Press Releases

Softheon to Provide Health Insurance Exchange Integration Solution for WINhealth


STONY BROOK, NY - Softheon, Inc., a proven leader in health insurance marketplace integration and business operation, announced today that WINhealth has chosen the Marketplace Connector Cloud (MC2) as their software platform that will integrate its comprehensive plan offerings for individuals, families, and groups both on and off the Federally Facilitated Marketplace (FFM). WINhealth is a not-for-profit managed care organization that serves members in the State of Wyoming.


Softheon MC2 will be utilized to integrate WINhealth’s Plan Catalog Management, Eligibility & Enrollment (including electronic Direct Enrollment Consumer portal), SHOP, Premium Billing, Edge Server, and other consumer service solutions through leveraging its core administrative system, without the need to “rip and replace” existing IT investments. This partnership will focus on enhancing WINhealth’s multi-channel distribution and outreach channels, while aiming at enhancing the user experience of its members and brokers.


"We're confident that our members and partners will significantly benefit from our partnership with Softheon. It is a comprehensive solution that will improve our efficiencies and overall service. We are pleased to have Softheon as an esteemed partner and we are encouraged to have such a great resource in them throughout this transition," said WINhealth president and CEO, Stephen Goldstone.


Softheon MC2 is a Software-as-a-Service (SaaS) solution that serves as the integration platform between both State and Federally Facilitated Marketplaces, as well as, all existing business processes and IT systems for both Public and Private Exchanges, the Softheon MC2 platform offers Plan Catalog Management, Eligibility & Enrollment, SHOP, Premium Billing, Customer Service, and Edge Server solutions. Softheon MC2 is compatible with multiple carrier core systems, including TriZetto Facets, QNXT, DST Amisys, HealthEdge, ikaSystems, and EPIC.


Eugene Sayan, Founder & CEO of Softheon, concludes “We are delighted to be serving WINhealth’s on & off exchange integration needs. Adding WINhealth to our successful and innovative health plan client base, not only brings much joy, but exemplifies the hard work and commitment Softheon delivers.”


As of May 12, 2014, Health Insurers have enrolled and effectuated over 400,000 lives through aca federal and state based marketplaces using the softheon mc2 platform. softheon mc2 is fully integrated with federal and state based marketplaces, including california, washington, massachusetts, new york, and others. this innovative integration platform provides insurers the ability to have marketplace infrastructure and processes up and running in less than 30 days, with minimal risk and full ppaca regulatory compliance.


Softheon is uniquely qualified as the technology platform used by the nation's first full-service state health benefit exchange, since 2008. During the initial testing and implementation of marketplaces, Softheon participated in pilot federal and state programs, including the CMS Direct Enrollment connectivity and carrier wave testing-successfully effectuating marketplace members with multiple carrier core systems. Softheon was also chosen, as the sole vendor, to participate in the CMS Data Baseline Beta Test Program where all Softheon MC2 clients successfully established an enrollment baseline with CMS. Softheon recently announced their recognition as the, “leading cloud platform for public & private exchanges,” by iMERGE Consulting, an independent research and consulting firm assisting States and Health Insurers with ACA challenges.

About WinHealth

Since its creation in 1996, WINhealth has been dedicated to improving healthcare options for Wyoming residents and providing a personal touch in helping businesses, individuals and families find the right option. WINhealth offers healthcare plans for individuals and groups both on and off the Federally Facilitated Marketplace. WINhealth offers a wide variety of affordable plans, many of which include free preventive healthcare services through an ever-expanding network of providers that covers all of Wyoming and extends into Utah, Idaho, Montana, Colorado, and South Dakota. Learn more about WINhealth plans and access the Marketplace at WINhealthplans.com.


About Softheon

Empowering the nation's first state health benefit exchange since 2008, Softheon's vision and strategic direction addresses healthcare payer, provider, and government agencies’ goal of meeting Affordable Care Act (ACA) milestones. Softheon provides solutions for interacting with Federal and State Health Insurance Exchange (HIX) Marketplaces, while measurably reducing administrative costs, improving member and provider satisfaction, as well as, addressing regulatory compliance challenges in all managed care administrative processes.


Softheon's Marketplace Connector Cloud (MC2) has been trusted by over 40 health plans as an accelerated federal, state, and private exchange integration platform. Softheon MC2 is a Software-as-a-Service (SaaS) solution where insurers pay a one-time activation and ongoing PMPM fees for exchange members only, while eliminating most, if not all, risks associated with ACA compliance of 2014 enrollment and other mandates.


To find out more about the Softheon, visit www.softheon.com.

 

Softheon to Provide Exchange Integration Solution to Transition Health Republic Insurance Company to the FFM


STONY BROOK, NY - Softheon, Inc., a proven leader in health insurance marketplace integration and business operation, announced today that Health Republic Insurance Company (HRIC) has chosen the Marketplace Connector Cloud (MC2) as their software platform that will integrate and transition its comprehensive plan offerings for individuals and SHOP plans, both on and off Exchange, to the Federally Facilitated Marketplace (FFM). HRIC is a non-profit Consumer Oriented and Operated Plan (CO-OP) and member of the National Alliance of State Health Co-Ops (NASHCO), which serves Oregon-based members.


Softheon MC2 will be utilized to integrate HRIC’s Plan Catalog Management, Eligibility & Enrollment (including electronic Direct Enrollment Consumer portal), SHOP, Premium Billing, Edge Server, and other consumer service solutions through leveraging its Facets core administrative system, without the need to “rip and replace” existing IT investments. This partnership will focus on enhancing HRIC’s multi-channel distribution and outreach channels, while aiming at enhancing the user experience of its members and brokers.


"We're confident our members will significantly benefit from our move to the Federal Exchange and we are pleased to have Softheon as a valued partner and ongoing resource during this transition," said Health Republic president and CEO Dawn Bonder.


Softheon MC2 is a Software-as-a-Service (SaaS) solution that serves as the integration platform between both State and Federally Facilitated Marketplaces, as well as, all existing business processes and IT systems for both Public and Private Exchanges. The Softheon MC2 platform offers Plan Catalog Management, Eligibility & Enrollment, SHOP, Premium Billing, Customer Service, and Edge Server solutions. Softheon MC2 is compatible with multiple carrier core systems, including TriZetto Facets, QNXT, DST Amisys, HealthEdge, ikaSystems, and EPIC.


Eugene Sayan, Founder & CEO of Softheon, concludes We could not be more excited to be working with the team at Health Republic.” “The work Co-Ops are doing around the country is truly extraordinary. We are honored that HRIC has chosen Softheon as a trusted technology partner as they deliver high quality health coverage to Oregonians.”


As of May 12, 2014, Health Insurers have enrolled and effectuated over 400,000 lives through ACA Federal and State Based Marketplaces using the Softheon MC2 platform. Softheon MC2 is fully integrated with Federal and State Based Marketplaces, including California, Washington, Massachusetts, New York, and others. This innovative integration platform provides Insurers the ability to have marketplace infrastructure and processes up and running in less than 90 days, with minimal risk and full PPACA regulatory compliance.


