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Softheon Acquires NextHealth Technologies | Artificial Intelligence in Care Management

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Affordable Care Act

HealthPartners leverages Softheon’s Phase III Enhanced Direct Enrollment solution to improve member shopping experiences on the ACA Marketplace

Utilizing Marketplace technology to improve health plan enrollment in Wisconsin STONY BROOK, N.Y., Dec. 15, 2022 /PRNewswire/ -- 

Category iconAffordable Care Act,  Press Release Tag iconACA,  Artificial Intelligence,  Health Insurance,  Open Enrollment

Enrolling Hundreds of Thousands of New Members Practically Overnight: Secrets of Successful Health Plans

Over one million members transitioned to a new health plan following the Bright Health exit. Most of them found a new home with a Softheon-partnered

Category iconAffordable Care Act Tag iconAutomation,  Bright Health,  Bright Health Exit,  System Flexability

ARPA

How to Prepare for Last Minute Changes to Rates Following the ARPA Subsidy Expiration

Worried about losing members if the enhanced premium tax credits (PTCs) expire at the end of 2022? Health plans and states can use business rules

Category iconAffordable Care Act,  Government,  Health Plan Tag iconARPA,  Medicaid,  Subsidy expiration

What if You Could Predict Which Members Will Term as Soon as They Enroll?

Research and Discussion with an Aetna/CVS Executive Softheon joined Aetna/CVS and HCEG (Healthcare Executive Group) to discuss successful member

Category iconAffordable Care Act,  Health Plan

Lessons from 2008 on Combating Medicaid and Marketplace Coverage Losses

“Losing Medicaid coverage? Don’t worry, we automatically enrolled you into a Marketplace plan.” This was just one innovative approach the State of

Category iconAffordable Care Act,  Government,  Health Plan

Biden Administration Proposes Rule to Repair the Family Glitch and Issues Executive Order Bolstering the ACA

On April 5, the Biden Administration proposed a regulation that would eliminate the family glitch coverage gap in the Affordable Care Act (ACA) that

Category iconAffordable Care Act Tag iconFamily Glitch

Softheon Releases 2021 Affordable Care Act (ACA) Report on Billing and Enrollment Trends to Predict Member Terminations

Predictive model accurately identified 60% of members that terminated health plan enrollment, offering methods for retaining enrollees STONY BROOK,

Category iconAffordable Care Act Tag iconpredictive analytics

federal services

Building Softheon’s Health Insurance Predictive Model

Softheon developed a classification model to predict subscribers likely to experience a lapse in coverage due to nonpayment based on data collected

Category iconAffordable Care Act,  Health Plan

BBBA

How Proposals Included in the Build Back Better Act Impact Health Plans and Government Agencies

With control of the Presidency, House of Representatives, and Senate, Democrats hoped to enact a significant social spending bill referred to as the

Category iconAffordable Care Act Tag iconBBBA

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