Media

 
For robust data verification, get Verify

Aug. 3, 2018


Speakers
Michael Sasko – Vice President, Government Solutions, Softheon


Softheon’s Asset Verification System, Verify, is the ‘first of its kind’ to certify both Health and Human Services (HHS) programs. Designed exclusively to detect fraud, waste, and abuse of enrollees and applicants while providing real-time identity confirmation, Softheon Verify™ combines robust data certification and a simple workflow to access and manage complex, varied Health & Human Services (HHS) eligibility and asset verification data. Download our solution overview to learn more.


 
What’s driving consumer enrollment, engagement, demand, and loyalty?

July 26, 2018


Speakers
Bill Gaynor – Executive Vice President, Health Plan Solutions, Softheon


Softheon is introducing a single-combination ID card; joining healthcare and financial services. We set our business requirements to create a unified benefits program by listening to consumers. With Softheon’s HSA program, we don’t go for the HSA status quo. If health plans want a relationship with a member beyond one year, HSAs combined financial products combined with benefit design is the way to attract and keep members.


 
Powering winning consumer engagement, wellness, and renewal initiatives

July 17, 2018


Speakers
Bill Gaynor – Executive Vice President, Health Plan Solutions, Softheon
Stephen Kruk – Merchant Treasury Operations Manager, Softheon
Holly Doering-Powell – SVP/Director of Sales and Client Experience, UMB Healthcare Services


In this webinar, industry experts discussed tools and programs health plans can use to establish a better understanding of HSAs: 401K vs HSA, turning HSA confusion and complexity into value & loyalty, and the growing adoption of HSAs.


 
Enhanced Direct Enrollment (EDE): The evolution of the member experience

June 6, 2018


Speakers
Jane Good – Founder, JGood Advisors
Bill Gaynor – Managing Director, Health Plan Solutions, Softheon


In 2018, the "proxy" pathway for Direct Enrollment will no longer be available to enroll consumers into exchange plans. Softheon, a CMS Alpha Team member and leading Web Broker Entity, is closely working with officials, making the EDE pathway to enroll both subsidy eligible and non-eligible consumers into exchange plans a reality in 2019.


 
HackHLTH 2018

May 4-6, 2018


Speakers
Eugene Sayan – Founder & CEO, Softheon
Andrew La Manna – Software Engineer, Softheon
Chuck Marcelin – Talent Acquisition Manager, Softheon


HackHLTH is the premier hackathon for the healthcare ecosystem, set out to solve the industry’s toughest problems. Taking place over 36 hours between May 4-6, the inaugural HackHLTH event brought together hundreds of developers, designers, and entrepreneurs with the most forward-thinking companies to create applications using APIs and other tools that address local and global health challenges. As one of the lead sponsors of the HackHLTH hackathon, Softheon worked closely with participants to develop innovative solutions to help solve some of the biggest problems in in healthcare.


 
State innovation and design implementation: addressing ACA Marketplace sustainability, reform, and positioning

Apr. 26, 2018


Speakers
Eugene Sayan – Founder & CEO
Rosemary Day – President, Day Health Strategies
Jon Kingsdale – Senior Strategy Advisor, Wakely Consulting


Softheon Founder & CEO, Eugene Sayan, speaks at the 2018 State Healthcare IT Connect Summit, featuring Rosemary Day, President, Day Health Strategies, and Jon Kingsdale, Senior Strategy Advisor, Wakely Consulting. They discuss the future of IT and back-office functionality of the Federally Facilitated Marketplace, as well as the future of the Affordable Care Act under the Trump Administration.


 
Product talk: enrollment & effectuation engine

Apr. 6, 2018


Speakers
Randeep Gupta – Product Owner, Remedy, Softheon


Softheon's enrollment & underwriting engine, Remedy, allows you to easily enroll & effectuate members and manage ongoing member services, including processing cancellations, terminations, delinquencies, and more - in real time. Remedy’s comprehensive rules engine allows you to customize your members’ enrollment processing to suit different needs. Our solution also uses role-based user access, so you can ensure each user only has access to the data they need. In this interview, we talked to Randeep Gupta, one of Softheon's product owners about Remedy's features.


 
Product talk: data analytics & reporting

Apr. 5, 2018


Speakers
Vassili Bolotnikov – Product Owner, Foundry, Softheon


Softheon's data analytics and reporting platform, Foundry, captures and tracks every touchpoint, analyzing both interactions and behaviors of members. Foundry’s reporting capabilities provide you with all the tools necessary to access and analyze data from a high-level overview down to an individual member. In this blog, we talk to Vassili Bolotnikov, Product Owner of Softheon Foundry, on the product's latest advancements & innovations.