Softheon is uniquely qualified as the technology platform used by the nation's first full-service state health benefit exchange, since 2008. During the initial testing and implementation of marketplaces, Softheon participated in pilot federal and state programs, including the CMS Direct Enrollment connectivity and carrier wave testing-successfully effectuating marketplace members with multiple carrier core systems. Softheon was also chosen, as the sole vendor, to participate in the CMS Data Baseline Beta Test Program where all Softheon MC2 clients successfully established an enrollment baseline with CMS. Softheon recently announced their recognition as the, “leading Cloud Platform for Public & Private Exchanges,” by iMERGE Consulting, an independent research and consulting firm assisting States and Health Insurers with ACA challenges as well.

About HRIC

Health Republic Insurance (HRIC) is a Consumer Operated and Oriented Plan, or CO-OP, serving Oregonians. Health Republic was created in 2012 to get back to the roots of insurance: bringing people together to build a collective voice that advocates for the health and wellness of its members over profits. Health Republic Insurance began enrolling members in October 2013, for coverage beginning Jan. 1, 2014. The CO-OP offers individual and SHOP plans on Oregon's state-sponsored marketplace.


About Softheon

Empowering the nation's first state health benefit exchange since 2008, Softheon's vision and strategic direction addresses healthcare payer, provider, and government agencies’ goal of meeting Affordable Care Act (ACA) milestones. Softheon provides solutions for interacting with Federal and State Health Insurance Exchange (HIX) Marketplaces, while measurably reducing administrative costs, improving member and provider satisfaction, as well as, addressing regulatory compliance challenges in all managed care administrative processes.


Softheon's Marketplace Connector Cloud (MC2) has been trusted by over 40 health plans as an accelerated federal, state, and private exchange integration platform. Softheon MC2 is a Software-as-a-Service (SaaS) solution where insurers pay a one-time activation and ongoing PMPM fees for exchange members only, while eliminating most, if not all, risks associated with ACA compliance of 2014 enrollment and other mandates.


To find out more about the Softheon, visit www.softheon.com.

 

Softheon to Exhibit and Showcase Softheon Marketplace Connector Cloud (MC2) at AHIP Institute 2014 and Exchanges Forum


STONY BROOK, NY - Softheon, Inc., a proven leader in health insurance marketplace integration and business operations, has announced that it will be a major sponsor and exhibitor at AHIP’s Institute 2014 and Health Insurance Exchanges Forum, held at the Washington State Convention Center, Seattle Washington on June 11-13, 2014. Softheon is an AHIP Select Chairman Sponsor of the AHIP annual healthcare conferences, which bring together thousands of executives, senior level management, and healthcare professionals from Health Plans across the country. During AHIP’s Institute 2014 Softheon will retain a key presence, hosting several speaking engagements, and exhibiting at Booth #423.

Softheon Sessions at AHIP Institute 2014 and Health Insurance Exchanges Forum:

  • Industry Insights with Karen Ignagni (June 12, 2014 at 10 AM)
    Join Eugene Sayan, Founder and CEO of Softheon, for an exclusive interview with Karen Ignagni in the Conference360 Studio on the sustainability of Public and Private Health Insurance Exchanges through Business Intelligence.
  • What’s Ahead in 2015 and Beyond – A Look Into How Regional Health Plans are Embracing Exchanges and Winning (June 13, 2014 at 7:30 AM)
    A comprehensive deep dive of how Big Data and Analytical best practices can be utilized to improve the quality of marketing outreach, benefit design, and, reduce administrative costs. This session will provide information on how Health Plans can adopt a multichannel consumerism model for Enrollment, Premium Billing, and Customer Service, as well as, offer actionable recommendations that can be used to acclimate IT and business processes to confront new healthcare reform challenges and opportunities.

Softheon MC2 presently empowers over 40 regional health plans with the ability to leverage their existing IT investments and core administrative systems, including TriZetto QNXT, DST Amisys, HealthEdge, ikaSystems, and EPIC, to provide health insurance marketplace integration for private exchanges, federally-facilitated marketplaces, and state-based marketplaces - including California, Washington, Massachusetts, & Oregon.

As of May 12, 2014, Health Insurers enrolled and effectuated over 400,000 lives, through ACA Federal and State Based Marketplaces using the Softheon MC2 platform. Softheon MC2 is fully integrated with Federal and State Based Marketplaces, including California, Washington, Massachusetts, New York, and others. For both Public and Private Exchanges, the Softheon MC2 platform offers Plan Management, Eligibility & Enrollment including Direct Enrollment, SHOP, Premium Billing, Customer Service, and Edge Server solutions in cloud. This innovative integration platform provides Insurers the ability to have marketplace infrastructure and processes up and running in less than 90 days, with minimal risk and full PPACA regulatory compliance.

Softheon is uniquely qualified as the technology platform used by the nation's first full-service state health benefit exchange, since 2008. During the initial testing and implementation of marketplaces, Softheon participated in pilot federal and state programs, including the CMS Direct Enrollment connectivity and carrier wave testing, successfully effectuating marketplace members with multiple carrier core systems. Most recently, Softheon announced its recognition as the, “leading Cloud Platform for Public & Private Exchanges,” by iMERGE Consulting, an independent research and consulting firm assisting States and Health Insurers with ACA challenges.


About Softheon

Empowering the nation's first state health benefit exchange since 2008, Softheon's vision and strategic direction addresses healthcare payer, provider, and government agencies’ goal of meeting Affordable Care Act (ACA) milestones. Softheon provides solutions for interacting with Federal and State Health Insurance Exchange (HIX) Marketplaces, while measurably reducing administrative costs, improving member and provider satisfaction, as well as addressing regulatory compliance challenges in all managed care administrative processes.

Softheon's Marketplace Connector Cloud (MC2) has been trusted by over 40 health plans as an accelerated federal, state, and private exchange integration platform. Softheon MC2 is a Software-as-a-Service (SaaS) solution where insurers pay a one-time activation and ongoing PMPM fees for exchange members only, while eliminating most, if not all, risks associated with ACA compliance of 2014 enrollment and other mandates.

To find out more about Softheon, visit www.softheon.com.

 

iMERGE Declares Softheon Marketplace Connector Cloud (MC2) as the Most Innovative Cloud Marketplace Platform preferred by Health Insurers for ACA Implementations and Integration


STONY BROOK, NY - Softheon, Inc., a proven leader in health insurance marketplace integration and business operations, has announced its recognition as of the leading Cloud Platform for Public & Private Exchanges – a prestigious distinction asserted by iMERGE Consulting, an independent research and consulting firm assisting States and Health Insurers with ACA challenges.

For ACA implementation and integration, Softheon MC2 received top rankings for integrated business process modeling and design for ACA compliant Qualifying Health Plans, Eligibility and Enrollment, Premium Billing and Payment processing, and Member Portal functional areas; runtime process management, analytics, and BPM-specific cloud deployment. For execution, it received top rankings for maturity, interoperability, and innovation. – For more information download the “10 Vital Questions to Ask When Negotiating for a Health Insurance Marketplace Solution from Technology Integration & Implementation Vendors, whitepaper released by iMERGE today.

iMERGE research stresses that the market littered with failed systems owed to poor architectures and lack of understanding of the exchange business operational issues, Health Insurers are becoming more inquisitive; asking Integration and Implementation vendors additional questions prior negotiating IT investments, such as those relating to Eligibility and Enrollment Plan Management, Premium Billing and Account Management. To evade common issues related to ACA Marketplace Platforms, Health Insurers must seek innovative Software as a Service solutions that fully understands the ACA environment and regulations.

