Are you both excited by recent growth and worried about the complexity and cost of managing ACA Marketplace health plans? Softheon Marketplace Cloud provides an all-in-one automated solution for commercial AND government-sponsored health plans. Scale without the growing pains! #Healthcare #ACA #HealthInsurance
About us
Softheon powers growth to make healthcare more productive, intelligent, and successful. Our solutions enable health plans and government health agencies to measurably reduce their costs and serve more people, faster. Every day, Softheon’s products help people to buy the insurance coverage that’s right for them, keep them engaged, and empower them to stay healthy throughout their membership. Our vision making healthcare affordable, accessible, and plentiful for every American. Founded in 2000, Softheon’s Software-as-a-Service (SaaS) and Business Process-as-a-Service (BPaaS) solutions solve complex operational and service challenges for health plans and government health agencies. By offering modular solutions designed to integrate with existing systems, Softheon reduces administrative burdens by streamlining critical processes in healthcare. Softheon’s rapidly adapting technology and agile approach to implementation enables clients to proactively respond to changing regulatory environments and consumer demand. Softheon has been recognized as a leading SaaS and BPaaS provider by IDC, AHIP, ACAP, and HCEG. Trusted by CMS and 8 State agencies, Softheon’s clients span multiple industries. In 2021, Softheon ranked on the Inc. 5000 regional list for fastest growing companies, and Best in Biz Awards named Softheon one of the top Companies of the Year in the Northeast Region. Softheon Values: • Be Open, Honest, and Constructive • Channel Passion into Purpose • Cultivate Excellence • Relationships Matter • We > I
- Website
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http://www.softheon.com
External link for Softheon
- Industry
- Software Development
- Company size
- 201-500 employees
- Headquarters
- Stony Brook, New York
- Type
- Privately Held
- Founded
- 2000
- Specialties
- Healthcare Reform Solutions, Solutions for Exchanges, Healthcare Information Management, Healthcare Transaction Management, Enrollment, Premium Billing, Private Exchanges, EDI Validation, EDGE Server, Analytics & Reporting, MMIS Solutions , Medicaid, Medicare, ACA, Obamacare, PCI, FinTech, HealthTech, HealthCareTechnology, and HealthcareAI
Locations
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Primary
1500 Stony Brook Road
Stony Brook, New York 11794-6040, US
Employees at Softheon
Updates
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Great insights from Nicole Lieberman, Sr. VP of Sales, on the growing impact of ICHRA. As W3LL highlights, ICHRA empowers employers to control costs while giving employees access to personalized coverage. At Softheon, we see ICHRA as a game-changer for both employers and health plans. Integrating ICHRA effectively can offer flexibility and meet the diverse needs of today’s workforce. As this trend continues to rise, it's crucial to have the right technology and strategy in place. Let’s continue the conversation—how are you planning to leverage ICHRA in your organization? https://bit.ly/3yOJRYC #ICHRA #Healthcare #HealthInsurance
W3LL on LinkedIn: Gone are the days of one-size-fits-all benefits! ICHRA's on the rise…
linkedin.com
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Still not sold on whether entering the ACA Marketplace can be pain-free? Here's how we can help you navigate the otherwise treacherous waters. 🌊 #ACA #HealthInsurance #Healthcare
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From APTC expiration to Medicare Advantage margin adjustments, 2024 has brought hurdles and opportunities to refine strategies. Marc Bryant highlights key strategies to navigate these changes: 1️⃣ Proactive Communication: Engage members early about APTC expiration and potential premium changes. 2️⃣ Enhanced Support: Allocate more resources to customer support as member inquiries rise. 3️⃣ Digital Tools: Invest in self-service technologies to simplify billing updates. 4️⃣ Custom Grace Periods: Implement tailored grace periods to help members adjust financially. 5️⃣ Alternative Coverage Options: Explore options like ICHRA and Medicare Advantage to retain members post-APTC expiration. The strategies we adopt today will shape the future of healthcare. Let’s adapt and thrive. https://bit.ly/4dyF64y #Healthcare #HealthPlan #Medicare
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🚨 ICYMI the AHIP Select Vendor Webinar, co-sponsored with Novillus, we dove into how to unify operations and engagement to enhance member experience and boost performance. Here's a glimpse into how to elevate your health plan's efficiency and outcomes! #Healthcare #HealthPlan #HealthcareInnovation
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Welcome Kellsee H McLean! 🎉 Our newest Client Operations Analyst joins us with 3 years of experience and holds a Bachelor of Science in Psychology, with a Health Communication minor, from the University of Texas at Austin. When not working you will find her drawing portraits, crocheting, gaming, and weight training. 🏋🏾♀️ Fun Fact: Kellsee was a "Sims 4" gamer on YouTube for 2 years. 🎮 #Hiring #Heathcare #HealthCareTechnology
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ICYMI: Huge congratulations to all executives recognized in Fierce Healthcare's 2024 Most Influential Minority Executives! 🎉 Your commitment to healthcare is making a real difference in the lives of millions. We applaud your leadership and dedication to creating a healthcare system more equitable and accessible for all! https://bit.ly/3SiVvBC #Healthcare #HealthcareLeaders #Leadership
Fierce Healthcare's 2024 Most Influential Minority Executives
fiercehealthcare.com
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↗️ Scaling in the ACA can be challenging, but the rewards are massive when done right. Just look at the national carrier that grew its membership by 2,455% between Open Enrollment periods — 10K to nearly 1M in a few months. The secret? Automating operations and preparing for the unexpected. With the ACA's constant evolution, it's critical to have a strategy that adapts quickly. Manual processes can’t keep up—they lead to disasters. 🪄 Our shopping, enrollment, and billing platforms enabled this rapid expansion, allowing the carrier to fill the gap left by market exits without missing a beat. Leverage our expertise to scale efficiently and avoid the pitfalls that early entrants faced. https://bit.ly/42IMF2k #ACA #Insurance #Enrollment #HealthPlan
Going from Over 10K to Nearly 1M in Months: How a National Carrier Scaled in the ACA - Softheon
https://www.softheon.com
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Centene Corporation’s Q2 earnings report shows Medicaid redeterminations are creating a mismatch between patient acuity and state reimbursement rates. While this has led to increased medical costs, Centene’s growth in ACA plans has helped offset the impact. The trend underscores the importance of diversification and adapting to regulatory changes. As health plans navigate these complexities, strategies like expanding ACA enrollment and exploring ICHRAs can provide stability and growth opportunities in an unpredictable landscape. https://bit.ly/3WUOg5u via Healthcare Dive #ACA #Medicaid #HealthInsurance
Centene Corporation | LinkedIn
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🗞️ With 54% of Medicare beneficiaries now enrolled in Medicare Advantage (MA) plans, MA's influence on healthcare continues to grow. As more states see enrollment rates above 60%, health plans need robust solutions to manage this shift effectively. We're here to help navigate the complexities of MA with streamlined solutions tailored to your needs. With Paige Minemyer at https://bit.ly/4coLBFL via Fierce Healthcare #Healthcare #Medicare #MedicareAdvantage
54% of Medicare eligibles enrolled in MA for 2024: KFF
fiercehealthcare.com