News

Mar. 5, 2018
State Obamcare Changes could hurt Medicaid programs
The states are trying to tie their commercial and Medicaid changes together to get more powerful flexibility for state-led health reform,” Yvonne Villante, director of marketing and health-care reform with Softheon Inc. in Stony Brook, N.Y., told Bloomberg Law March 2.
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Feb. 23, 2018
Stony Brook Hackathon Inspires Cutting-Edge Student-Built Technologies
Over the President’s Day weekend, Stony Brook University welcomed 174 students to the Center of Excellence in Wireless and Information Technology to compete in a 40-hour IoT and security hackathon. As part of a partnership with Major League Hacking, $30,000 in industry sponsorship for the event came from Softheon…
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Nov. 1, 2017
Four questions with the CEO: Softheon’s Eugene Sayan
The healthcare industry is flooded with personal data and information. Here, Softheon founder and CEO, Eugene Sayan, shares his thoughts on why protecting health consumers' information is key for the industry moving forward.
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Oct. 26, 2017
ConnectiCare to join in state’s small business health insurance exchange
Access Health also announced that it has selected Softheon, a cloud-based health insurance exchange distribution and services provider, to facilitate its SHOP program; the move will enhance the consumer experience with real-time health insurance products and services, the exchange said.
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Oct. 23, 2017
The 2017 Owler perceptions of leadership team diversity study
The Owler Community, now over 1.5 million strong, has a lot to say about the modern workplace and the world at large. Last month, we asked our Owler Community to weigh in on how diverse they think their leadership teams are, and what they had to say is surprising.
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Oct. 17, 2017
Rep. Zeldin meets with Eugene Sayan of Softheon
Congressman Lee Zeldin (R, NY-1) met in his Patchogue office with Eugene Sayan, Chairman, CEO, and President of Softheon. Located in Stony Brook, Softheon is a leading healthcare IT (HIT) provider that designs federal and state health insurance exchanges. During the meeting, they discussed the work done at Softheon and how changes in healthcare policy will affect their business. Congressman Zeldin is pictured above, left, with Mr. Sayan, right.
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Sept. 26, 2017
Softheon’s million-dollar pledge ensures bright future for Tesla Science Center and Solidifies Long Island’s Role as a Technology Powerhouse
CMM Managing Partner Joe Campolo announced that Softheon, Inc. will make an unprecedented donation of one million dollars to support the Tesla Science Center and solidify Long Island’s spot in scientific history. Softheon ranks among Long Island’s most innovative companies, meeting the complicated challenges of healthcare delivery with seamless technology.
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Aug. 14, 2017
New healthCare.gov flexibility could ease 2018 pain: Ex
Executives at Softheon Inc. are hoping HealthCare.gov's new, flexible approach to web brokers will make the individual major medical market work smoothly this fall. The company is doing everything it can to get a direct enrollment proxy connection with HealthCare.gov running up Nov. 1…
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Jul. 12, 2017
Views can the Trump administration fix health insurance?
Like millions of consumers, employers and health plan providers, benefit advisers are ill at ease about the future of healthcare under the Trump administration. Anxiety over higher premiums, fewer choices and a roll back of Medicaid expansion after 2020 have become sovereign pain points for all concerned.
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Jul. 1, 2017
Softheon launches Medicaid administration solution
Softheon, a provider of cloud-based health insurance marketplace integration and remediation tools, unveiled its Medicaid administration cloud solution. Here are three things to know about the service.
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Jun. 29, 2017
Five reasons why the Senate GOP health plan demands health issuer and employers’ attention
The Better Care Reconciliation Act (BCRA) of 2017 [H.R. 1628] would replace the ACA and establish a system that is anticipated to reduce the cost of healthcare, expand available plan options for consumers, reduce federal spending, and grant small businesses and associations the capability to establish small business health plans that operate outside of state insurance regulations.
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Jun. 28, 2017
Four things to watch in Senate Obamacare replacement
While the House bill links tax credits to age, the Senate bill would tie subsidy amounts to income that would stop at 350% of the federal poverty level (FPL). In comparison, the ACA stops these at 400% of the FPL, explains Eugene Sayan, founder, chairman, and CEO of Softheon, a cloud-based health insurance exchange integration and remediation platform.
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Jun. 8, 2017
In SBU’s Incubators, it’s all About who you know
Other showcase companies, such as health-management solutions provider Softheon and concrete-alternative manufacturer Green SulfCrete LLC, were more established. Softheon, a longtime CEWIT resident, is often referenced as the poster child of SBU’s entrepreneurial ecosystem, having grown from a handful of employees to a staff of roughly 150 in just four years.
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Jun. 1, 2017
Innovation’s past, present, future at SBU showcas
“Stony Brook University is gearing up for its annual business-development victory lap. Slated to be featured are Intelibs, a broadband wireless access solutions provider; Private Machines, peddling a patent-pending cloud and data-center security technology; healthcare-focused business-intelligence software specialist Softheon; and STS Global...”
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May 31, 2017
Healthcare 100 Informatics: Softheon Ranked as 18th Largest Healthcare IT Vendor
The editors of Healthcare Informatics are once again proud to present the newest edition of our unique industry offering: the Healthcare Informatics 100 (THE 100), a compilation of the top health IT companies based on HIT revenues from the most recent fiscal year.
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May 8, 2017
Payers look to 3rd parties for claims processing, customer management
In telling insurers about solutions other than buying equipment, Softheon CEO and President Eugene Sayan said he frequently hears, "'You mean it will not cost $25 to $35 million to build my insurance division? I don't need to hire all these people? I can do it with cloud computing?'"
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Apr. 20, 2017
Reform & improve
With sincere respect for the tremendous efforts made to date by state-based marketplaces, direct-to-consumer marketing is not generally considered a core strength of the public sector. Allowing a range of commercial (and public) web-based entities to market qualified health plans could add substantially to enrollment. (Private options, such as Softheon, eHealth, and Getinsured either did not exist or were far less robust when the ACA was drafted.)
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Mar. 19, 2017
Students test computer science skills at inaugural hackathon
“We kind of see [hackathons] as an evolution of the traditional career fair,” John Saunders, a marketer for one of the event sponsors Softheon said. “At a hackathon, you can show off your skills in real time with real world applications that companies can potentially put on the marketplace.”
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Mar. 16, 2017
Four ways Trump will shift digital healthcare
Eugene Sayan, CEO and president of Softheon, agrees. “With growing expectations for targeted experiences through new and emerging sales channels, we can expect the health insurance industry to continue to undergo a digital transformation like what we observed in the banking, airline, and travel markets.”
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Mar. 6, 2017
Four priorities your health plan must embrace to thrive in the future
Regardless of what may happen to healthcare during the Trump administration, the fact remains that consumers are growing more and more accustomed to easier experiences and greater choices in all aspects of their shopping experience, says Dan Hughes, managing director of sales at Softheon. Healthcare is no exception.
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Jan. 31, 2017
5 Post-election thoughts from the experiences of state-run marketplaces
Following President Trump's executive order to reduce economic and regulatory burdens set forth by the Patient Protection and Affordable Care Act (PPACA), it's natural for healthcare executives to grow concerned or anxious regarding the future of the industry. Your daily meetings may have become interjected by conversations on what is likely to occur, the replacement plan the new Administration is likely to adopt, or how your organization can best take advantage of its knowledge to stay ahead of what's to come.
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Jan. 24, 2017
Four healthcare enrollment trends to watch In 2017: How does it affect employee health coverage?
As a human resource professional, you probably see 2017 as a year of great change, especially when it comes to employee health coverage. A political shift as significant as the one we are witnessing today can bring on some legitimate anxiety. Before he even took office, President Trump pivoted from a stance of “repeal-and-replace” vowing to keep certain elements...
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Jan. 11, 2017
Plans to Scrap Obamacare don’t worry PF Softheon
As President Obama leaves office and Donald Trump prepares to take the reins, a Republican Congress has declared repealing Obamacare to be one of its top priorities. But what that will entail and what the resulting healthcare system will look like is anyone’s guess at this point.
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ARCHIVE

