Excited to share this insight from our recent AHIP Select Vendor Webinar with Tom Cohen, Executive VP of Healthcare Solutions! 📽️ Learn how to unify operations and engagement to boost experience and performance, co-sponsored with Novillus. #Healthcare #HealthPlan #HealthcareInnovation
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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Innovative approaches to Social Determinants of Health (SDoH) are crucial for reducing healthcare disparities and improving outcomes. At Softheon, we've had many conversations about this topic, and we're excited to see payers leveraging technology to make a real impact. https://bit.ly/3yjwnnu via Healthcare IT Today #Healthcare #SDoH #HealthcareTech
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Optimizing resources is key for better member support, especially with recent Medicaid enrollment losses. Health plans, automate repetitive tasks to free up your staff for critical issues, improve operational efficiency, and enhance member service. Explore three other top considerations to navigate Medicaid enrollment losses. 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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Ready to revolutionize healthcare? We're looking for a dynamic VP of Sales to join our mission-driven team! As a leading SaaS company, we empower individuals and organizations with innovative solutions that transform the healthcare landscape. About the Role: 🔹 Develop strategic partnerships and expand B2B distribution channels 🔹 Drive new revenue and manage your sales pipeline 🔹 Collaborate across departments to align our solutions with market needs What We Offer: 🔹 Comprehensive benefits package, including health, vision, and dental coverage 🔹 Remote work with a one-time home office stipend 🔹 Opportunities for professional development and growth Apply now: https://bit.ly/3Ysu5wV #Hiring #Healthcare #HealthTech
VP of Sales - Softheon
join.softheon.com
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The small group market is volatile, but there are effective solutions. A key insight from the HPA Value Visit is the rising popularity of Individual Coverage Health Reimbursement Arrangements (ICHRA). ICHRA allows businesses to offer employees a flexible, tax-free allowance for healthcare expenses—helping control costs and improve coverage options. Implementing data-driven strategies to tailor offerings and enhance member support is crucial for success. Read more, with Tom Cohen: https://bit.ly/4elllya #ICHRA #DataDriven
Commercial and Individual Market Growth and Challenges: Unexpected Insights from the HPA Value Visit - Softheon
https://www.softheon.com
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Are you navigating the waves of Medicare Advantage — Plan Selection/Eligibility/Enrollment, Billing and Payments, Member Communications, Financial Reconciliation, and Broker Management? We can help! 🤝 #Healthcare #Medicare #MedicareAdvantage
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Health plans, don't waste a lot of time in the speculative unknown as you navigate the Supreme Court's recent decision to end the Chevron doctrine. Reach out for help navigating the transition. https://bit.ly/469MPn0 via FierceHealthcare #Healthcare #HealthPolicy #HealthPlan
How Chevron's demise could impact employers, purchasers and health payers
fiercehealthcare.com
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The impending expiration of the APTC by the end of 2025 poses a few different challenges for marketplace enrollees, with an estimated 3.8MIL potentially losing coverage. Here's how health plans can prepare: 1️⃣ Proactive Communication: Inform members early about upcoming premium changes. 2️⃣ Enhanced Support: Increase resources to handle member inquiries and concerns. 3️⃣ Digital Tools: Invest in self-service technologies for easier billing updates. 4️⃣ Custom Grace Periods: Implement tailored grace periods for members facing financial adjustments. 5️⃣ Alternative Coverage: Offer options like ICHRA, provider-sponsored coverage, and other affordable alternatives. Taking these steps now will help mitigate the impact and retain members as you approach the APTC expiration. https://bit.ly/3WAEANp #APTC #Healthcare #ICHRA
Challenges and Suggested Solutions for APTC Expiration, Medicare Advantage Margins, and More - Softheon
https://www.softheon.com
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Congratulations to Cain A. Hayes, President & CEO of Point32Health for being recognized as one of Fierce Healthcare's 2024 Most Influential Minority Executives! 🎉 His dedication to advancing health equity while addressing social determinants of health is making a profound impact on the lives of 1.9 million members in the New England region. https://bit.ly/3SiVvBC #Healthcare #HealthcareLeaders #Leadership
Fierce Healthcare's 2024 Most Influential Minority Executives
fiercehealthcare.com
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Enjoying the benefits and enrollment increase of the ACA Marketplace doesn't have to be such rough waters. By partnering with us, avoid bumps like: ❌ Failing to meet Federal and State regulations ❌ Integration gaps with downstream vendors ❌ Disjointed member experiences ❌ Manual processes and high administrative costs #ACA #HealthInsurance #Healthcare