According to Jim Minihan, iMERGE Analyst, "It [self-service Exchange Portals] must be a complete solution for Launching, Connecting and Operating within all Insurance Marketplaces - Consumers, Brokers, Exchanges, and Navigators. The system should offer Eligibility and Enrollment Plan Management, Premium Billing and Account Management - Softheon MC2 offers all these capabilities."

"We are grateful for the objective perspective iMERGE analysts have taken in their research, guiding Health Insurers on how to succeed in public and private exchanges said Eugene Sayan, Softheon Founder and CEO. "It takes innovative thinking and leadership for an organization to transform in order to best serve within the consumer driven marketplaces. Our commitment to our health plans means we are a stakeholder in their success - it is an honor and privilege to be working with so many innovators as their trusted marketplace partner"

As of May 12, 2014, Health Insurers enrolled and effectuated of over 400,000 lives, through ACA Federal and State Based Marketplaces using the Softheon MC2 platform. Softheon MC2 is fully integrated with Federal and State Based Marketplaces, including California, Washington, Massachusetts, New York, and others. For both Public and Private Exchanges, the Softheon MC2 platform offers Plan Management, Eligibility & Enrollment including Direct Enrollment, SHOP, Premium Billing, Customer Service, and Edge Server solutions in cloud. This innovative integration platform provides Insurers the ability to have marketplace infrastructure and processes up and running in less than 90 days, with minimal risk and full PPACA regulatory compliance.

Softheon MC2 presently empowers over 40 regional health plans, with the ability to leverage their existing IT investments and core administrative systems, including TriZetto QNXT, DST Amisys, HealthEdge, ikaSystems and EPIC, to provide health insurance marketplace integration for private, state-based, and federally-facilitated marketplace exchanges. Softheon is uniquely qualified as the technology platform used by the nation's first full-service state health benefit exchange, since 2008. During the initial testing and implementation of marketplaces, Softheon participated in pilot federal and state programs, including the CMS Direct Enrollment connectivity and carrier wave testing, successfully effectuating marketplace members with multiple carrier core systems.


About iMerge Consulting

iMERGE is a leading independent analyst firm providing management and technology consulting services to help clients save money and improve productivity. Its focus includes training, records management, electronic content management, business process improvement, document and data capture, collaboration and compliance advisory services. iMERGE helps clients improve project ROI, clearly define requirements and business case, evaluate software and deploy systems faster with offices throughout across North America.


About Softheon

Empowering the nation's first state health benefit exchange since 2008, Softheon's vision and strategic direction addresses healthcare payer, provider, and government agencies’ goal of meeting Affordable Care Act (ACA) milestones. Softheon provides solutions for interacting with Federal and State Health Insurance Exchange (HIX) Marketplaces, while measurably reducing administrative costs, improving member and provider satisfaction, as well as addressing regulatory compliance challenges in all managed care administrative processes.

Softheon's Marketplace Connector Cloud (MC2) has been trusted by over 40 health plans as an accelerated federal, state, and private exchange integration platform. Softheon MC2 is a Software-as-a-Service (SaaS) solution where insurers pay a one-time activation and ongoing PMPM fees for exchange members only, while eliminating most, if not all, risks associated with ACA compliance of 2014 enrollment and other mandates.

To find out more about Softheon, visit www.softheon.com.

 

Health Insurers have Enrolled and Effectuated Over 400,000 Lives Through ACA
Federal and State Based Marketplaces Using the Softheon Marketplace Connector Cloud (MC2)


STONY BROOK, NY - Softheon, Inc., a proven leader in health insurance marketplace integration and business operations, has announced that as of May 12, 2014, over 400,000 enrolled lives have been effectuated through ACA Federal and State Based Marketplaces, using the Softheon Marketplace Connector Cloud (MC2) platform, equating to roughly 5% of All ACA Enrollments by Private Insurance Companies. Softheon MC2 is a Software-as-a-Service (SaaS) solution for Public and Private Exchanges, that presently serves as the integration platform between both State and Federally Facilitated Marketplaces, through leveraging existing business processes and IT systems for over 40 Health Insurers without the need to "Rip and Replace". The Softheon MC2 platform is integrated with Federal and State Based Marketplaces, including California, Washington, Massachusetts, New York, and others.

Eugene Sayan, Softheon Founder and CEO quoted "We are honored and privileged to work with so many innovator Health Insurers who have leveraged the Softheon Marketplace Connector Cloud, rather than taking the risk of modifying or replacing their existing assets. We are pleased to report that Insurers view Softheon as a revenue center - serving nearly half a million newly insured lives and leading Insurer's transition towards individual coverage and consumerism, as mandated by the Patient Protection and Affordable Care Act (PPACA)."

For Insurer’s Public and Private Exchanges, the Softheon MC2 platform offers Plan Management, Eligibility & Enrollment including Direct Enrollment, SHOP, Premium Billing, Customer Service, and Edge Server Cloud-based solutions. This innovative integration platform provides Insurers with the ability to have public and private marketplace infrastructure and processes in production; less than 90 days, with minimal risk and full PPACA regulatory compliance - assuming all QHPs have undergone the CMS Certification Process.

"The best analogy to describe the Softheon Marketplace Connector Cloud platform is as an information highway system connecting issuers to all marketplaces. Onboarding new Health Insurers is as simple as putting more automobiles on the Softheon highway. It is our contractual commitment to keep implementation under 90 days at a fixed cost. Our clients are ensured that there will be no cost overruns and delays" Sayan added.

Softheon MC2 presently empowers over 40 regional health plans with the ability to leverage their existing IT investments and core administrative systems, including TriZetto QNXT, DST Amisys, HealthEdge, ikaSystems and EPIC, to provide health insurance marketplace integration for private, state-based, and federally-facilitated marketplace exchanges.

Softheon is uniquely qualified as the technology platform used by the nation's first full-service state health benefit exchange, since 2008. During the initial testing and implementation of marketplaces, Softheon participated in Federal and State based pilot programs, including the CMS Direct Enrollment Connectivity and Carrier Wave Testing, successfully effectuating marketplace members with multiple carrier core systems.


About Softheon

Empowering the nation's first state health benefit exchange since 2008, Softheon's vision and strategic direction addresses healthcare payer, provider, and government agencies’ goal of meeting Affordable Care Act (ACA) milestones. Softheon provides solutions for interacting with Federal and State Health Insurance Exchange (HIX) Marketplaces, while measurably reducing administrative costs, improving member and provider satisfaction, as well as addressing regulatory compliance challenges in all managed care administrative processes.

Softheon's Marketplace Connector Cloud (MC2) has been trusted by over 40 health plans as an accelerated federal, state, and private exchange integration platform. Softheon MC2 is a Software-as-a-Service (SaaS) solution where insurers pay a one-time activation and ongoing PMPM fees for exchange members only, while eliminating most, if not all, risks associated with ACA compliance of 2014 enrollment and other mandates.