Nine ways Trump will change healthcare


Dec. 20, 2016


Dan Hughes, managing director of sales at Softheon adds, “It is already apparent that president-elect Trump is finding himself in a complicated position regarding his stance on healthcare. During the heat of the campaign cycle, Trump had frequently referred to the healthcare law as a ‘total disaster’ and pledged to his supporters that if elected he will immediately repeal it and replace it with ‘something much better.'


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Softheon extends Equity platform:
3 things to know


Dec. 12, 2016


Softheon extended its Equity financial management and payment platform to "prevent illegitimate third party payments." Here's what you need to know.


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Vendors pitch MNsure on website upgrades


Dec. 9, 2016


Five vendors have filed plans for improving the MNsure website, including Optum, hCentive Inc., GetInsured and Softheon Inc.


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What do Delta Airlines, supply-chain science, and the new health landscape have in common?


Dec. 7, 2016


Innovative technologies are helping bring healthcare into the modern age. In this Oliver Wyman Executive Conversation, Softheon CEO Eugene Sayan shares his insights on what this means for the future of the industry, and how leaders in the field can prepare...


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Sendero Health Plans implements Softheon cloud-based IT solution


Nov. 18, 2016


Austin, Texas-based Sendero Health Plans selected Stony Brook, N.Y.-based health IT provider Softheon to assist with its enrollment, financial management, reporting and analytics operations.


