STONY BROOK, N.Y., Jan. 16, 2014 /PRNewswire/ -- Softheon, Inc., a leader of health insurance marketplace integration and business operation, announced today that it will be hosting a live webinar featuring Gartner titled "A Look into What's Ahead In the Era of Health Insurance Marketplaces," on Wednesday, January 29, 2014 at 12:00 pm ET. Speakers of this webinar include Softheon Founder and CEO, Eugene Sayan and Gartner Vice President and Distinguished Analyst, Robert Booz.
With over 2.2 Million Americans enrolled in coverage, PPACA has received an overwhelming positive response, effectively reducing the nation's 47 Million uninsured. With less than 90 days, health plans must seize this opportunity and effectively reach individuals still uninsured within their state and service areas by the close of open enrollment this March. However, while striving to fulfill this commitment, health plans must recognize and understand that although the troubled rollout is behind us, the possibility of experiencing forthcoming fundamental issues could persist.
Softheon Marketplace Connector Cloud (MC2) works with 38 regional health plans to integrate its plan management, eligibility & enrollment, SHOP, premium billing and customer service solutions along with core administrative platforms. Softheon MC2 is an integration platform between the FFM and Carrier existing business processes and IT systems. Softheon MC2 operates with minimal risk and is in full compliance with the Affordable Care Act (ACA). Softheon has enrolled over 50,000 exchange members as of January 1, 2014 in 40 states – generating over $36 million dollars in revenues for its carriers.
Designed specifically for Health Care Payers, participants of this webinar will gain an in-depth understanding of senior-level analyst predictions, trends, and forecasts for the coming months – a vital resource for health plans looking to succeed in the current market. Participants will also gain access to the latest IT trends and recommendations that Payers can implement to adjust their IT and business processes in response to the shift toward the consumer-driven business model.
Since 2008, Softheon, Inc. has been the trusted technology platform used by the nation's first full-service state health benefit exchange. Recently, Softheon was selected to participate in pilot program for CMS Direct Enrollment connectivity and carrier wave testing and successfully added marketplace members with multiple carrier core systems, including TriZetto QNXT, DST Amisys, HealthEdge, ikaSystems and EPIC.
To join this webinar, please Register.
"Healthcare payers and other stakeholders in the U.S. healthcare system clearly recognize that health insurance reform — and particularly the health insurance exchanges mandated by the U.S. Affordable Care Act (ACA) — are now a reality. Many technical difficulties remain, as the troubled rollout of the federal government's healthcare.gov website shows, but the legal, political and cultural barriers to reform have largely been overcome. This means that healthcare payers will now have more time — and more resources, in terms of budgets and skills — to prepare for what will certainly be a radically different healthcare landscape," wrote Robert Booz in the November 2013, report, Predicts 2014: New Landscape Demands New Business and IT Approaches for Healthcare Payers.
Predicts 2014: New Landscape Demands New Business and IT Approaches for Healthcare Payers
Robert Booz, Gartner Vice President and Distinguished Analyst, November 12, 2013
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 38 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.
SOURCE Softheon, Inc.