA), a civil rights law passed in 1990 that prohibits discrimination against individuals with disabilities in all areas of public life, including jobs, schools, transportation, and public or private spaces open to the general public. This law requires organizations to make communication accessible for individuals with disabilities, including vision, hearing, or speech impairments. In this article, we’ll explore the basics of what ADA-compliance services are and who needs ADA translations. Or, if you’re ready to ensure your documents are accessible to everyone, contact Avantpage to start your ADA-compliant translation project. Table of Contents - What's Involved in ADA-Compliant Translation? - Who Needs ADA Translation? - How Avantpage Supports ADA-Compliant Translation - Frequently Asked Questions (FAQ) About ADA Compliant Translations - Mitigate Risk with ADA-Compliant Documentation ADA-compliant translation ensures that people with communication disabilities can fully engage with your content. Depending on the needs of your audience, this may include: By planning ADA-compliant translation carefully, organizations can ensure all audiences can interact with documents, websites, and materials in a meaningful way. Not sure which formats your organization needs? Speak with a translation and localization expert to find out! ADA-compliant translation is essential for organizations across all sectors, especially those that are federally regulated. The ADA includes five titles: Organizations must ensure communication is effective for individuals with disabilities, regardless of how frequently they interact with them. Fields with specific ADA requirements include: - Healthcare: Patient forms, instructions, and notices
- Education: Enrollment forms, course materials, and announcements
- Government & Elections: Voting materials, notices, and official communications
- Businesses & Public Services: Websites, customer communications, and signage Non-compliance can result in penalties, legal action, and reputational damage. By integrating ADA-compliant translation into your workflow, your organization can reduce risk while ensuring inclusivity. Avantpage provides expert ADA-compliant translation services designed to meet the needs of all audiences. Our language services include: - Large print, braille, and audio translations for vision accessibility
- Sign language and oral interpreters for hearing accessibility
- Speech-to-speech transliteration and communication boards for speech accessibility
- Full compliance with ADA guidelines and accessibility best practices
- Translation for documents, digital content, and multimedia Our team ensures that every project meets accessibility requirements while maintaining linguistic and cultural accuracy. Whether you need ADA translation for healthcare, education, government, or business, Avantpage can guide your organization through the process. Ready to make your documents fully accessible? Request a free quote or consultation with our ADA-compliant translation experts. Digital content can be adapted with screen-reader-friendly formats, alt-text descriptions for images, captioned videos, and accessible PDFs. Avantpage ensures all formats meet ADA standards while maintaining linguistic accuracy. Yes. Providing accessible documents reduces the risk of non-compliance penalties, lawsuits, and reputational damage. ADA-compliant translation demonstrates your commitment to accessibility and equity. Begin by identifying which vital documents, forms, or content need to be accessible. Or, if you’re not sure, reach out to a language service provider like Avantpage. We’ll help you identify which documents need to be translated to meet ADA guidelines and your audience’s needs. Ensuring your organization’s documents and communications are accessible doesn’t have to be complicated. With ADA-compliant translation services from Avantpage, you can provide meaningful access to all audiences, meet regulatory requirements, and demonstrate your commitment to inclusivity. Whether you need large print, braille, audio formats, or sign language interpreting, our expert team is ready to help. Contact Avantpage today at 530-750-2040 or request a free quote online to make your content fully accessible and compliant.