To find out more about Softheon, visit www.softheon.com.

 

Softheon Marketplace Connector Cloud Offers Reprieve to Oregon Based Health Plans to Assist with Migration to the Federally-Facilitated Marketplace


STONY BROOK, NY - Softheon, Inc., a proven leader for health insurance marketplace integration and business operation, has announced that Softheon Marketplace Connector (MC2) platform - the platform currently utilized to connect Oregon’s Health CO-OP to Cover Oregon - can assist Oregon-based health plans in their transition to connect to the Federally-Facilitated Marketplace and Federal data hub. This innovative integration platform provides health plan payers the ability to align and have qualified health plans (QHPs) up and running in 30 days, with minimal risk and full PPACA regulatory compliance.

Federal and Cover Oregon Board Officials have announced, today, that the state’s health insurance exchange, Cover Oregon, will be taken over by the Obama Administration. Cover Oregon is the first state to migrate to the Federally-Facilitated Marketplace (FFM). Softheon recognizes the uncertainty this transition has caused for Oregon residents and Oregon-based health plans, alike. To date, approximately 242,000 Oregonians have enrolled in coverage through Cover Oregon, with nearly 70,000 of those enrolled in private health plans – together accounting for approximately 3% of all ACA enrollments.

Having achieved exchange connectivity in 23 FFM operated Exchange states, Softheon is uniquely qualified being the Exchange Integration Partner of more than 40 health plans, several of which are Oregon-based. Remaining at the forefront of Health Insurance Marketplace Integration, Softheon retains in-depth knowledge inclusive of 834 intake and payment reconciliation. Softheon looks forward to the opportunity of working with health plans, Co-Ops and ACOs, of all sizes, in tackling future PPACA challenges and optimizing new healthcare opportunities.

“We chose Softheon because of its excellent track record and well-crafted design,” said Rod Meyer, director of Information Services for CareOregon. “We’re very committed to the success of Oregon’s Health CO-OP and are choosing partners that will help us serve the CO-OP and its members with great care.”

“Having been working with many Insurers in Federally Facilitated Marketplaces across multiple states, as well as Oregon based health plans, Softheon is uniquely qualified and ready to assist all Carriers in Oregon”, stated Eugene Sayan, Softheon Founder & CEO.

Softheon MC2 is a Software-as-a-Service (SaaS) solution that serves as the integration platform between both State and Federally Facilitated Marketplaces and the existing business processes and IT systems. The Softheon MC2 platform offers plan management, eligibility & enrollment, SHOP, premium billing and customer service solutions. Softheon MC2 is compatible with multiple carrier core systems, including TriZetto QNXT, DST Amisys, HealthEdge, ikaSystems and EPIC, and has the ability to have qualified health plans (QHPs) up and running in 30 days.

Since 2008, Softheon Inc. has been the technology platform used to empower the nation's first full-service state health benefit exchange. Recently, Softheon announced its partnership with America’s Health Insurance Plans (AHIP) and has completed the pilot program for CMS Direct Enrollment connectivity, in which Softheon was selected to participate.


About Softheon

Empowering the nation's first state health benefit exchange since 2008, Softheon's vision and strategic direction address healthcare payer, provider, and government agencies' goal of meeting Affordable Care Act (ACA) milestones. Softheon provides solutions for interacting with Federal and State Health Insurance Exchange (HIM) Marketplaces, while measurably reducing administrative costs, improving member and provider satisfaction, as well as addressing regulatory compliance challenges in all managed care administrative processes.

Softheon's Marketplace Connector Cloud (MC2) has been trusted by over 40 health plans as an accelerated federal, state, and private exchange integration platform. Softheon MC2 is a Software-as-a-Service (SaaS) solution where insurers pay a one-time activation and ongoing PMPM fees for exchange members only, while eliminating most, if not all, risks associated with ACA compliance of 2014 enrollment and other mandates.

To find out more about Softheon, visit www.softheon.com.

 

Softheon Announces FirstCare Health Plans Utilizes Marketplace Connector Cloud Platform For Health Insurance Exchange


Platform makes accessing the insurance exchange easier for consumers while eliminating risks for health insurers associated with integration

STONY BROOK, NY - February 27, 2014 Softheon, Inc., a leader of health insurance marketplace integration and business operation, announced FirstCare Health Plans uses Softheon Marketplace Connector Cloud (MC2) to acquire Federally Facilitated Marketplace (FFM) members with CMS. This new technology allows consumers to easily access the insurance marketplace while also making it simpler to apply for subsidies.

Softheon MC2 is working with FirstCare Health Plans to integrate its plan management, eligibility & enrollment, SHOP, premium billing and customer service solutions along with HealthEdge's HealthRules core administrative platform. Softheon MC2 is an integration platform between the FFM and FirstCare's existing business processes and IT systems. Softheon MC2 operates with minimal risk and is in full compliance with the Affordable Care Act (ACA). The integration is complete and has enrolled exchange members since Oct. 1, 2013 as required by the ACA.

"We are very excited to be working with FirstCare Health Plans," says Eugene Sayan, founder and CEO of Softheon. "We are grateful for all the guidance and support we have received from the FirstCare leadership team. It is extremely gratifying to see our collective achievements now that we are enrolling and adding exchange members."

"FirstCare's goal is always to make insurance accessible and affordable to all Texans,"says Tim Lauer, FirstCare's CIO. "Softheon represents a level of IT expertise and dealing with the ACA that we could not achieve on our own. The Softheon team has exceeded our expectations and we are looking forward to continuing to innovate with them."

Since 2008, Softheon Inc. has been the trusted technology platform used by the nation's first full-service state health benefit exchange. Recently, Softheon was selected to participate in pilot program for CMS Direct Enrollment connectivity and carrier wave testing and successfully added marketplace members with multiple carrier core systems, including TriZetto QNXT, DST Amisys, HealthEdge, ikaSystems and EPIC.

"One of the biggest problems of the transition to a Health Insurance Marketplace model is that it requires significant investment since involves many IT applications, system integrations, and related activities. It can be even more complex and disruptive on the business side of the enterprise,"stated Eugene Sayan, founder and CEO of Softheon. "Being trusted by over 48 health plans, we are pleased to offer an advanced yet proven technology platform and services to virtually eliminate all risks associated with health insurance exchange integration."


About FirstCare Health Plans

At FirstCare Health Plans, we believe that Texans and our communities should be healthy. As a result, we work with premier doctors and hospitals to provide Texans access to affordable, high-quality care.

Since 1985, we've been serving the health care needs of members across North, West, and Central Texas. FirstCare offers a wide range of HMO, PPO, HSA and ASO products through a variety of programs, including: small and large employer plans; state, federal and teacher plans; government programs; and the Health Insurance Marketplace.

With the support of our owners - Covenant Health in Lubbock and Hendrick Health System in Abilene - we now serve approximately 165,000 members. Our corporate headquarters are located in Austin, Texas. We also have offices in Abilene, Amarillo, Lubbock and Waco.

For information, please visit www.firstcare.com.

