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.
SOFTHEON BY THE NUMBERS
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:
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.
Consolidate vendors for a smoother handoff from enrollment to billing.
Identify delinquent members every 24 hours, not every 30 days.
Keep more members with an effectuation rate of over 95% on average.
Secure more subsidy dollars and improve retention with a 99%+ subsidy reconciliation rate, on average.
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.