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Softheon Acquires NextHealth Technologies | Artificial Intelligence in Care Management

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Softheon

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Health Plan

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

What Your Health Plan’s CEO Should Know about Composable Technology Investments in 2022 and 2023

Health plan executive leadership recognizes the need to invest in technology to remain viable in 2022 and beyond. Composability allows you to adapt to

Category iconHealth IT,  Health Plan Tag iconcomposable solutions,  Composable technology

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

NBPP

Impact of the Proposed Notice of Benefit and Payment Parameters on Exchanges, Health Plans, and Web Brokers

On December 28, 2021, the Centers for Medicare and Medicaid Services (CMS) issued its annual proposed Notice of Benefit and Payment Parameters (NBPP).

Category iconGovernment,  Health Plan

The Intersection Between Medicaid and Marketplace: Recap of a Softheon and USofCare Virtual Event

Medicaid and Marketplace experts came together to discuss methods to retain enrollees and navigate the end of the Public Health Emergency (PHE).

Category iconGovernment,  Health Plan,  Medicaid

Boost Member Enrollment

3 Ways to Boost Member Enrollment

Fully capitalize on the millions of Americans switching their health coverage during Open Enrollment by effectively converting enrollees into members.

Category iconHealth Plan Tag iconBoost Member Enrollment,  Member Enrollment

automating binder payments

Automating Binder Payments on Pay Now

Health plans participating in the ACA Marketplace should make it a top priority to effectuate coverage immediately after enrolling through Pay Now by

Category iconHealth Plan Tag iconautomating binder payments

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Stony Brook, NY 11794

(800) 236-7941

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