 

About Softheon

Empowering the nation's first state health benefit exchange since 2008, Softheon's vision and strategic direction address healthcare payer, provider, and government agencies' goal of meeting Affordable Care Act (ACA) milestones. Softheon provides solutions for interacting with Federal and State Health Insurance Exchange (HIM) Marketplaces, while measurably reducing administrative costs, improving member and provider satisfaction, as well as addressing regulatory compliance challenges in all managed care administrative processes.

Softheon's Marketplace Connector Cloud (MC2) has been trusted by over 38 health plans as an accelerated federal, state, and private exchange integration platform. Softheon MC2 is a Software-as-a-Service (SaaS) solution where insurers pay a one-time activation and ongoing PMPM fees for exchange members only, while eliminating most, if not all, risks associated with ACA compliance of 2014 enrollment and other mandates.

To find out more about Softheon, visit www.softheon.com.

 

Softheon to Host Webinar to Provide An Insightful Look Into What’s Ahead In the Era
of Health Insurance Marketplaces


STONY BROOK, NY - Softheon, Inc., Softheon, Inc., a leader of health insurance marketplace integration and business operation, announced today that it will be hosting a live webinar featuring Gartner titled "A Look into What's Ahead In the Era of Health Insurance Marketplaces," on Wednesday January 29, 2014 at 12:00 pm ET. Speakers of this webinar include Softheon Founder and CEO, Eugene Sayan and Gartner Vice President and Distinguished Analyst, Robert Booz.

With over 2.2 Million Americans enrolled in coverage, PPACA has received an overwhelming positive response, effectively reducing the nation's 47 Million uninsured. With less than 90 days, health plans must seize this opportunity and effectively reach individuals still uninsured within their state and service areas by the close of open enrollment this March. However, while striving to fulfill this commitment, health plans must recognize and understand that although the troubled rollout is behind us, the possibility of experiencing forthcoming fundamental issues could persist.

Softheon Marketplace Connector Cloud (MC2) works with 38 regional health plans to integrate its plan management, eligibility & enrollment, SHOP, premium billing and customer service solutions along with core administrative platforms. Softheon MC2 is an integration platform between the FFM and Carrier existing business processes and IT systems. Softheon MC2 operates with minimal risk and is in full compliance with the Affordable Care Act (ACA). Softheon has enrolled over 50,000 exchange members as of January 1, 2014 in 40 states - generating over $36 million dollars revenues for its carriers.

Designed specifically for Health Care Payers, participants of this webinar will gain an in-depth understanding of senior-level analyst predictions, trends, and forecasts for the coming months - a vital resource for health plans looking to succeed in the current market. Participants will also gain access to the latest IT trends and recommendations that Payers can implement to adjust their IT and business processes in response to the shift toward the consumer-driven business model.

Since 2008, Softheon Inc. has been the trusted technology platform used by the nation's first full-service state health benefit exchange. Recently, Softheon was selected to participate in pilot program for CMS Direct Enrollment connectivity and carrier wave testing and successfully added marketplace members with multiple carrier core systems, including TriZetto QNXT, DST Amisys, HealthEdge, ikaSystems and EPIC.

To join this webinar, please Register


Quotes

"Healthcare payers and other stakeholders in the U.S. healthcare system clearly recognize that health insurance reform - and particularly the health insurance exchanges mandated by the U.S. Affordable Care Act (ACA) - are now a reality. Many technical difficulties remain, as the troubled rollout of the federal government's healthcare.gov website shows, but the legal, political and cultural barriers to reform have largely been overcome. This means that healthcare payers will now have more time - and more resources, in terms of budgets and skills - to prepare for what will certainly be a radically different healthcare landscape" wrote Robert Booz in the November 2013, report, Predicts 2014: New Landscape Demands New Business and IT Approaches for Healthcare Payers.

Supporting Resources

Predicts 2014: New Landscape Demands New Business and IT Approaches for Healthcare Payers
Robert Booz, Gartner Vice President and Distinguished Analyst, November 12, 2013

 

About Softheon

Empowering the nation's first state health benefit exchange since 2008, Softheon's vision and strategic direction address healthcare payer, provider, and government agencies' goal of meeting Affordable Care Act (ACA) milestones. Softheon provides solutions for interacting with Federal and State Health Insurance Exchange (HIM) Marketplaces, while measurably reducing administrative costs, improving member and provider satisfaction, as well as addressing regulatory compliance challenges in all managed care administrative processes.

Softheon's Marketplace Connector Cloud (MC2) has been trusted by over 38 health plans as an accelerated federal, state, and private exchange integration platform. Softheon MC2 is a Software-as-a-Service (SaaS) solution where insurers pay a one-time activation and ongoing PMPM fees for exchange members only, while eliminating most, if not all, risks associated with ACA compliance of 2014 enrollment and other mandates.

To find out more about Softheon, visit www.softheon.com.

 

Softheon Partners with AHIP to Provide Health Plans with an Accelerated Health Insurance Marketplace Connector


STONY BROOK, NY - Softheon, Inc., a proven leader in in real-time edge computing platform for health insurance marketplace integration, today announced a new partnership with America's Health Insurance Plans (AHIP) to help health plans transition to the new marketplace. Through this arrangement, Softheon's Health Insurance Marketplace platform for enrollment, premium billing, and plan management will be available to AHIP health plan members.

Remaining at the forefront of Health Insurance Marketplace Integration, Softheon notably recognizes and addresses the concerns voiced by health plans across the country, striving to participate during open enrollment. Lessening the burden placed on carriers at this crucial time, Softheon will assist AHIP members validating the commitment Softheon's dedicated team has continually provided to its health plan partners in over 40 states.

"One of the biggest problems of the transition to a Health Insurance Marketplace model is that it involves many IT applications, architecture, and related activities. It can be even more complex on the business side of the enterprise" stated Eugene Sayan, Founder and CEO of Softheon. "Recently over 35 health plans have chosen Softheon SaaS platform and BPO services to virtually eliminate all risks associated with FFM and SBMs integration. We are excited to work with AHIP to bring our services to their member health plans," added Sayan.

As the leader in health insurance marketplace integration, Softheon avidly strives to assist healthcare payers differentiate their business practices among other carriers. Through this arrangement, Softheon will remain true to this commitment, offering the on-boarding services required by The Centers of Medicare and Medicaid Services, for AHIP members with approved QHPs. Timely implementation and successful launch of this health plan marketplace program is guaranteed for those that meet this prerequisite.

"FFM and SBM on-boarding processes would require extensive technology investment and business resources by health plans. We are pleased to provide our members with access to Softheon's cloud-based SaaS platform and BPO services to help them succeed in the new marketplace," said Brendan Miller, Vice President of Business Development at America's Health Insurance Plans.

Recently, Softheon completed initial CMS connectivity and carrier wave testing, successfully effectuating marketplace members with multiple carrier core systems, including TriZetto QNXT, DST Amisys, HealthEdge, ikaSystems, and EPIC. This milestone, along with Softheon's uniquely qualified and nationally acclaimed rapport, has provided the expertise and industry knowledge necessary to embark on this venture with AHIP.


