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What Success Looks Like in Government Markets
Learn what senior executives – representing more than 50% of U.S. membership – top priorities are for 2023. This recap of Softheon’s invitation-only Executive Advisory Council (EAC) discusses what success looks like for government health plans and the strategies used to achieve it.
Eligibility Verification RFP Guide for Government Agencies
Find the approach to eligibility verification that works for your agency. Softheon provides an outline of what to look for in an eligibility technology partner, key areas to focus on, and questions to ask.
Using Advanced Analytics to Predict Member Terminations and Inform Retention Strategies
Paul Wingle, the Vice President of Individual & Family Plans at Aetna/CVS Health, and Kevin Deutsch share how carrier-vendor partnerships are needed for a successful transition into the ACA Marketplace.
ACA Predictive Analytics Report
Examining 2021 Billing and Enrollment Data to Accurately Predict Terminations and Inform Retention Strategies in 2022.
Marketplace Shopping, Enrollment, and Billing RFP Guide for Health Plans
In this guide, Softheon poses relevant questions that health plans must ask during the procurement process to secure robust and scalable billing and enrollment solutions.
How to Seamlessly Enter the Expanded ACA Marketplace
The Supreme Court promotes expanding the Affordable Care Act (ACA) as a priority, potentially causing a boom in ACA membership due to an increase in subsidies and overall stability.