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Sendero Health Plans goes live on cloud health exchange


Nov. 15, 2016


Sendero Health Plans is now live on Softheon’s cloud-based health insurance exchange, the companies announced this week. The Texas insurer selected Softheon’s platform to improve enrollment and payment reconciliation while also upgrading the customer experience. Other benefits include: enhanced financial management, reporting and analytics...


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Enabling health plans to deliver
via private exchanges


Oct. 13, 2016


On this enlightening episode of the intrepidNOW Healthcare podcast, Softheon Founder and CEO Eugene Sayan discusses how Softheon is enabling health plans to provide private exchanges to healthcare employers and consumers. Such topics as the growing consumerization of healthcare, key decisions that employers considering a private exchange...


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The Healthcare Informatics 100 product breakouts: data exchange


Jun. 21, 2016


According to Mark Pasquale, a principal in the informatics and technology practice within The Chartis Group, a Chicago-based consulting firm, the ability to share patient records between providers using current interoperability standards is improving. “Recent successes can be attributed to the ability of health information exchanges (HIEs) to mitigate...


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Softheon recognized among 2016’s 20 Most Promising Tech Companies by CIOReview


Mar. 31, 2016


In a deliberate session with the honorary industrial experts, a list of the “20 Most Promising BPM Solution Providers 2016” has been concluded. Softheon’s positioning is based on evaluation of its specialties in providing Health Insurance Exchange (HIX) Integration, Direct Enrollment, Premium Billing & Payment, and Analytics solutions for insurance...


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How Obamacare ushered in PF-friendly payments


Jan. 13, 2016


According to Mark Pasquale, a principal in the informatics and technology practice within The Chartis Group, a Chicago-based consulting firm, the ability to share patient records between providers using current interoperability standards is improving. “Recent successes can be attributed to the ability of health information exchanges (HIEs) to mitigate...


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PBE Index sees modest rise


Jan. 4, 2016


The Private Benefit Exchange Index inched up, showing an increase for the seventh straight month. While the Index’s number rose only modestly, there was still a lot of buzz around the online...


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PBE Index continues to rise


Nov. 2, 2015


The Private Benefit Exchange Index rose again last month and all indications are that it will increase more quickly in the months to come. Since June – the first posting of the Private Benefit Exchange Index...


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3 things to know about PPACA world news


Jun. 25, 2015


A group of five private exchange firms have hired Leavitt Partners to help them set up a new trade group, the Private Exchange Coalition (PEC). PEC hopes to develop and share data standards and give information to consumers, employers, insurers and policymakers, organizers say. The founding member companies are Array Health, Bloom Health, ConnectedHealth, Connecture and Softheon...


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Private benefit exchange companies launch coalition


Jun. 24, 2015


A group of industry players connected to private exchanges launched a coalition Wednesday to serve as a forum to share ideas and best practices, and to increase awareness of private exchanges...


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Softheon, Inc. offers new software to aid healthcare companies transition to Obamacare


Jun. 13, 2015


Softheon, Inc. will offer the software Softheon Select to insurance companies that offer plans through the government-mandated healthcare plans. Softheon Select will help Qualified Health Plans make a transition to healthcare.gov. It will also help healthcare companies to transition out of healthcare.gov if they need to (the upcoming Supreme Court decision on King v. Burwell may make it necessary)...


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AHIP meeting: wizards of R's


Jun. 3, 2015


Four thousand actual and would-be health care system movers and shakers are converging on Nashville this week for the America's Health Insurance Plans (AHIP) Institute 2015 annual meeting. Major event vendor sponsors are trying to get the insurers to focus on offering better health coverage, and health care management services, more efficiently, with better customer service. Softheon is...


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Vendor offers insurers a King vs. Burwell rescue service


May 28, 2015


Softheon Inc., the vendor, is marketing reservations for its "cloud-based" exchange connector platform as a kind of insurance policy against the possibility that financial problems, technical problems or the results of the King vs. Burwell Supreme Court case will shut down the federal HealthCare.gov exchange enrollment system or state-based exchange...


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CCIIO posts web broker entity list


May 6, 2015


The number of registered HealthCare.gov Web brokers increased to 54 as of April 27, from 34 on Dec. 8, 2014, according to a comparison of the latest Web broker list and an earlier version of the list published in December. Some of the companies that appear to be new to the Web broker entity list include Softheon, a public exchange construction and...


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What happens when public and private exchanges come together?


Apr. 17, 2015


Eugene Sayan, a principal with Softheon, believes there will be a convergence of public and private exchanges, suggesting that carriers adopt a more holistic approach and consider multiple retail channels to distribute their products as part of a multi-carrier approach or alliances such as those seen within the CO-OP market...


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Special enrollment period announced for tax season


Feb. 20, 2015


WINhealth's President and CEO, Stephen Goldstone, reminds shoppers, "You have options when it comes to shopping and enrolling. You can enroll through healthcare.gov, or you can skip the hassle and enroll through WINhealth's direct enrollment portal by visiting winhealth.softheon.com...