Quotes & Commentary

"CIOs who invest in scalable, flexible enterprise systems that are configured to respond to changing healthcare needs have the ability to participate in a wide variety of new opportunities."**

"Cloud computing offers healthcare payers an alternative for implementing cost prohibitive applications due to high resource demand or expensive hardware investment. While cloud computing will require new skills and training, it offers an opportunity to experiment with new products and more quickly capitalize on new market opportunities."* noted Christina Lucero, Gartner

"Marketplaces are the ultimate source of consumer empowerment, because they allow consumers to make both cost based and, eventually, quality-based decisions concerning the healthcare services they purchase. Healthcare payers and their CIOs must understand this new dynamic, because this new consumer empowerment will drive fundamental changes in the marketing and delivery of products."* wrote Robert H. Booz, Gartner

 

Supporting Resources

*Hype Cycle for Healthcare Payers, July 2013, Robert Booz, Published: 23 July 2013
**Top Actions for Healthcare Payer CIOs, 2013: Ensure Core System Readiness for Post-reform Era, Robert Booz, Published: 24 January 2013 | Gartner Research Gartner Research

 

About AHIP

America's Health Insurance Plans (AHIP) is the national trade association representing the health insurance industry. AHIP's members provide health and supplemental benefits to more than 200 million Americans through employer-sponsored coverage, the individual insurance market, and public programs such as Medicare and Medicaid. AHIP advocates for public policies that expand access to affordable health care coverage to all Americans through a competitive marketplace that fosters choice, quality and innovation.

 

About Softheon

Empowering the nation's first state health benefit exchange since 2008, Softheon's vision and strategic direction address healthcare payer, provider, and government agencies' goal of meeting Affordable Care Act (ACA) milestones. Softheon provides solutions for interacting with Federal and State Health Insurance Exchange (HIM) Marketplaces, while measurably reducing administrative costs, improving member and provider satisfaction, as well as addressing regulatory compliance challenges in all managed care administrative processes.

Softheon's Marketplace Connector Cloud (MC2) has been trusted by over 35 health plans as an accelerated federal, state, and private exchange integration platform. Softheon MC2 is a Software-as-a-Service (SaaS) solution where insurers pay a one-time activation and ongoing PMPM fees for exchange members only, while eliminating most, if not all, risks associated with ACA compliance of 2014 enrollment and other mandates.

To find out more about Softheon, visit www.softheon.com.

 

Softheon to Sponsor and Exhibit at the 28th Annual California Association of Health Plans
(CAHP) Conference


STONY BROOK, NY - Softheon, Inc., a proven leader in next generation Business Process Management (BPM) and Enterprise Service Bus (ESB) edge computing platform for health insurance marketplace integration announced today that it will exhibit at the 28th Annual CAHP Conference on October 21-23, 2013, held at the Hyatt Regency in Huntington Beach, CA.

With California residents embracing PPACA, the California health insurance marketplace has become another success story. As of October 11th, Covered CA successfully enrolled over 29,000 eligible residents, with an additional 27,000 in the process of completing applications for coverage. Attributing to this attainment, Softheon has successfully integrated its multiple Californian health plan partners with Covered CA, the state's health insurance marketplace.

As the leader in health insurance marketplace integration, Softheon looks forward to the opportunity of working with health plans, Co-Ops and ACOs, of all sizes, in tackling future PPACA challenges and optimizing new healthcare opportunities. Softheon proudly works with over 35 health plan and CO-OP partners, in over 42 states.

Softheon Marketplace Connector Cloud (MC2) is a process-driven BPM and ESB edge computing platform that mediates the interactions between marketplaces and health plan partners' existing IT assets with the goal of minimizing changes to existing information systems and processes. Softheon Marketing Connector Cloud (MC2) serves as an abstraction layer, isolating Insurer systems from the diverse and changing functional, technical and integration requirements of the Federally Facilitated or State exchanges.

The 28th Annual CAHP Conference brings together executives and experts from health plans located throughout California, currently undergoing significant changes relating to the opening of Covered CA and the state's Medi-Cal's expansion. Softheon is a Gold level member and will exhibit at booth 104.

 

About Softheon

Empowering the nation's first state health benefit exchange since 2008, Softheon's vision and strategic direction address healthcare payer, provider, and government agencies' goal of meeting Affordable Care Act (ACA) milestones. Softheon provides solutions for interacting with Federal and State Health Insurance Exchange (HIM) Marketplaces, while measurably reducing administrative costs, improving member and provider satisfaction, as well as addressing regulatory compliance challenges in all managed care administrative processes.

Softheon's Marketplace Connector Cloud (MC2) has been trusted by over 35 health plans as an accelerated federal, state, and private exchange integration platform. Softheon MC2 is a Software-as-a-Service (SaaS) solution where insurers pay a one-time activation and ongoing PMPM fees for exchange members only, while eliminating most, if not all, risks associated with ACA compliance of 2014 enrollment and other mandates.

To find out more about Softheon, visit www.softheon.com.

 

Softheon Passes First Phase of Connectivity and Direct Enrollment Testing for the Federally Facilitated Marketplace, Massachusetts and Oregon State Based Marketplaces


STONY BROOK, NY - Softheon, Inc., recognized as the leader in health insurance marketplace integration, announced today its successful completion of connectivity testing for its health plan partners utilizing Softheon Exchange Connector Cloud to integrate with the Federally Facilitated Marketplaces (FFM). Softheon has also completed similar connectivity testing, including the real-time rating interfaces with Massachusetts and Oregon State Based Marketplaces (SBMs).

This marks a momentous moment for Softheon, validating that Softheon Technology effectively communicates with not only the Federal but also several State Based Marketplaces. Since 2008, being the first technology company working with nation's only full service state health benefit exchange, Massachusetts Health Connector, Softheon is uniquely qualified to be the trusted partner for health plans who are looking to participate in health insurance marketplaces. As of August 1, over 35 health plans and CO-OPs have chosen Softheon as the business and technology integration platform for ACA health insurance marketplaces. Adding to Softheon's "excellent track record and well-crafted design" a comment recently stated by a leading analyst firm, many health plans have selected the Softheon Exchange Connector Cloud platform for their integration with Cover Oregon SBM.

"Softheon could not be more proud of passing the first phase of Connectivity Testing," stated Eugene Sayan, Founder and CEO of Softheon. "This is a significant accomplishment not only for Softheon, but for our health plan partners that have selected Softheon Exchange Connector Cloud as their exchange integration platform of choice."

"After successfully connecting to the FFM and the Federal Data Services Hub (DSH) and validating Softheon's Direct Enrollment capabilities, Softheon is poised to complete the remaining phases of onboarding process for its health plan partners" Sayan added.

Softheon Direct Enrollment provides validation of eligibility requirements in real-time, by transmitting enrollment and eligibility data extracted from multiple repositories via the Softheon Exchange Connector Cloud. This streamlined process leverages Softheon Technology, to offer service-based integration with the FFM and the Federal Data Hub Services (DHS). Information is then delivered to health plans in standard 834 or customized format for member effectuation, while significantly reducing if not eliminating the need for costly and time consuming configuration efforts in core systems, such as TriZetto Facets, TriZetto QNXT, Amisys, HealthEdge, and ikaSystem.

