Product Talk: Enhanced Direct Enrollment

Softheon’s private-label enrollment solution, Enhanced Direct Enrollment-as-a-Service (EDE) offers a unified enrollment experience and an updated, easy-to-use portal for Marketplace members. Now available to any health plan engaged in the ACA Marketplace once it informs CMS that it is partnering with Softheon as an EDE vendor, Softheon EDE uses a series of Centers for Medicare and Medicaid Services-based (CMS) application program interfaces (APIs) to process eligibility and changes behind the scenes. In this interview, we spoke with Min Kyu Han, one of EDE’s product owners. 

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Maine the Latest to Join the SBM Groundswell

To improve the state’s ability to fund education and outreach, Maine Governor Janet Mills submitted a letter of intent last week to the Centers for Medicare and Medicaid Services (CMS) to become a state-based marketplace on the federal platform (SBM-FP).

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Report Finds Opportunities for States to Become an SBM, like Pennsylvania

On July 2, Governor Tom Wolf signed legislation HB 3, which established the Pennsylvania Health Exchange Fund, a quasi-independent state agency, to launch the creation of Pennsylvania’s state-based marketplace (SBM). 

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