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healthcare.gov expected to work better this year, but some states struggle


Nov. 14, 2014


Insurers are worried about how HealthCare.gov will work for people who already have health-law plans. A limited group of insurers began testing the auto-renewals just this week, but broader testing hasn’t yet begun for the majority of insurers, according to industry officials. “Our health plans...


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No pressure: A hackathon that doesn't act like one


Sept. 24, 2014


It’s 12 p.m. on a muggy Sunday, and while many New Yorkers are just waking up, most of the 250-plus college kids crammed into AlleyNYC, a co-working space in midtown Manhattan, never went to sleep last night.Having arrived at 7 a.m. the day before, they’ve been here for a full 29 hours and by...


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New challenges for O-Care’s second year


Sept. 8, 2014


The Obama administration is facing new challenges in ObamaCare's second year. The health insurance exchanges are set to re-open for enrollment in just two months. This countdown has the White House and federal health officials bracing to see if the system encounters any fresh technical problems...


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Companies race to adjust health-care benefits as Affordable Care Act takes hold


Sept. 7, 2014


Large businesses expect to pay between 4 and 5 percent more for health-care benefits for their employees in 2015 after making adjustments to their plans, according to employer surveys conducted this summer. Few employers plan to stop providing benefits with the advent of federal health...


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Health Republic selects Softheon platform


Aug. 11, 2014


Health Republic Insurance Co. has chosen the Marketplace Connector Cloud as its software platform. MC2 is a product of Softheon Inc., a health insurance marketplace integration company, that will integrate and transition HRIC’s comprehensive plan offerings for individuals and SHOP plans, both on and off...


Softheon to assist Oregon-based health plan migrations


Apr. 24, 2014


Softheon Inc., a health insurance marketplace integration and business operation company, said its Marketplace Connector platform – currently used to connect Oregon’s Health CO-OP to Cover Oregon – can assist Oregon-based health plans in their transitions to the Federally Facilitated...


Softheon to help AHIP members provide health plans via exchanges


Dec. 18, 2013


Softheon, a health insurance exchange integrator, is partnering with America's Health Insurance Plans, the national trade association, to help insurers offer health plans on the new state, federal and private health insurance exchanges. Under the terms of the deal, Softheon's Health Insurance Marketplace...


Tech firms rush to build health exchanges before deadline


Sept. 25, 2013


The Affordable Care Act has been contentious, confusing and abstract, but that might change on October 1 when states are required to launch websites where people can chose among different health plans. When the sites go live, it will be the first time millions of Americans will come into direct contact...


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Cloud-based service connects 35-plus payers to federal and state exchanges


2013


More than 35 health plans are now successfully swapping data with various federally-facilitated and state-run health insurance exchanges, according to Softheon, a software and services provider that specializes in HIX integration. A series of tests validating the data interchanges were completed...


Big data vendors flock to AHIP meeting


Jun. 11, 2013


The list of "chairman level select" sponsors, for example, starts with Accenture, a data system construction company, and ends with Verisk Health, a data analytics business. The list of goody sponsors starts with AIM Specialty Health - a specialty benefits management firm -- which is sponsoring the...


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CSC and Softheon announce collaboration to deliver cloud-based Business process management dolutions for health plans


Jan. 17, 2012


Softheon Inc. has announced a collaboration agreement for a new software distribution for healthcare professionals that will help them to optimize their efficiency and increase productivity. The software will be based on cloud computing business management solutions that will help health insurance plans...


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Softheon and FalconStor agree to enter into strategic partnership


Jun. 10, 2010


Softheon, Inc., the emerging leader in healthcare best business practices software, and FalconStor Software (NASDAQ: FALC), the provider of TOTALLY Open™ data protection solutions, today announced that the two companies have signed a memorandum of understanding to enter into a strategic partnership...


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Softheon in partnership With Falconstor to provide data protection for health care market


Jun. 10, 2010


Healthcare software maker Softheon Inc. said Thursday that it has formed a strategic partnership with Falconstor Software, a company that provides data storage and protection products. Softheon, a privately held company, said the deal will allow it to offer Falconstor data protection and archiving...


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Softheon's Medicare Part D solution: PDP from enrollment through exceptions and appeals


2010


Each folder also includes fields, which capture detailed information describing the contents of the folder (sometimes called "metadata"), which are used for automated processing of the member enrollment request. These field definitions are tailored to each document type, but without requiring any...


Softheon upgrades document management tools


Oct. 16, 2001


Softheon Inc. this week unveiled an upgraded version of its document management suite aimed at automating existing paper and people processes online. The Hauppauge, N.Y., companys Enterprise Document Management suite Version 5.0 includes greater central control features and enables businesses to better...


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