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
Research and Discussion with an Aetna/CVS Executive Softheon joined Aetna/CVS and HCEG (Healthcare Executive Group) to discuss successful member
“Losing Medicaid coverage? Don’t worry, we automatically enrolled you into a Marketplace plan.” This was just one innovative approach the State of
Health plan executive leadership recognizes the need to invest in technology to remain viable in 2022 and beyond. Composability allows you to adapt to
Softheon developed a classification model to predict subscribers likely to experience a lapse in coverage due to nonpayment based on data collected
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).
Medicaid and Marketplace experts came together to discuss methods to retain enrollees and navigate the end of the Public Health Emergency (PHE).
Fully capitalize on the millions of Americans switching their health coverage during Open Enrollment by effectively converting enrollees into members.
Health plans participating in the ACA Marketplace should make it a top priority to effectuate coverage immediately after enrolling through Pay Now by