Softheon Exchange Connector Cloud is a process-driven BPM and ESB edge computing platform that will mediate the interactions between marketplaces and health plan partners' existing IT assets with the goal of minimizing changes to existing information systems and processes. Softheon Exchange Connector serves as an abstraction layer, isolating Insurer systems from the diverse and changing functional, technical and integration requirements of the Federally Facilitated or State exchanges.

 

About Softheon

Empowering the nation's first state health benefit exchange since 2008, Softheon's vision and strategic direction address healthcare payer, provider, and government agencies' goal of meeting Affordable Care Act (ACA) milestones. Softheon provides solutions for interacting with Federal and State Health Insurance Exchange (HIM) Marketplaces, while measurably reducing administrative costs, improving member and provider satisfaction, as well as addressing regulatory compliance challenges in all managed care administrative processes.

Softheon's Marketplace Connector Cloud (MC2) has been trusted by over 35 health plans as an accelerated federal, state, and private exchange integration platform. Softheon MC2 is a Software-as-a-Service (SaaS) solution where insurers pay a one-time activation and ongoing PMPM fees for exchange members only, while eliminating most, if not all, risks associated with ACA compliance of 2014 enrollment and other mandates.

To find out more about Softheon, visit www.softheon.com.

 

Softheon Exchange Connector Cloud to Assist Florida Health Care Plans to Enroll Members Through The Federally Facilitated Marketplace


STONY BROOK, NY, July 3, 2013 — Softheon Inc., an emerging leader in next generation cloud-based managed care business process optimization, announced today that Softheon Exchange Connector Cloud platform will be used to connect Florida based Florida Health Care Plans to the Federally Facilitated Marketplace (FFM). Starting in the Fall of 2013, the FFM will serve as a one-stop resource that makes it easy to find the plan for any individuals’ unique needs.

 

Headquartered in Holly Hill, Florida, Florida Health Care Plan, Inc. has selected the Softheon Exchange Connector Cloud to integrate their Plan Management, Eligibility & Enrollment, SHOP, Premium Billing and Customer Service solutions with their core administrative platform. The integration will be completed by September 2013 to be fully prepared for open enrollment this October. In addition to the aforementioned functionalities, Softheon Exchange Connector Cloud includes a real-time Rating Engine and Summary of Benefits & Coverage (SBC) distribution to help health plans create their own private sales channels. Above all, the Softheon Exchange Connector Cloud delivers a turn-key exchange integration solution through subscription, eliminating the need for Florida Health Care Plans to make major operational or IT investments.

 

“We are thrilled that Florida Health Care Plans has chosen Softheon as their trusted technology partner” says Eugene Sayan, Founder and CEO of Softheon. “We look forward to working with their team to be fully connected for open enrollment on October 1st 2013.”

 

Softheon is uniquely qualified, being the trusted technology platform used by The Massachusetts Health Connector, the nation's only full service state health benefit exchange since 2008. Softheon’s Exchange Connector Cloud is a Software-as-a-Service (SaaS) solution that will integrate with the Federally Facilitated Marketplace using Florida Health Care Plans’ existing business processes and IT systems.

 

”Softheon offers technology and resources Florida Health Care Plan, Inc. recognizes as essential for our participation in Health Care Reform. We are pleased to partner with Eugene Sayan and his team” says Wendy Myers, MD, President and CEO of Florida Health Care Plan, Inc.

 

Softheon’s Exchange Connector Cloud is fully integrated BPM/ESB/SOA platform that handles the complexities of state and federal exchange processes and data interfaces. Softheon’s solution enables payers to extend and leverage their existing business and technology investments, which minimizes the risks associated with participating in exchange marketplaces.

 

About Florida Health Care Plans

FHCP is a community model health plan (HMO) in business for almost 40 years and a wholly owned subsidiary of Florida Blue since 2009 that offers health plans to Employer Groups, Individuals, Medicare Advantage and Healthy Kids beneficiaries.

 

FHCP provides direct patient care services through our multispecialty group and ancillary services. They also integrate their health care system by offering direct pharmacy and behavioral health services to members. A robust Wellness Program with employer collaboration is a key component of FHCP. This comprehensive integrated system is designed to improve the quality of care our members receive, lower costs and engage members in their own good health. To find out more visit www.fhcp.com

 

About Softheon

Empowering the nation's only fully operational state health exchange since 2008, Softheon's vision and strategic direction address healthcare payer, provider, and government agencies’ goal of meeting PPACA milestones. Softheon provides solutions for interacting with Health Insurance Marketplaces (HIM), while measurably reducing administrative costs, improving member and provider satisfaction, as well as addressing regulatory compliance challenges in all managed care administrative processes.

 

Softheon's Exchange Connector Cloud has been trusted by several regional health plans, most recently by CareOregon and Oregon COOP, as an accelerated federal and state exchange integration platform. Exchange Connector Cloud is a Software as a Service (SaaS) solution where insurers pay a one-time activation and ongoing PMPM fees for exchange members only, while eliminating most, if not all, risks associated with ACA compliance of meeting October 1st open enrollment and other mandates.

 

To find out more about Softheon, visit www.softheon.com.

 

Softheon Exchange Connector Cloud to connect Oregon’s Health CO-OP to Health Exchanges


STONY BROOK, NY, May 20, 2013— Softheon Inc., an emerging leader in next generation cloud-based managed care business process optimization, announced today that Softheon Exchange Connector Cloud platform will be used to connect Oregon’s Health CO-OP to Oregon’s Health Exchange, Cover Oregon. Cover Oregon is a new central marketplace where Oregon individuals and employers will be able to shop for health insurance plans and access financial assistance to help pay for coverage. Starting in the fall of 2013, Cover Oregon will serve as a one-stop resource that makes it easy to find the plan for any individuals’ unique needs.

 

CareOregon, which provides administrative services to partner health plans such as the CO-OP, contracted with Softheon for this platform. The Softheon Exchange Connector Cloud is designed for regional health plans that need to be operational by September 2013 with their Plan Management, Eligibility & Enrollment, SHOP, Premium Billing and Customer Service solutions. Other Exchange Connector Cloud components include a real-time Rating Engine and Summary of Benefits & Coverage (SBC) distribution to help health plans create their own private sales channels. Above all, the Softheon Exchange Connector Cloud delivers a turn-key exchange integration solution through subscription, eliminating the need for health plans to make major operational or IT investments.

 

“We are thrilled to work with CareOregon and Oregon’s Health CO-OP to overcome these exciting new challenges” says Eugene Sayan, Founder & CEO of Softheon. “Our knowledge and proven track record with Exchanges has given us the necessary know-how to ensure Oregon’s Health CO-OP is fully connected with the Cover Oregon marketplace by the October 1st 2013.”

 

Softheon is uniquely qualified, being the trusted technology platform used by nation's only full service state health benefit exchange since 2008.  Softheon’s Exchange Connector Cloud is a Software-as-a-Service (SaaS) solution that will integrate with the Cover Oregon marketplace using CareOregon’s existing business processes and IT systems with minimal risk and full compliance with ACA. 

