Washington, DC (PRWEB) April 23, 2015
Michigan-based Physicians Health Plan (PHP) attempted to sell health coverage through HealthCare.gov for the 2014 plan year, but its legacy administration system’s enrollment capabilities weren’t sophisticated enough. Using technology from Softheon, Inc., PHP was able to successfully implement an exchange enrollment and premium billing system — just two months before the start of the 2015 open-enrollment period — and still hit its enrollment targets. Representatives from PHP and Softheon will explain how in “Case Study: How New Technology Helped a Major Insurer Thrive on HealthCare.gov,” a complimentary May 5 webinar sponsored by Softheon, Inc. and Atlantic Information Services, Inc. (AIS).
Susan Armbruster, an operations consultant filling a lead operations role at PHP, and Eugene Sayan, the founder, chairman and CEO of Softheon, will answer these and other questions:
- How well does the platform reconcile premiums and advance premium tax subsidies?
- How easy is the portal to navigate?
- What capabilities exist for members to sort through benefit summaries and pay premiums online?
- How complete are the premium receivable reports? (e.g., do they include premium amounts paid and owed by each member?)
- How should health plans prepare for the nation’s movement toward an interoperable ecosystem?
- How can multiple channels of distribution be optimized via a single integration point?
A concluding Q&A session will offer participants the chance to pose questions to the speakers.
This webinar also will highlight lessons learned from this year’s implementation with Federally Supported State-Based Marketplace models, and contingencies health plans need to prepare for in the wake of the Supreme Court’s King v. Burwell ruling.
Visit http://aishealth.com/softheon-050515 for more details and registration information.
Empowering the nation's first state health benefit exchange since 2008, Softheon's vision and strategic direction addresses 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 Softheon, visit http://www.softheon.com.
Atlantic Information Services, Inc. (AIS) is a publishing and information company that has been serving the health care industry for more than 25 years. It develops highly targeted news, data and strategic information for managers in hospitals, health plans, medical group practices, pharmaceutical companies and other health care organizations. AIS products include print and electronic newsletters, websites, looseleafs, books, strategic reports, databases, webinars and conferences. Learn more at http://AISHealth.com.