 
Product talk: e-payment platform

Apr. 4, 2018


Speakers
Vanessa Hall – Product Owner, Equity, Softheon


As an accessible PCI DSS 3.1 Electronic Payment platform, Equity serves individuals and brokers with multi-channel options, and offers the back-end processes needed to continually manage and track their payment statuses. To assist with higher membership retention, we support all payment types including credit cards, ACH & e-Check, and lockbox processing. In this blog, we talk to Vanessa Hall, Product Owner of Softheon Equity, on Equity’s benefits and latest enhancements.


 
Product Talk: EDI integration & management

Mar. 23, 2018


Speakers
Bret Harrison – Product Owner, Gateway, Softheon


Softheon's rules-based EDI payload management platform, Gateway, exchanges enrollment information (834s) to handle the enrollment, effectuation & reconciliation of your members. Gateway was designed to eliminate the risks and issues associated with importing bad data. In this interview, we talked to Bret Harrison, one of Softheon's product owners talks about Gateway's features.


 
Hack@CEWIT

Mar. 14, 2018


Speakers
Vincent Bodo – Lead Software Engineer, API Team, Softheon
Samantha Miller – Software Engineer, Softheon
Chuck Marcelin – Talent Acquisition Manager, Softheon
Melanie Woods – Marketing Manager, Softheon
Yvonne Villante – Marketing Director, Softheon
Eugene Sayan – Founder & CEO, Softheon


Softheon is proud to once again be a sponsor of the second-annual Hack@CEWIT. There were hundreds of coders and entrepreneurs that stayed for all three days to work on APIs, innovate industries and products, and learn from Softheon programmers and experts. This hackathon focused on industry-relevant IoT and security API design, raspberry pi hacks, and learning from industry leaders with hands-on programming. Hack@CEWIT is designed to select scenarios that will have a direct, real-world application to their product portfolios. The Softheon team guided and mentored the Hack@CEWIT attendees on broad topics, including Zero-to-Hero sessions, APIs, and other technical platforms.


 
Product Talk: the rise in digital healthcare e-commerce

Mar. 1, 2018


Speakers
Dan Hughes – Managing Director, Sales, Softheon


Softheon’s plan benefits & product management platform, Clarity, delivers members, employers, and brokers with quote-to-card shopping and the ability to manage their own accounts. With Clarity, members get the tools they need to control and understand their healthcare benefits, including a rating engine & decision tools, comprehensive account management, and a configurable, easy-to-use interface. In this interview, we talked to Daniel Hughes, Softheon’s Managing Director of Sales, about Clarity’s features, and how the innovative solution solves many of the common issues facing health plans and brokers today.


 
A health plan and vendor’s insight into implementing Medicaid 1115 waivers.

Mar. 6, 2018


Speakers
Caitlin Priest – Government Relations Director, CareSource Indiana Inc.
Diana Fuchs – Director, Health Plan Solutions, Softheon


Medicaid states applying for and receiving 1115 waivers are prominent in the news. 16 states have received approval, 19 are approved & pending, and 2 are pending. Medicaid continues to use a large portion of state budgets and remains one of the biggest challenges for lawmakers in terms of anticipating and controlling costs. But understanding how to correctly and quickly implement these programs is a new venture for health plans and MCOs operating in the Medicaid environment. This webinar will provide insight into some states and plans that have addressed these challenges. This webinar provides an overview of Medicaid waivers in a three-part series.


 
What’s driving today’s healthcare consumerism?

Nov. 20, 2017


Speakers
Eugene Sayan – Founder & CEO, Softheon


Like the travel and banking industries, healthcare consumers' roles are expanding. Resulting in the healthcare payer community to identify new ways of securing their membership amid market forces, such as competition, consumerism, and policy changes, this driving force is reinforcing the need for innovative solutions that exceed consumer expectations – further amplifying the focus placed on the consumer.


 
What is Softheon?

Nov. 20, 2017


Speakers
Eugene Sayan – Founder & CEO, Softheon


At Softheon, we offer a comprehensive suite of cloud-based, configurable solutions to help health plans build a robust healthcare IT infrastructure. These solutions eliminate duplicate and administrative inefficiencies, promote collaboration with key stakeholders, ensure mechanisms of enhanced transparency, and provide visibility into insurance transactions and member activities.