For many language projects, it simply isn’t enough to translate the words on paper from one language to the next. Simple, word-for-word translation may work for straightforward texts like administrative paperwork or technical instructions, but when it comes to more creative works—think outreach campaigns, slogans or social media posts—you need transcreation. Transcreation is the process of adapting content for an entirely different cultural context—while language is one major component of that, transcreation may also change the imagery, idioms, and overall emotional appeal of a campaign.  A classic example: In France, McDonald’s adapts their “I’m Lovin’ It” slogan to “c’est tout ce que j’aime” (“It’s everything that I love”), while in Quebec, it becomes “c’est ça que j’m” (“It’s that that I luv’”). The stylized “j’m” is a playful nod to the stylization of “lovin’” in English, reflecting Quebec’s bilingual culture. While these may feel like minor details, they ultimately create a more culturally appropriate and immersive experience for audiences.  In this blog post, we’ll explore the differences between transcreation and translation, giving you a better understanding of how your organization can decide which is right for a given project. Table of Contents - Translation vs. Transcreation: Definitions & Examples - Transcreation vs. Localization - Why Words Alone Fall Short - When to Use Translation vs. Transcreation - Best Practices for Culturally Appropriate Messaging - Changes and Future Outlook - Frequently Asked Questions About Transcreation vs. Translation - Don’t Just Translate: Transcreate with Avantpage Translation is a purely linguistic process—it’s best suited to documents that involve very little creativity, such as administrative paperwork, discharge instructions, dense legal texts, etc. These kinds of documents should prioritize linguistic accuracy and clarity, and there’s typically no reason to change the overall messaging.  Healthcare organizations and agencies like election boards typically employ translation services for the following types of documents: On the other hand, transcreation is a more creative process that involves factors beyond language. Transcreators adapt a text for a totally new cultural context, using different idioms, emotions, and even images, as needed. If you translate a transcreated text back into the source language, it should still get the same message across, but it won’t use the exact same words or tone as the original. Healthcare organizations and government agencies typically employ transcreation services for the following types of documents: You may have also heard about localization—another process used to adapt content for different audiences. While transcreation focuses on reimagining the message itself, localization is a broader process that also includes adjusting practical details like date formats, measurements, currencies, and culturally relevant references.  Ultimately, transcreation is one aspect of the localization process; localization aims to make content functional in a new cultural context, while transcreation is a process to make sure that the content goes beyond functionality and resonates with the target audience. When you’re adapting highly idiomatic or emotionally charged content into another language, a one-to-one translation doesn’t usually land right.  For instance, you could translate the English idiom “It’s raining cats and dogs,” word for word into Chinese, but audiences likely won’t get what you’re trying to say, as the “cats and dogs” idiom is largely unique to English. Instead, you’d want to use an equivalent expression that’s commonly used among Chinese speakers. These kinds of errors sound silly, but they’re no joke. In addition to hurting an organization’s reputation and lowering trust, they can also have severe consequences in industries like healthcare and government. In healthcare, even minor translation errors can lead to serious miscommunication, patient harm, or compliance failures. As the European Center for Disease Prevention and Control has noted, translation alone is not enough: “Too often, little or no attention is given to end-user comprehensibility and the cultural appropriateness of even well translated materials.”  In government and public health, unclear or culturally off-key messaging can mean lower vaccination or screening rates. And for global brands, mistranslated slogans or poorly adapted campaigns can derail launches and damage credibility. Across all sectors, the lesson is the same: Effective communication depends on cultural insight and emotional precision. Getting it wrong can have serious consequences. In healthcare, bad, unclear messaging can violate compliance requirements like civil rights protections, Title VI, or patient rights, ultimately exposing organizations to legal risk. And the financial stakes can be high—communication failures cost U.S. hospitals an estimated $12 billion annually, according to research from CRICO.  