STONY BROOK, N.Y., June 4, 2014 /PRNewswire/ -- Softheon, Inc., a proven leader in health insurance marketplace integration and business operations, has announced that it will be a major sponsor and exhibitor at AHIP's Institute 2014 and Health Insurance Exchanges Forum, held at the Washington State Convention Center, Seattle Washington on June 11-13, 2014. Softheon is an AHIP Select Chairman Sponsor of the AHIP annual healthcare conferences, which bring together thousands of executives, senior level management, and healthcare professionals from Health Plans across the country. During AHIP's Institute 2014 Softheon will retain a key presence, hosting several speaking engagements, and exhibiting at Booth #423.
Softheon Sessions at AHIP Institute 2014 and Health Insurance Exchanges Forum:
- Industry Insights with Karen Ignagni (June 12, 2014 at 10 AM)
Join Eugene Sayan, Founder and CEO of Softheon, for an exclusive interview with Karen Ignagni in the Conference360 Studio on the sustainability of Public and Private Health Insurance Exchanges through Business Intelligence.
- What's Ahead in 2015 and Beyond – A Look Into How Regional Health Plans are Embracing Exchanges and Winning (June 13, 2014 at 7:30 AM)
A comprehensive deep dive of how Big Data and Analytical best practices can be utilized to improve the quality of marketing outreach, benefit design, and, reduce administrative costs. This session will provide information on how Health Plans can adopt a multichannel consumerism model for Enrollment, Premium Billing, and Customer Service, as well as, offer actionable recommendations that can be used to acclimate IT and business processes to confront new healthcare reform challenges and opportunities.
Softheon MC2 presently empowers over 40 regional health plans with the ability to leverage their existing IT investments and core administrative systems, including TriZetto QNXT, DST Amisys, HealthEdge, ikaSystems, and EPIC, to provide health insurance marketplace integration for private exchanges, federally-facilitated marketplaces, and state-based marketplaces - including California, Washington, Massachusetts, & Oregon.
As of May 12, 2014, Health Insurers enrolled and effectuated over 400,000 lives, through ACA Federal and State Based Marketplaces using the Softheon MC2 platform. Softheon MC2 is fully integrated with Federal and State Based Marketplaces, including California, Washington, Massachusetts, New York, and others. For both Public and Private Exchanges, the Softheon MC2 platform offers Plan Management, Eligibility & Enrollment including Direct Enrollment, SHOP, Premium Billing, Customer Service, and Edge Server solutions in cloud. This innovative integration platform provides Insurers the ability to have marketplace infrastructure and processes up and running in less than 90 days, with minimal risk and full PPACA regulatory compliance.
Softheon is uniquely qualified as the technology platform used by the nation's first full-service state health benefit exchange, since 2008. During the initial testing and implementation of marketplaces, Softheon participated in pilot federal and state programs, including the CMS Direct Enrollment connectivity and carrier wave testing, successfully effectuating marketplace members with multiple carrier core systems. Most recently, Softheon announced its recognition as the, "leading Cloud Platform for Public & Private Exchanges," by iMERGE Consulting, an independent research and consulting firm assisting States and Health Insurers with ACA challenges.
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.
To find out more about the Softheon, visit www.softheon.com.