?? Softheon turns 25! ?? A quarter-century of innovation, impact, and partnership. From our founding days of powering early model healthcare exchanges to expanding into the government space with CITIZ3N and supporting individuals & brokers through W3LL, we’ve never stopped evolving. ?? 30M+ Americans connected to healthcare ?? 100+ health plans empowered ?? Two sister companies—CITIZ3N & W3LL—expanding our reach We didn’t get here alone. To every partner, customer, and team member—this milestone is yours, too. ?? Here’s to the next 25!! ??
关于我们
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
- 网站
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https://www.softheon.com
Softheon的外部链接
- 所属行业
- 软件开发
- 规模
- 201-500 人
- 总部
- Stony Brook，New York
- 类型
- 私人持股
- 创立
- 2000
- 领域
- 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和HealthcareAI
地点
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主要
获取路线
1500 Stony Brook Road
US，New York，Stony Brook，11794-6040
Softheon员工
动态
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Community First Health Plans saw 2.2X ROI in year one by closing coverage gaps with a Payvider model. 87% of enrollments came from sponsored members—proving collaboration delivers results. Great insights, Carrie G. Jobe!
?Case study with 2.2X ROI ? Texas based health plan launched sponsorship (aka Payvider) model which demonstrated how health plans can collaborate with hospitals to improve community health while generating strong returns. Community First Health Plans (CFHP) launched a Third-Party Payment (TPP) program to address gaps in coverage for low-income individuals in Bexar County, particularly targeting frequent emergency room visitors. The hospital-sponsorship program, which helps reduce uninsured rates, was piloted in 2022, focusing on enrolling members who met subsidy qualifications but faced affordability barriers. Results: ??2.2X ROI in the first year of the third party payment program. ????87% of CFHP enrollments in 2022 came from sponsored members. ??The net profit from the first year far exceeded implementation and service fees. #Payvider #Sponsorship #HealthcareCollaboration Softheon #ROI
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Not every ACA team is built for success. Outdated processes, misalignment, and compliance gaps are costing health plans time and money. Watch Kevin Deutsch, GM and SVP of Health Plan Cloud at Softheon, and Joe Boyle, President of Regulatory Solutions at Penstock, break down the biggest team pitfalls—and how to fix them. ??
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We welcome Shanika C.! ?? Our newest Client Operations Analyst comes to Softheon with 8 years of ranging experience. She holds a Bachelor of Psychology in Psychology from Georgia State University, as well as a Master of Healthcare and Administration from Franklin University. Her most recent position was as a Patient Care Technician. When not working, you will find her cooking, practicing Pilates, and traveling. ?? Fun Fact: Shanika was born in Jamaica! ???? #Hiring
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Wheels down in Irving, TX! ?? Brandon Redman has officially arrived and is ready to kick off the Health Plan Alliance 2025 Spring Leadership Forum. ?? (See Brandon fresh off his flight) “The Leadership Forum is one of my favorite healthcare events,” says Brandon. “I’m especially excited to see how the changing dynamics in the employer-sponsored market will fuel conversations this year.” We’re looking forward to meaningful discussions around ICHRAs, Off-Exchange strategies, and the innovative ways health plans are adapting to meet employers and members where they are. Let’s make it a great week!
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With how fast ICHRA is growing, it's vital your health plan shows up where enrollees are shopping. Health plans that integrate seamlessly with brokers, ICHRA administrators, and BenTech platforms will capture this growing market. We make it easy to connect—so your plan is in front of the right members at the right time ??
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A big congratulations to Don Antonucci, President and CEO of Providence Health Plan, for being recognized by Becker's Healthcare as one of 2025’s great healthcare leaders! Under his leadership, Providence Health Plan eliminated referral requirements for in-network specialty care and launched impactful initiatives like Health For All, partnering with community organizations to address local healthcare disparities. ?? Congrats to the entire Providence Health Plan team for driving innovation in community-based healthcare. We can't wait to see what's next! #HealthForAll ??https://lnkd.in/gi2zcmqF
Honored to be included for this recognition by Becker's Healthcare along with other talented leaders driving transformation and innovation in healthcare. Thank you to all of the caregivers at Providence Health Plan for what you do on behalf of our members.
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With 29% growth in adoption, more employers are embracing cost control and plan flexibility over traditional group coverage. Health plans need to be ICHRA-ready to capture this market. Who benefits from ICHRA: ?? Individuals without access to affordable group coverage options ?? Employees who don’t qualify for traditional employer coverage ?? Businesses seeking customized benefits with defined contributions How health plans stay ahead: ?? Partner with brokers & benefit tech firms for smooth ICHRA adoption ?? Offer seamless enrollment & billing for enrollees ?? Create a member-centric shopping experience that makes choosing a plan easy The ICHRA market is evolving. Health plans that adapt will win.
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For health plans, AI-driven automation means: ?? Fewer administrative bottlenecks → Faster claim processing & enrollment ?? Smarter decision-making → Predictive analytics help prevent churn ?? Better member experiences → AI-assisted interactions keep service personal, not robotic But AI must be used strategically—it should enhance human expertise, not replace it. The plans that integrate AI seamlessly into operations will see the biggest gains in efficiency and member satisfaction.