When determining whether to use translation or transcreation, ask yourself what the goal of the content is—if its main purpose is to inform your audience, translation is probably the way to go. If the main purpose is to engage your audience, go with transcreation instead. Translation works best when you need to make sure that the final product maintains all of the same information and details of the source text. Things like legal, regulatory, or administrative documents, instructions, and technical manuals should all be translated, rather than transcreated. When the focus is less on the nitty-gritty details of a text and more on the overall message, transcreation is the right choice. Organizations typically use transcreation for marketing campaigns, social media posts, and other forms of outreach and engagement. Creating culturally appropriate messaging may seem like a challenge, especially if you’re trying to target an audience that isn’t from the same linguistic or cultural background as you. But you shouldn’t do it alone—collaborate with a language service provider who can help you figure out the right approach for your message. Linguists, cultural consultants, and community leaders can help identify subtle language cues, imagery, and emotional tones that might otherwise be missed. Testing is also important. Focus groups and patient or consumer panels provide real-world feedback, helping you refine messaging before it reaches a wider audience. This step can reveal misunderstandings, highlight preferred phrasing, and uncover cultural sensitivities that might not be immediately obvious to you. Effective messaging meets all compliance standards while respecting cultural nuance. The best results come from responsibly leveraging human expertise with technology. Tools like translation software or artificial intelligence can speed up the process, but they work best when guided by people who understand the cultural and emotional context behind the words. Having a human in the loop helps ensure compliance and accuracy, which are especially important for healthcare organizations and government agencies. Transcreation is not without its challenges: It is typically a more time-consuming and more expensive process than translation. As a result, it can also be a harder process to scale, especially if your content needs to be adapted for several different cultural and linguistic contexts. But as a safeguard against reputational damage or non-compliance fees, it’s certainly a worthwhile investment. As technological innovations like artificial intelligence and machine translation software become more advanced, these tools may play a larger role in the process. However, transcreation requires a very deep knowledge of both the source and target languages and their cultures—automated translation tools still don’t do particularly well with text that requires cultural context to understand, and it’s unlikely that these tools will be able to completely replace humans in the transcreation process. Transcreation is the process of adapting content for an entirely different cultural context, rather than simply translating the words from one language to another. Transcreation goes a step beyond translation, emphasizing cultural appropriateness—this may involve changing certain details of the text, branding, messaging, or adapting the imagery and layout. Clarity and trust are critical in these sectors—transcreation helps ensure messages are not only understood but culturally appropriate, reducing the risk of miscommunication and improving public engagement. Transcreation allows brands to connect authentically with diverse audiences, maintaining brand voice while tailoring tone, idioms and imagery to local markets. This often leads to stronger emotional impact and better campaign performance. Translation works for technical or administrative documents, but transcreation is needed when the content relies on tone or cultural nuance—things like marketing campaigns, slogans, or community outreach materials. Start by consulting with a language service provider who specializes in your sector. They’ll assess your content and the documents you need adapted to help you determine the right language solution for your organization. Words alone are not enough. Whether you’re in healthcare, government, or global branding, effective communication requires cultural insight and emotional precision. Transcreation helps you connect authentically, enabling you to build trust across diverse communities. As you reflect on your organization’s content, consider what could be suitable for transcreation. When you’re ready to take the next step, contact Avantpage at [email protected], or call (530) 750-2040. We pride ourselves on offering translation and transcreation services that will help your message resonate, no matter the language.

Despite the digital transformation of healthcare communication, physical mail remains one of the most trusted and effective member touchpoints. From enrollment packets to compliance notices, printed mail continues to play a vital role in ensuring equitable access to information. But here’s the challenge: too often, healthcare organizations translate their mailings without localizing them. And when language is treated as an afterthought, key messages can be lost in translation. The result? Missed appointments, compliance risks, and disengaged members. Localization changes that. When healthcare direct mail is culturally adapted, linguistically precise, and contextually relevant, it doesn’t just deliver a message; it builds trust. This article explores why localization is crucial to effective healthcare direct mail, how it drives engagement and compliance, and what best practices providers and payers can follow to reach every member meaningfully. Table of Contents - Why Direct Mail Still Matters in Healthcare - Translation vs. Localization in Member Mailings - The Risks of “Translation Only” in Direct Mail - The Benefits of Localized Direct Mail - Best Practices for Healthcare Direct Mail Localization - End-to-End Fulfillment: Turning