Smarter Automation,
Using AI-powered automation for better outcomes. For health plans, we simplify operations so you can grow bigger and faster in government and commercial markets. For government health agencies, we make your processes more efficient so you can focus on your core mission, without needing to overhaul legacy systems.
Read our latest blog to learn how healthcare leaders are using AI for better day-to-day operations.
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SOFTHEON BY THE NUMBERS
30M+
Enrollments
100+
Licensed Carriers
$20B+
Premiums Processed
10
State Agencies
Grow Without The Growing Pains
Automate the boring parts of healthcare so you can focus on what matters. Softheon’s off-the-shelf solutions let you consolidate many vendors into a comprehensive platform that includes:
Compliance
Grow membership by over 2,000% while reducing the proportion of HICS cases.
Shopping & Enrollment
Offer Phase III Enhanced Direct Enrollment, accounting for 17% of all ACA enrollments.
Premium Billing
Consolidate vendors for a smoother handoff from enrollment to billing.
Reporting
Identify delinquent members every 24 hours, not every 30 days.
Payments
Keep more members with an effectuation rate of over 95% on average.
Reconciliation
Secure more subsidy dollars and improve retention with a 99%+ subsidy reconciliation rate, on average.
Member Communication
Reduce churn by creating a personalized experience.
Many see 2x+ ROI within a year
From anonymous shopping to automated reconciliation, Softheon provides a comprehensive user journey designed to reduce costs and improve effectuation rates. Clients who use Softheon have seen over 2x ROI in a year.
Recoup more time for your mission
Layering Softheon onto your legacy systems means states can make smarter eligibility decisions, faster. We integrate into your existing systems and let you easily connect state populations with health programs like Medicaid or state-based exchanges. We give your teams more time, no overhaul needed.
RESOURCES
Membership growth rate 300% above industry average.
Learn how a national carrier consistently outperformed in the ACA market in Softheon’s latest use case.
Leading Carriers Use Softheon to Get and Keep More Members
Why Health Plan Leaders
Trust Softheon
“Softheon’s expert knowledge of the ACA marketplace coupled with their leading enrollment and billing technology has made them the perfect partner during Hometown Health’s first open enrollment period on the exchange.”
David Hansen | CEO, Hometown Health
“[Softheon has] a fantastic solution and its performance has been great… the strength of the vendor relationship isn’t whether you have problems or not, it’s how you go about solving them and those issues.”
Paul Wingle | CVS/Aetna
See the difference Softheon can make to the health of your health plan or government agency.
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