 
Your Guide to Navigating CMS’ New 1115 Waiver Approval Process

Dec. 11, 2017


Speakers
Eugene Sayan – Founder & CEO, Softheon


The Section 1115 State Medicaid Innovation Waivers are forcing Managed Care Organizations (MCOs) to rethink their current technology strategies. With the waiver approvals process for states being significantly streamlined by CMS, many current Medicaid platforms are not fully prepared, and do not support premium billing and invoicing. In this webinar, we will discuss the best strategy for the privatization of Medicaid and navigating CMS’ new 1115 approval process.


ARCHIVE

 

Examining HIP 2.0 as a Model for State Medicaid Moving Forward


July 19, 2017


Speakers
Eugene Sayan – Founder & CEO, Softheon


Hear directly from Eugene Sayan, Softheon Founder & CEO, as he examines Indiana’s Medicaid program, the Healthy Indiana Plan (HIP) 2.0. Learn what has worked well, the lessons that can be learned from a non-traditional expansion, and why it may be used as a model for other states looking to utilize waivers and individualize their Medicaid programs.

 

Accelerating Insights Across H&HS with Integration and Actionable Analytics


Mar. 29, 2017


Speakers
Eugene Sayan – Founder & CEO, Softheon
Jeremy Racine – Healthcare Director, SAS
Ellen Marie Whelan – Senior Advisor, CMMI, CMS
Meghan Vanderstelt – Policy Director, Michigan DHHS
Bradley J. Long, Cluster – CIO HHS, Illinois Department of Innovation & Technology


At the 2017 State Healthcare IT Connect Summit, our CEO Eugene Sayan took part in a keynote panel where he shared his perspective and observations on how to accelerate and improve health outcomes with actionable analytics.

 

Healthcare IT Connect 2017


Mar. 29, 2017


Speakers
Eugene Sayan – Founder & CEO, Softheon


At the 2017 State Healthcare IT Connect Summit, our CEO Eugene Sayan took part in a keynote panel where he shared his perspective and observations on how to accelerate and improve health outcomes with actionable analytics.

 

HIX 2.0: Considering an Exchange Operator


Mar. 28, 2017


Speakers
Daniel Hughes – Managing Director of Sales, Softheon
Michael Sasko – VP, Government Solutions


Hear directly from Daniel Hughes, Managing Directors of Sales, and Michael Sasko, VP of Government Solutions, as they deliver an informative speaking session at this year’s State Healthcare IT Connect Summit in Baltimore, Maryland. Gain an overview of Softheon’s expertise, lessons learned, and our predictions on what our industry can expect to see in the next few months.

 

Hackers Unite for the 43-Hour Hack@CEWIT Tech Marathon


Feb. 17-19, 2017


Speakers
Eugene Sayan – Founder & CEO, Softheon
Chuck Marcelin – Talent Acquisition Manager, Softheon
John Gottfried – Technical Writer and Co-Founder, Major Lead Hacking


Attracting forward thinking students that desire to disrupt the status quo, Hack@CEWIT united over 130 students for a region-wide hackathon. With access to Softheon developers and expert Hack Gurus to guide them along the way, hackers brought some novel applications to the table – all in an impressive 43 hours!

 

Softheon by SmartCEO


Feb. 9, 2017


Speakers
Eugene Sayan – Founder & CEO, Softheon


Softheon was named a 2016 Long Island SmartCEO Corporate Culture Award Winner. Softheon Founder & CEO Eugene Sayan says this can be credited to “our open and innovative culture being particularly attractive to workers, but also to our being located on the campus of Stony Brook University, one of the nation’s leading public research universities.”

 

Architecting a High-Value Partnership: A Case Study of Sendero Health Plans


Jan. 27, 2017


Speakers
Eugene Sayan – Founder & CEO, Softheon
Yvonne Villante – Senior Research Manager, Softheon


This case study looks at Sendero Health Plan’s end-to-end Marketplace implementation. The non-profit Texas health plan sought to acquire a system that would integrate its qualified health plan (QHP) offerings to the Federally-facilitated Marketplace (FFM), provide strong benefits, and support.

