Healthcare Consultants, Inc. Partners with Softheon to Launch “Our Benefits Team” Exchange for Texas Market


Innovative Private Exchange Model Lets Members Contract Directly with Providers to Offer Low-Cost Access to Meaningful Care; Up and Running in Under 60 Days

STONY BROOK, N.Y. October 4, 2016 - Softheon, a proven leader in cloud-based health insurance exchange, has announced that Healthcare Consultants, Inc. (HCI), an employee benefits expert serving employer groups, individuals and families in Texas, has implemented Softheon's private exchange solution to support its new Our Benefits Team (OBT) exchange. OBT, an HCI subsidiary, negotiates directly with provider organizations to offer affordable programs for groups and individuals that do not involve commercial payers. Using Softheon's exchange solutions, Our Benefits Team (OBT) was able to build and go live with the new exchange in under 60 days.


HCI selected Softheon's Clarity exchange platform, Remedy enrollment management system and Equity payment solution for OBT for their comprehensive out-of-the-box functionality and ability to give members a clean and compelling comparison and shopping experience. Softheon's solutions empower members to manage their own accounts, giving them the ability to easily understand the differences between plan options so they can select the plan that best fits their needs. Intuitive self-service functionality reduces OBT’s administrative burden, improves efficiency and enhances member satisfaction.


“OBT is taking a whole new approach to program design and running an exchange, and we needed a platform with the flexibility to support our approach, and the ability to give our customers a very clean and intuitive consumer experience,” said David Neider, President, Our Benefits Team, Inc. “After an exhaustive search for the right platform, Softheon emerged as the one company that not only offered the level of functionality and design we were looking for, but also had a very strong reputation for innovation and agility. They significantly exceeded our expectations by getting us up, running and fully compliant in under 60 days, and as we continue to expand into additional offerings, we are very confident in Softheon’s ability scale to and accommodate our evolving needs.”


Softheon’s Clarity private exchange platform is designed to make plan comparison and shopping a clear and intuitive process for members. The Remedy enrollment remediation solution significantly minimizes the administrative burden typically associated with enrollment and underwriting processes. The Equity financial management and payment platform simplifies billing and payment processes with self-management tools, electronic bill presentment and a range of simplified payment options.


“Softheon has responded to an increasingly consumer-driven environment by strategically positioning itself at the forefront of the emerging private exchange market,” said Jon Kingsdale, Managing Director, Wakely Consulting Group. “Serving both traditional state and private exchanges as well as innovative new models like OBT, Softheon is engineering the next generation of health plan solutions.”


With a technology-driven revolution sparked by the Affordable Care Act, Softheon has maintained its position as a premier solutions architect in a highly competitive and dynamic industry. Recognized by Gartner*, IDC, AHIP, ACAP, HCEG, and other respected organizations, Softheon is the nation’s leading platform addressing the industry’s ever-changing regulatory demands.


“This is an exciting time for Softheon as we move beyond supporting traditional exchanges to work with companies like HCI with new and innovative models that drive efficiency and improve care,” said Eugene Sayan, Founder & CEO of Softheon. “This is what healthcare reform is all about”.


About Healthcare Consultants, Inc.

Since 1995, Healthcare Consultants, Inc. (HCI) has developed a reputation for delivering a wide range of competitively priced healthcare solutions to businesses throughout the state of Texas. HCI designs, implements and manages employee benefits plans and services for over 450 clients throughout the Houston area. As a general agent, HCI represents many carriers of group and individual health insurance plans and the company is licensed to offer a full range of products and services for groups, families and individuals. For more information, please go to https://www.hciamerica.com/.


About Our Benefits Team

Our Benefits Team is a new private exchange model which lets members directly contract with providers, leaving out the middlemen, insurance companies, so that the consumer has meaningful and affordable access to care. The consultants and designers of Our Benefits Team have years of experience and knowledge designing, implementing, and managing employee benefits. The company is focused on delivering access to quality care at an affordable price one community at a time. For more information, please go to http://ourbenefitsteam.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 HIX Integration, Direct Enrollment, Premium Billing, and Edge Server solutions for insurance carriers of all sizes participating in Federal and State Health Insurance Exchange (HIX) Marketplaces. Softheon's Marketplace Connector Cloud (MC2) has been trusted by health plans in all 50 states 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 enrollment compliance and other mandates.


Softheon was ranked 34th on 2016 Healthcare Informatics 100, a compilation of the top health IT companies based on HIT revenues from the most recent fiscal year. Additionally, Softheon has been recognized by Cloud Tech Insights as one of 2016’s top 10 cloud storage solution providers.


*Gartner does not endorse any vendor, product or service depicted in its research publications, and does not advise technology users to select only those vendors with the highest ratings or other designation. Gartner research publications consist of the opinions of Gartner’s research organization and should not be construed as statements of fact. Gartner disclaims all warranties expressed or implied, with respect to this research, including any warranties of merchantability or fitness for a particular purpose.


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