Softheon’s Post

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

📉 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 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

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

🚨 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

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

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

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