 

Private Exchanges - How Employers and Brokers Are Adapting to the Changing Benefits World


Oct. 31, 2016


Speakers
Eugene Sayan – Founder & CEO, Softheon
Daniel Hughes – Managing Director of Sales, Softheon
Wayne Sakamoto – Health Insurance Interactive, President


Private insurance exchanges may be among the most important long-term products of the post-ACA era. In 45 minutes of expert presentation, you’ll discover the benefits of private exchanges for both brokers and employers. 

 

Payer Provider Collaboration - The Future of Health Care


Sept. 27, 2016


Speakers
Eugene Sayan – Founder & CEO, Softheon
Jeff Burbank – Director of Provider Solutions, Softheon
Jon M. Kingsdale Ph.D – Director, Wakely Consulting Group, Director


The health care industry is transforming, driving providers and payers to rethink their business models and develop new strategies that foster payer-provider collaboration, enhance care coordination, and improve overall health outcomes.

 

Oliver Wyman Executive Interview with Eugene Sayan and Kate Warnock


Sept. 23, 2016


Speakers
Eugene Sayan – Founder & CEO, Softheon
Kate Warnock – Social Media Manager, GuideWell


With the benefits of interoperability and added protection against data breaches, interest in blockchain has ascended throughout the healthcare industry. In this GuideWell Lounge Interview at the Oliver Wyman Health Innovation Summit, Eugene Sayan and Kate Warnock talk about blockchain and its future in healthcare.

 

Digital Commerce Distribution - Driving Value in the Age of the 'Digital Payer'


Aug. 23, 2016


Speakers
Dana Franke – Director of Operations, Softheon
Michael Hendershot – Director of Business Development, Softheon


Healthcare payers are at the center of a changing environment, with new advancements cultivating effective digital players. For nearly a decade, marketplace disruptions have and continue to revolutionize the healthcare payer market. Altering the ways many organizations operate, these changes which include the Affordable Care Act (ACA), have allowed for the emergence of new products and distribution channels for which healthcare payers may strive.

 

Eugene Sayan Steps Into The Spotlight at AHIP Institute & Expo 2016


June 2016


Speakers
Eugene Sayan – Founder & CEO, Softheon
Kate Warnock – Social Media Manager, GuideWell


Eugene Sayan sat down with Kate Warnock to continue the conversation on industry trends and positively disrupting the healthcare space. Watch as he shares insights into Softheon’s unique ability to integrate and optimize data across all fronts to create a unified user experience.

 

HIX 2.0 - Is There a Private Option?


Apr. 11, 2016


Speakers
Eugene Sayan – Founder & CEO, Softheon


Now that federal grants authorized by the ACA no longer subsidize states for Marketplace operations and information technology, states that run their own health insurance exchanges are feeling budgetary and political pressure to find the most efficient ways to do so. At the same time, a new field of Exchange Operator vendors that specialize in IT services to health insurers and exchanges to support plan comparison and selection, enrollment, financial management and other transactions - potentially to achieve significant cost savings. Watch our presentation at 2016 Healthcare IT Connect, describing the methodology for states to use in comparing the cost of maintaining their own legacy IT platforms.

 

Case Study: Community Health Choice


Apr. 2016


Speakers
Stephanie Kilty – Marketplace Director Sales & Marketing, Community Health Choice


Hear how Community Health Choice’s relationship with Softheon has provided dramatic operational improvements, with streamlined processes for the intake, reconciliation, and review of all lines of Marketplace business.

 

Case Study: Consumers Health Choice


Apr. 2016


Speakers
Jerry Burgess – President and CEO, Consumers Health Choice


Hear Consumer Health Choice’s experiences with Softheon to help process and grow membership.

 

Case Study: FirstCare Health Plans


Apr. 2016


Speakers
John Sluss – Manager, Financial Operations, FirstCare Health Plans


Learn why FirstCare Health Plans partnered with Softheon and their success utilizing Softheon solutions.

 

Case Study: Group Health


Apr. 2016


Speakers
Joe Fox – Group Health


Following WAHBE’s transition of the billing and delinquency processes to the carriers, Group Health partnered with Softheon. Learn how Softheon helped automate their billing, effectuation, and delinquency processes.

 

Strategies to Improve Health Plan Margins on Public Insurance Exchanges


Mar. 29, 2016


Speakers
Eugene Sayan – Founder & CEO, Softheon
Umer Mujeeb – Data Scientist, Softheon


With pressure mounting to minimize financial losses on qualified health plans (QHPs), insurance carriers participating on public insurance exchanges will achieve greater success when they incorporate innovative analytical and reporting strategies ... and take immediate steps to improve exchange operations. Hear top experts from Softheon — a Web-Broker Entity (WBE) and cloud-based technology vendor that works with private and public insurance exchanges — outline steps your health plan can take to achieve these objectives.