Localization into Scalable Action - Making the Case for Localized Direct Mail in Healthcare - Frequently Asked Questions About Healthcare Direct Mail - Localized Direct Mail: A Smarter Approach to Healthcare Outreach Healthcare organizations increasingly rely on digital engagement, yet direct mail remains indispensable, especially for underserved and multilingual populations. It also works. According to the USPS, most healthcare businesses report direct mail response rates between 11% and 15%, and health companies are the most likely of any industry to see response rates above 25%. Even in a digital world, print remains the backbone of compliance-driven communication, making its clarity and cultural resonance more critical than ever. Before diving deeper, it’s essential to distinguish between translation and localization. For example, a nutrition benefits mailer translated word-for-word might mention “low-fat cottage cheese.” But localized for Hispanic members, it might reference familiar alternatives or culturally relevant dietary examples that connect more naturally. Localization bridges linguistic accuracy with cultural empathy, ensuring messages are not just understood, but felt. Healthcare communication is high-stakes. A word misunderstood or a tone misplaced can have real-world consequences: In contrast, localization humanizes compliance, it makes regulatory communication accessible, accurate, and actionable. When healthcare organizations invest in localized mail campaigns, they see measurable results. Localized materials reflect a member’s language, imagery, and values, strengthening connection and loyalty. Studies show culturally adapted interventions increase patient retention by 40%.  Localization ensures that health literacy, tone, and terminology meet members where they are, reducing confusion and rework. Localized mail supports compliance with federal and state regulations for Limited English Proficient (LEP) populations, a group that includes over 26 million people in the U.S. (8%).  Localized campaigns consistently outperform generic ones, boosting open rates, responses, and satisfaction scores, while reducing grievances and costly follow-ups. Identify top LEP languages within your member base using U.S. Census or internal demographic data. See more in Reducing Language Barriers in Healthcare. Use professional translation services and community reviewers who understand local norms, idioms, and sensitivities. Leverage data to personalize mailings, automating language, name, plan, and benefit details without compromising compliance. Reinforce printed mail with digital reminders or accessible QR codes that link to localized resources online. Hybrid communication ensures continuity for all members. Engage small community panels to test clarity and tone before sending to a large audience. Member feedback ensures materials resonate authentically. Localization is only as effective as the system behind it. Even when organizations understand what to communicate, they often face bottlenecks in how to get multilingual mail out the door: accurately, securely, and on time. That’s where end-to-end communication solutions make the difference. A complete fulfillment platform allows healthcare organizations to manage translation, localization, printing, and mailing in one seamless workflow. Instead of coordinating multiple vendors or risking inconsistencies, everything, from content creation to final delivery, is centralized and automated. This approach ensures: With an end-to-end system, healthcare organizations move from reactive translation to proactive, data-driven communication, building member trust while saving time and cost. Real-world examples show the tangible benefits of culturally adaptive print fulfillment: - A health plan achieved full CMS compliance by translating and localizing member letters into multiple languages while maintaining design consistency and turnaround time.
- A state agency reduced turnaround times and increased response rates after centralizing translation, printing, and mailing through a single, compliant partner. Localized fulfillment isn’t just a translation add-on; it’s an operational and strategic advantage that strengthens outreach and equity simultaneously. Printed communication sent by providers, payers, or agencies to inform, educate, or engage members about benefits, renewals, or preventive care. By aligning language, tone, and design to the member’s cultural and linguistic background, it is possible to improve comprehension and action rates. Yes, when produced under secure fulfillment processes that protect PHI/PII and meet HIPAA and CMS standards. Enrollment packets, benefit change notices, appointment reminders, screening invitations, and health education campaigns. By tracking response rates, renewal completions, grievance reduction, and engagement improvements across language segments. Localization isn’t a trend; it’s a requirement for equitable, compliant, and effective member communication. As healthcare organizations face growing linguistic diversity, culturally adapted print fulfillment ensures every member receives information they can trust, understand, and act upon. The future of healthcare engagement is hybrid, print plus digital, personalized, and multilingual. And with the right partner and platform, localized fulfillment can be not just compliant, but transformational. Ready to build more inclusive and effective healthcare communication? Get a Free Quote to start designing your next localized direct mail campaign.