Millions of members found a new home with Softheon-partnered health plans following industry exits. Flexibility and scalability are key for health plans to seize such market opportunities. Investing in cloud-based platforms, application modernization, and integrated API architecture can streamline your enrollment processes and boost member engagement. Don’t let system limitations hold you back—transform your operations and thrive in the dynamic ACA Marketplace. Learn more about the secrets of successful health plans: https://bit.ly/3nkqSiv #HealthPlan #Healthcare #HealthcareTechnology
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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📉 New data shows eight states, including Texas and Arkansas, have Medicaid disenrollments far exceeding projections, with children affected the most. This unwinding process highlights the need for interconnected systems that allow members to transition seamlessly between coverage types. Health plans must prioritize scalable technology to navigate these fluctuations and ensure continuous coverage for vulnerable populations. Explore how Softheon's solutions can help streamline ACA enrollment processes and mitigate the impact of Medicaid disenrollments. Urban Institute and Fierce Healthcare https://bit.ly/4btIdtJ #Healthcare #Medicaid #ACA #HealthInsurance
Here are the 8 states where Medicaid disenrollments far exceeded projections
fiercehealthcare.com
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Here are three ways forward-thinking leaders in healthcare are avoiding quick fixes in favor of long-term growth strategies: 1️⃣ We’ll continue to see specialization that will make it hard to adhere to the idea of consolidation and admin savings that many payers and health systems want. 2️⃣ We’ll likely continue to see M & A play a critical role in the market, helping position payers and systems to afford navigating the complex financial seas. 3️⃣ It’s time to start breaking down those silo walls within payer organizations Dive in for more info with Tom Cohen, Executive Vice President of Healthcare Solutions. https://bit.ly/3UMGWH6 #Healthcare #HESummit24 #Innovation
Becoming a Better Leader and Innovator at the Health Evolution Summit - Softheon
https://www.softheon.com
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Navigating the shifting dynamics within commercial and individual market segments? Tom Cohen recently attended the HPA Value Visit, and here's what you need to know: Medicare Advantage Boom ▪️ MA market has been a growth hero, claiming over 50% of total Medicare membership in 2023. ▪️ Challenges include balancing the Final Rule impact while maintaining profitability. ACA Marketplace Stability ▪️ Regional plans reported success and market stability. ▪️ Increased affordability and enrollment gains from 2024 Medicaid disenrollments contributed to record-high Open Enrollment numbers. Small Group Market Volatility ▪️ Performance varies greatly by geographical area. ▪️ Success requires calculated, data-driven approaches. ▪️ ICHRA continues to grow in popularity as an alternative. Strategies for Success ▪️ Market Penetration & Expansion: Partnering with key network and brokers/agents. ▪️ Product Pricing: Strategic rate reductions to boost membership. ▪️ Market Differentiators: Affordability, access to coverage, and easier navigation of care. We are committed to helping health plans navigate these challenges and seize opportunities. Our solutions enable plans to enhance affordability, access, and ease of care navigation. Let's connect to discuss how we can help: https://bit.ly/4elllya
Commercial and Individual Market Growth and Challenges: Unexpected Insights from the HPA Value Visit - Softheon
https://www.softheon.com
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🚨 If you haven't yet considered pivoting Medicaid support to your ACA Marketplace business, here are two reasons why you should do so: 1️⃣ Significant Disenrollment: Over 20 million Medicaid enrollees have been disenrolled since April 2024, with limited success in transitioning them to alternative coverage. 2️⃣ Contract Renewals and Changes: States like Texas and Florida are making major changes to Medicaid managed-care contracts, excluding some previously awarded health plans. Guarantee a smooth transition process: https://bit.ly/4a7ULVT #HealthPlans #Medicaid #ACA
Top 4 Considerations for Health Plans Combating Medicaid Enrollment Losses - Softheon
https://www.softheon.com
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Our own Marc Bryant and Brandon Redman will be at the Michigan Association of Health Plans Annual Conference tomorrow! Look for them — they're eager to connect and partner in advancing the health plan industry, promoting greater accessibility and affordability for all. https://bit.ly/4eLpMmd #HealthPlans #Healthcare #MAHP
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According to Philips' Future Health Index 2024 report, 85% of healthcare leaders are investing in GenAI to tackle financial and operational pressures exacerbated by staff shortages. 🔎 92% view automation as critical to alleviating administrative burdens. 🔎 AI in clinical decision support and radiology is on the rise, with significant planned investments. 🔎 Virtual care is helping bridge staffing gaps and improving patient experiences. At Softheon, we understand the importance of innovative technologies in creating a more efficient and effective healthcare system. Together, we can navigate these challenges and optimize care delivery. https://bit.ly/3VCP7WR #AI #Healthcare #HealthIT
Healthcare leaders target AI and automation to address financial, operational pressures
healthcarefinancenews.com
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🚀 Exciting Job Opportunity! 🚀 Softheon is seeking an ambitious and motivated individual to join our team as a Client Relationship Coordinator at the entry level. This role offers excellent growth potential, with the opportunity to advance to a Client Executive position. If you are passionate about working with clients, have experience taking meeting minutes, and want to work with a fantastic team, check out the job posting here : https://lnkd.in/emNN5tuy Why Softheon? 🌟 Great growth potential 🌟 Supportive and collaborative team 🌟 Opportunities for professional development Apply today: https://lnkd.in/emNN5tuy #JobOpportunity #CareerGrowth #ClientExecutive #EntryLevel #JoinOurTeam #Softheon #Coordinator
Client Relationship Coordinator - Softheon
join.softheon.com
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This Fourth of July, we celebrate the liberty and freedom that define our nation. At Softheon, we believe that healthcare should also embody these principles by being accessible and affordable for everyone. Join us in our mission to revolutionize healthcare and ensure that everyone can enjoy the freedom of good health! 💙 #Healthcare #FourthOfJuly #IndependenceDay
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Softheon reposted this
🌟 Join Our Team as a Senior Client Executive I! 🌟 Softheon is seeking a skilled Senior Client Executive I to drive client satisfaction and retention in healthcare. Build strong relationships, deliver tailored solutions, and provide strategic insights for mutual growth and success. If you are looking for the chance to make a significant impact in healthcare, leveraging your expertise to influence client operations positively, check out the posting here: https://lnkd.in/efZMqjxC What we offer: ✅Comprehensive benefits package, including health, vision, and dental coverage ✅Work-from-home ✅401K with immediate vesting, employee assistance program, and more Ready to make a difference in healthcare innovation? Apply now and be part of our team committed to improving healthcare access and affordability through technology. #SeniorClientExecutive #HealthcareIT #NowHiring #HealthcareInnovation #JoinOurTeam
Senior Client Executive I - Softheon
join.softheon.com