 

Cost-Sharing Reduction Reconciliation: Strategies for QHPs Submitting Data This Spring


Jan. 26, 2016


Speakers
Eugene Sayan – Founder & CEO, Softheon
Jon Kingsdale, PhD Managing Director, Wakely Consultant Group
Peter Polgar – Growth Strategy & Business Development Manager, Softheon


April 30, 2016, is the date by which qualified health plans (QHPs) must now submit data to CMS on cost-sharing reduction (CSR) reconciliations. With CMS's one-year delay in this requirement last year, all QHP issuers must submit and complete (by April 30) CSR reconciliations for both 2014 and 2015. For years following 2016, issuers will complete this process annually.

 

Enhancing Data Integrity: Distribution Data Collection for Reinsurance and Risk Adjustment


Oct. 6, 2015


Speakers
Eugene Sayan - Founder & CEO, Softheon


Health payers must prepare for the financial impact of their Risk Adjustment, Risk Corridor, and Reinsurance scores utilizing cleanly, accurate, and timely informatics and analytics. With real-time validation of plan data and extensive reporting capabilities, Qualified Health Plans (QHPs) will not only be able to share data with CMS through an EDGE server, but also reap significant revenue gains with utilizing the risk-based payment model.

 

Open Enrollment Preview: How Lessons Learned Can Help Insurers and Brokers Win on Exchanges


Oct. 6, 2015


Speakers
Eugene Sayan - Founder & CEO, Softheon


The third open-enrollment period for public exchanges begins Nov. 1, and more than 315 health plans will participate. But acquiring new members – and retaining existing ones – cannot be achieved without meaningful, forward-thinking outreach, engagement and education strategies. The most successful health insurers will be those that have been able to craft messages to highlight the value of health insurance to prospective and existing customers. earn what strategies can be employed to maximize your chances of success in public insurance exchanges.

 

Web-Based Entities: How WBEs Can Drive Future Marketplace Enrollment


July 28, 2015


Speakers
Dan Schuyler - Senior Director of Exchange Technology, Leavitt Partners


Just two years in, enrollment on public insurance exchanges has already begun to level off. Health plans continue to rely heavily on brokers and agents to drive enrollment, but the online process remains clunky and inefficient. Industry observers contend that additional enrollment growth cannot be achieved unless carriers, insurance brokers and benefits consultants are able to enroll consumers directly.

 

Case Study: How One ACAP Member Overcame Challenges and Achieved Success on the Federally Facilitated Marketplace


June 23, 2015


Speakers
Eugene Sayan - Founder & CEO, Softheon
Richard Lee - SVP Finance, Community Health Choice


Discover how Community Health Choice, the ninth largest insurer in Texas, overcame substantial challenges to integrate its comprehensive plan offerings to the FFM — and went live in just two months! CHC integrated with HealthCare.gov for the 2014 plan year. Hear directly from CHC and Softheon about challenges faced and steps taken to resolve such issues.

 

Case Study: How New Technology Helped a Major Insurer Thrive on Healthcare.gov


May 5, 2015


Speakers
Eugene Sayan - Founder & CEO, Softheon
Susan Armbruster - Consultant to Physician's Health Plan


Discover how Physician's Health Plan (PHP) successfully implemented an exchange enrollment and premium billing system from Softheon — just two months before 2015 open-enrollment — and met its enrollment expectations.

 

10 Essentials for Exchange Platforms


Apr. 14, 2015


Speakers
Eugene Sayan - Founder & CEO, Softheon
Robert Miller - Program Manager, Healthcare Reform, Softheon


In this webinar, Softheon Founder & CEO, Eugene Sayan, will lead a discussion regarding the value proposition of Public & Private Exchange participation for Carriers. In addition, this presentation will provide a review of the 10 essentials for leading Exchange Platforms.

 

Marketplace 2.0: Leading Health Reform & Consumerism


Dec. 22, 2014


Speakers
Eugene Sayan - Founder & CEO, Softheon
Robert H. Booz - VP & Distinguished Analyst, Gartner


Eugene Sayan the Founder and CEO at Softheon, along with Robert Booz, Vice President and Distinguished Analyst at Gartner, will provide attendees with a comprehensive deep dive of the top five business drivers affecting healthcare payers, which can be overcome with the adoption and embracement of innovative, cloud-based Public and Private Exchange platforms.

