Final NBPP Rule for 2021: The Changes You Need to Know
This month, the Departments of Health and Human Services (HHS) published the final Notice of Benefit and Payment Parameters (NBPP) for 2021. This annual rule governs health insurance plans and…
Softheon Finds Work-From-Home Silver Linings
COVID-19 has forever transformed the workspace. Even before New York state government officials mandated all non-essential businesses to work remotely, Softheon leadership decided to employ a work-from-home (WFH) policy. We…
New Report Estimates Major Exodus in Commercial Insurance Market
According to estimates from the Kaiser Family Foundation’s recent report, 27 million Americans could potentially lose job-based insurance and become uninsured following job loss. KFF crunched this number after studying…
Softheon x Oliver Wyman Webinar on 5/21: COVID-19’s New Commercial Mix
Since the outbreak of COVID-19, more than 30 million Americans have filed for unemployment. In April, alone, the unemployment rate was 14.7%. Unsurprisingly, these drastic economic changes have directly affected…
Six Healthcare Trends Shaped by COVID-19
The unprecedented COVID-19 pandemic has upended 2019 business plans and projections for 2020. This piece highlights the top six healthcare trends that have emerged since the crisis started, affecting insurers,…
Soaring Unemployment: How Members and Insurers Are Reacting
Since March, over 30 million Americans have filed for unemployment, as businesses have been forced to lay off or furlough employees due to the COVID-19 crisis. Economists even expect April’s unemployment rate to be over 16% when it was 3.5% in February and 4.4% in March.
$12B Supreme Court Win for ACA Insurers
In a 8-to-1 decision on Monday, the Supreme Court ruled in favor of insurers on the Affordable Care Act (ACA) marketplaces in Maine Community Health Options v. United States. The court held that the federal government was obligated to pay the more than $12 billion in unpaid risk corridor payments from 2014 to 2016. (more…)
COVID-19 Reiterates Importance of SDOH
The pandemic’s fault lines have not been random. Coronavirus has hit society’s most vulnerable–the poor, elderly, minorities–the hardest.
As our fractures are laid bare, the healthcare community must use this as an opportunity to study how we should’ve been hyper aware of social determinants of health (SDOH) all along. Some have, fortunately, already learned that SDOHs are integral to our way out of the pandemic. (more…)
Softheon’s Commitment to Frontline Healthcare Workers During COVID-19
COVID-19 has unfortunately hit New York the hardest in the United States. We, at Softheon, have been eager to do what we can to support our town, Stony Brook, on New York’s Long Island.
Will COVID-19 Delay Interoperability Deadlines for Issuers?
With COVID-19 roiling the healthcare system, should stakeholders be expected to meet the interoperability deadlines outlined in the interoperability rules finalized on March 9?