Softheon Exchange Connector Cloud to Assist Florida Health Care Plans to Enroll Members Through The Federally Facilitated Marketplace
STONY BROOK, N.Y., July 8, 2013 /PRNewswire/ — Softheon Inc., an emerging leader in next generation cloud-based managed care business process optimization, announced today that Softheon Exchange Connector Cloud platform will be used to connect Florida based Florida Health Care Plans to the Federally Facilitated Marketplace (FFM). Starting in the Fall of 2013, the FFM will serve as a one-stop resource that makes it easy to find the plan for any individuals’ unique needs.
Headquartered in Holly Hill, Florida, Florida Health Care Plan, Inc. has selected the Softheon Exchange Connector Cloud to integrate their Plan Management, Eligibility & Enrollment, SHOP, Premium Billing and Customer Service solutions with their core administrative platform. The integration will be completed by September 2013 to be fully prepared for open enrollment this October. In addition to the aforementioned functionalities, Softheon Exchange Connector Cloud includes a real-time Rating Engine and Summary of Benefits & Coverage (SBC) distribution to help health plans create their own private sales channels. Above all, the Softheon Exchange Connector Cloud delivers a turn-key exchange integration solution through subscription, eliminating the need for Florida Health Care Plans to make major operational or IT investments.
“We are thrilled that Florida Health Care Plans has chosen Softheon as their trusted technology partner,” says Eugene Sayan, Founder and CEO of Softheon. “We look forward to working with their team to be fully connected for open enrollment on October 1(st) 2013.”
Softheon is uniquely qualified, being the trusted technology platform used by The Massachusetts Health Connector, the nation’s only full service state health benefit exchange since 2008. Softheon’s Exchange Connector Cloud is a Software-as-a-Service (SaaS) solution that will integrate with the Federally Facilitated Marketplace using Florida Health Care Plans’ existing business processes and IT systems.
“Softheon offers technology and resources Florida Health Care Plan, Inc. recognizes as essential for our participation in Health Care Reform. We are pleased to partner with Eugene Sayan and his team,” says Wendy Myers, MD, President and CEO of Florida Health Care Plan, Inc.
Softheon’s Exchange Connector Cloud is fully integrated BPM/ESB/SOA platform that handles the complexities of state and federal exchange processes and data interfaces. Softheon’s solution enables payers to extend and leverage their existing business and technology investments, which minimizes the risks associated with participating in exchange marketplaces.
About Florida Health Care Plans
FHCP is a community model health plan (HMO) in business for almost 40 years and a wholly owned subsidiary of Florida Blue since 2009 that offers health plans to Employer Groups, Individuals, Medicare Advantage and Healthy Kids beneficiaries.
FHCP provides direct patient care services through our multispecialty group and ancillary services. They also integrate their health care system by offering direct pharmacy and behavioral health services to members. A robust Wellness Program with employer collaboration is a key component of FHCP. This comprehensive integrated system is designed to improve the quality of care our members receive, lower costs and engage members in their own good health. To find out more visit www.fhcp.com
Empowering the nation’s only fully operational state health exchange since 2008, Softheon’s vision and strategic direction address healthcare payer, provider, and government agencies’ goal of meeting PPACA milestones. Softheon provides solutions for interacting with Health Insurance Exchanges (HIX), 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 Exchange Connector Cloud has been trusted by several regional health plans, most recently by CareOregon and Oregon’s Health CO-OP, as an accelerated federal and state exchange integration platform. Exchange Connector Cloud is a Software as a Service (SaaS) solution where insurer’s 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 meeting October 1st open enrollment and other mandates.
To find out more about the Softheon, visit www.softheon.com.
SOURCE Softheon Inc.