STONY BROOK, N.Y., April 25, 2014 /PRNewswire/ -- Softheon, Inc., a proven leader for health insurance marketplace integration and business operation, has announced that Softheon Marketplace Connector (MC2) platform - the platform currently utilized to connect Oregon's Health CO-OP to Cover Oregon - can assist Oregon-based health plans in their transition to connect to the Federally-Facilitated Marketplace and Federal data hub. This innovative integration platform provides health plan payers the ability to align and have qualified health plans (QHPs) up and running in 30 days, with minimal risk and full PPACA regulatory compliance.
Federal and Cover Oregon Board Officials have announced, today, that the state's health insurance exchange, Cover Oregon, will be taken over by the Obama Administration. Cover Oregon is the first state to migrate to the Federally-Facilitated Marketplace (FFM). Softheon recognizes the uncertainty this transition has caused for Oregon residents and Oregon-based health plans, alike. To date, approximately 242,000 Oregonians have enrolled in coverage through Cover Oregon, with nearly 70,000 of those enrolled in private health plans – together accounting for approximately 3% of all ACA enrollments.
Having achieved exchange connectivity in 23 FFM operated Exchange states, Softheon is uniquely qualified being the Exchange Integration Partner of more than 40 health plans, several of which are Oregon-based. Remaining at the forefront of Health Insurance Marketplace Integration, Softheon retains in-depth knowledge inclusive of 834 intake and payment reconciliation. Softheon looks forward to the opportunity of working with health plans, Co-Ops and ACOs, of all sizes, in tackling future PPACA challenges and optimizing new healthcare opportunities.
"We chose Softheon because of its excellent track record and well-crafted design," said Rod Meyer, director of Information Services for CareOregon. "We're very committed to the success of Oregon's Health CO-OP and are choosing partners that will help us serve the CO-OP and its members with great care."
"Having been working with many Insurers in Federally-Facilitated Marketplaces across multiple states, as well as Oregon-based health plans, Softheon is uniquely qualified and ready to assist all Carriers in Oregon," stated Eugene Sayan, Softheon Founder & CEO.
Softheon MC2 is a Software-as-a-Service (SaaS) solution that serves as the integration platform between both State and Federally-Facilitated Marketplaces and the existing business processes and IT systems. The Softheon MC2 platform offers plan management, eligibility & enrollment, SHOP, premium billing and customer service solutions. Softheon MC2 is compatible with multiple carrier core systems, including TriZetto QNXT, DST Amisys, HealthEdge, ikaSystems and EPIC, and has the ability to have qualified health plans (QHPs) up and running in 30 days.
Since 2008, Softheon, Inc. has been the technology platform used to empower the nation's first full-service state health benefit exchange. Recently, Softheon announced its partnership with America's Health Insurance Plans (AHIP) and has completed the pilot program for CMS Direct Enrollment connectivity, in which Softheon was selected to participate.
Empowering the nation's first state health benefit exchange since 2008, Softheon's vision and strategic direction address healthcare payer, provider, and government agencies' goal of meeting Affordable Care Act (ACA) milestones. Softheon provides solutions for interacting with Federal and State Health Insurance Exchange (HIX) Marketplaces, while measurably reducing administrative costs, improving member and provider satisfaction, as well as addressing regulatory compliance challenges in all managed care administrative processes.
Softheon's Marketplace Connector Cloud (MC2) has been trusted by over 40 health plans as an accelerated federal, state, and private exchange integration platform. Softheon MC2 is a Software-as-a-Service (SaaS) solution where insurers pay a one-time activation and ongoing PMPM fees for exchange members only, while eliminating most, if not all, risks associated with ACA compliance of 2014 enrollment and other mandates.