Protect State Resources and Facilitate Enrollment in the Appropriate Program
Easily reassess your Medicaid populations for eligibility via overnight batch processes
Why states should partner with Softheon
Ensure the Right People Have the Right Coverage
Make sure the appropriate enrollees retain coverage without lapse. Prioritize outreach for members at-risk for disenrollment due to a lack of information.
Softheon automatically pairs reassessed members with a color-coded, configurable risk score out of 100 to denote risk and prioritize member outreach.
Red-High Risk
Yellow-Medium Risk
Green-Low Risk
Immediately flag blatantly ineligible members while targeting at-risk enrollees for further outreach.
Save State Resources
Determine blatantly ineligible members in the same quarter that the continuous coverage requirement ends to prevent drains on state resources following the end of the FMAP increase.
Partnering with Softheon may save 17.94% of monthly costs for Medicaid enrollees following the lift on Medicaid redeterminations.
The following cost savings breakdown utilizes conservative disenrollment estimates from Urban Institute that do not consider enrollees 65 and over.
**Determined with Urban Institute’s report estimating disenrollment rates to reach 17.94%.
Easily Maintain Compliance with CMS
Be ready to reassess your population while minimizing the expansion of internal operations. Submit all or part of your caseload to effortlessly reassess your entire population at your own pace during the Medicaid Unwinding period.