 

Conference 360 Studio - Industry Insights with Softheon


July 2, 2014


Speakers
Eugene Sayan - Founder & CEO, Softheon
Karen Ignagni - President & CEO, AHIP


This series, led by Karen Ignagni, AHIP President & CEO, and Eugene Sayan, Founder and CEO of Softheon, explores the transformation of consumerism across the industry as well as best practices that can be utilized to engage consumers in today's evolving healthcare landscape.

 

Big Data and Analytics: A Deep Dive into the World of Public and Private Health Insurance Exchanges


June 18, 2014


Speakers
Eugene Sayan - Founder & CEO, Softheon


The ability to analyze the effectiveness of QHP marketing outreach, membership geo-analytic tracking and current premium revenues, can better define value in exchange and marketplace connectivity. Data analytics will provide a competitive edge to health plans in today's consumer driven healthcare landscape.

 

A Look into What's Ahead In the Era of Health Insurance Marketplaces


Jan. 31, 2014


Speakers
Eugene Sayan - Founder & CEO, Softheon
Robert H. Booz - VP & Distinguished Analyst, Gartner


In this webinar, Eugene Sayan the Founder and CEO at Softheon, along with Robert Booz, Vice President and Distinguished Analyst at Gartner, will predict issues and trends that will transpire and what organizations should do to succeed in the current market. Participants will also gain access to information on how Payers can implement a consumer driven business model.

 

Striving and Thriving in the Health Reform Era


Dec. 17, 2013


Speakers
Eugene Sayan - Founder & CEO, Softheon


Speakers will provide information on how Payers can implement a consumer driven business model, along with actionable recommendations that can be used to acclimate IT and business processes to new healthcare reform challenges and opportunities. Attendees will acquire the necessary know-how to successfully thrive in the Health Reform Era.

 

Enhancing Data Security in an Era of Health Insurance Exchanges


Aug. 6, 2013


Speakers
Eugene Sayan - Founder & CEO, Softheon


This webinar will provide participants with insight on the Distributed Data Collection Model, HHS Edge Server technical requirements for qualified health plans, and related reinsurance, risk corridor and risk adjustment mitigation strategies. It will also provide recommendations on measuring the success of payer exchange integration projects.

 

Direct Enrollment - Integrating with Federally Facilitated Marketplaces


Aug. 8, 2013


Speakers
Eugene Sayan - Founder & CEO, Softheon
Robert Miller - Program Manager, Healthcare Reform, Softheon


Participants should gain an in-depth understanding of the process of Direct Enrollment for FFM in the health care reform epoch. Attendees of this webinar will be ensured with knowledge on integrating private exchanges to FFM and the Federal Data Services Hub as well as how to successfully execute payer-exchange integration projects and enhance their customers' shopping experience.

 

Payer New Normal: Age of Marketplaces & Consumerism


June 12, 2013


Speakers
Eugene Sayan - Founder & CEO, Softheon
Karen Ignagni - President & CEO, AHIP


The Affordable Care Act is bringing much change and opportunity to health plans, providers, and patients. Many of these changes are being structured, developed, and implemented with the help of IT. Health plans and providers will want to understand how these emerging technologies will impact their business.

 

Health Marketplace Data Management and Data Integration


Apr. 9, 2013


Speakers
Eugene Sayan - Founder & CEO, Softheon
Craig Le Clair - Vice President, Principal Analyst, Forrester Research, Inc. (Guest Speaker)


The Health Insurance Marketplace ecosystem mandates representation of data in an application-neutral way (or canonical form) in real-time, to facilitate its movement between public/private marketplaces and payers. Participants should gain an in-depth understanding of BPM/ESB/SOA roles in the world of health exchanges and specific best practices to ensure the success of payer-exchange integration projects.

 

Public vs. Private: An In-Depth Comparison of Health Insurance Marketplaces for Health Plans


Dec. 13, 2012


Speakers
Eugene Sayan - Founder & CEO, Softheon
Robert Miller - Program Manager, Healthcare Reform, Softheon


The health care industry is about to undergo significant changes with the implementation of the ACA and the creation of Federally Facilitated, State, and Private Health Insurance Marketplaces. Most states are either considering options or have announced that they will have a state based Public Exchange. It is fairly certain that Private Marketplaces will closely follow to ensure consumers have broader access to health plans.