 

We chose Softheon because of its excellent track record and well-crafted design,” said Rod Meyer, director of Information Services for CareOregon. “We’re very committed to the success of Oregon’s Health CO-OP and are choosing partners that will help us serve the CO-OP and its members with great care.”     

 

Softheon’s Exchange Connector Cloud is fully integrated BPM/ESB/SOA platform that handles the complexities of state and federal exchange processes and data interfaces. Softheon’s solution enables payers to extend and leverage their existing business and technology investments, which minimizes the risks associated with participating in exchange marketplaces. 

 

About Oregon’s Health CO-OP

Oregon's Health CO-OP (incorporated as Community Care of Oregon) is a Consumer Operated and Oriented Plan, a not-for-profit insurance entity, with a member-majority operational board, organized under provisions of the federal Patient Protection and Affordable Care Act. It is an Oregon-based CO-OP, created by and for Oregonians, on the Exchange. For more information, see www.ohcoop.org

 

About CareOregon

CareOregon is a non-profit organization that is helping Oregonians lead the way toward the improvement of health for all.  CareOregon works with individuals, communities and partner health care organizations, such as Oregon’s Health CO-OP, to help people engage in their own health, navigate health systems and build better ones. CareOregon fosters health transformation by: supporting health-focused community building; facilitating transformation education; and delivering and improving health plan services in collaboration with its partners. For more information, see http://www.careoregon.org.

 

About Softheon

Empowering the nation's only fully operational state health exchange since 2008, Softheon's vision and strategic direction address healthcare payer, provider, and government agencies’ goal of meeting PPACA milestones.

 

Softheon provides solutions for interacting with Health Insurance Marketplaces (HIM), while measurably reducing administrative costs, improving member and provider satisfaction, as well as addressing regulatory compliance challenges in all managed care administrative processes.  

 

To find out more about the Softheon, visit www.softheon.com.

 

Softheon to Host a Webinar on the Future of Payer IT, Mobile Computing and Multi-Channel Consumerism


STONY BROOK, NY - Softheon, Inc., a proven leader in next generation Business Process Management (BPM) and Enterprise Service Bus (ESB) edge computing platform for health insurance marketplace integration, announced today that they will be hosting a live webinar titled “The Future of Payer IT – Mobile Computing and Multi-Channel Consumerism.” Softheon will be co-presenting this webinar with featured guest, Forrester Research, Inc., Vice President and Principal Analyst, Craig Le Clair, on Tuesday July 30, 2013 at 2:00 pm.

 

The Affordable Care Act has shaped the future of Payer Information Technology with an abundance of change and opportunity for health plans, providers, and patients. Many of these changes are structured, developed and implemented utilizing IT. In recent years, consumer behaviors, especially that of the younger 18-25 population, have shown an increased reliance on mobile technology. As result, health plans must adapt to recent trends in order to retain and reach new and existing consumers, and strive in both the present and post-health care reform era.

 

Participants of this webinar will gain an in-depth understanding of mobile computing’s role in the health insurance exchange world and specific best practices of how to ensure the success of payer-exchange integration projects. Additionally, insight on the latest IT trends of mobile computing applications designed for both brokers and consumers will be discussed.

To join this webinar, please Register.

 

Quotes & Commentary

“Forrester sees a rapid shift from enterprise-led multichannel initiatives driven by cost reduction to the absolute demands of consumers to get information the way they want it. As a result, customers push enterprises to improve the customer experience with document output for customer communications management, advanced capture solutions, and an increased adoption of e-signatures” says Le Clair in the January 2013 Forrester Research, Inc., report,Trends In Mobility, Cloud Computing, And Analytics Shake Up ECM.

 

Supporting Resources

Trends In Mobility, Cloud Computing, And Analytics Shake Up ECM, January 11, 2013 
Craig Le Clair, Vice President and Principal Research Analyst at Forrester Research

 

About Softheon

Empowering the nation's only fully operational state health exchange since 2008, Softheon's vision and strategic direction address healthcare payer, provider, and government agencies’ goal of meeting PPACA milestones. Softheon provides solutions for interacting with Health Insurance Marketplaces (HIM), while measurably reducing administrative costs, improving member and provider satisfaction, as well as addressing regulatory compliance challenges in all managed care administrative processes.

 

Softheon's Exchange Connector Cloud has been trusted by several regional health plans, most recently by CareOregon and Oregon COOP, as an accelerated federal and state exchange integration platform. Exchange Connector Cloud is a Software as a Service (SaaS) solution where insurers pay a one-time activation and ongoing PMPM fees for exchange members only, while eliminating most, if not all, risks associated with ACA compliance of meeting October 1st open enrollment and other mandates.

 

To find out more about Softheon, visit www.softheon.com.

 

Softheon Relocates to Stony Brook University Advanced Research
and Development Facility


With over 190 PhD and 180 Graduate students, Stony Brook University's CEWIT greatly enhances Softheon’s capacity to respond to growing demand on its Healthcare Reform & Exchange solutions

 

STONY BROOK, NY – February 8, 2013 -  Softheon Inc., an emerging leader in Health  Benefit Exchange solutions, announced today that it has relocated its corporate headquarters to Stony Brook University’s  Center of Excellence in Wireless & Information Technology (CEWIT) facility, one of the most advanced technology research buildings in the country.  Located in SUNY Stony Brook University Research & Development Park, CEWIT  is the culmination of an academic/industry partnership designed to develop some of the most innovative and exciting concepts within the healthcare technology industry.

 

According to Softheon’s CEO, Eugene U. Sayan, “We are at an exciting stage in the development of Softheon due to the overwhelming demand on our private and public health insurance exchange solutions. Access to CEWIT and its world renowned Computer Science faculty and staff will greatly enhance our capacity to respond to growth opportunities.”

 

Dr. Shmuel Einav, Director of CEWIT Medical Division, added “Softheon has been a leading high-technology company in the region with a proven track record in revenue growth and creation of new high-paying jobs. Guided by innovative academia-industrial partnerships, we are pleased and excited about Softheon’s relocation to CEWIT.”

 

Sayan, continued “The CEWIT building is more than just an upgrade to a state of the art locationThrough our collaboration with CEWIT's faculty and staff, as a commercial off-the-shelf (COTS) solutions provider, Softheon is committed to fulfilling the vision of providing real-world solutions to help insurers succeed in ACA Individual and SHOP Exchange markets.

 

About Softheon 

With its proven Softheon Exchange Connector™ platform powering Massachusetts Health Connector – the nation's only fully operational state health exchange since 2008, Softheon has been recognized for its vision and strategic direction to address healthcare payer, provider, and government agencies’ goal of meeting PPACA milestones, interacting with Health Insurance Marketplaces (HIM), extending access to quality, affordable health insurance coverage for potential members in all markets regions. 

 

About CEWIT

SUNY Stony Brook University CEWIT has established New York as a national leader in these technologies. CEWIT is an unparalleled resource, advancing the science and technology underlying the next epoch of the information revolution. Guided by innovative industrial partnerships, the programs not only address science and technology issues, but culminate in the transfer to commercial applications, resulting in increased employment through established ventures and the creation of new enterprises within the State.

 

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