Scale your markets at warp speed: Higher effectuation. Higher retention. Lower costs.
Boost effectuation and retention rates, streamline back-end operations, and optimize member outcomes for maximum ROI.
More than a technology vendor — Your strategic partner to streamline your operations and grow
Not all technology vendors understand your organization's complex issues. At Softheon, we're more than a technology vendor. Our industry expertise and composable platform solve your toughest challenges, so you can focus on what matters most: your members.
99%
reconciliation accuracy
95%
effectuation rate
The Softheon platform is designed to streamline your operations while reducing costs and improving the member experience.
Why health plan leaders trust Softheon
“Softheon’s expert knowledge of the ACA marketplace coupled with their leading enrollment and billing technology has made them the perfect partner during Hometown Health’s first open enrollment period on the exchange.”
David Hansen, Hometown Health CEO“[Softheon has] a fantastic solution, and its performance has been great…the strength of the vendor relationship isn’t whether you have problems or not, it’s how you go about solving them and those issues.
Paul Wingle, former CVS/Aetna Executive
Cloud-based healthcare solutions
Confidently enter and expand in commercial and government markets with our shopping, enrollment, and billing platform. Configurable, off-the-shelf solutions allow plans to expand and scale their markets while protecting profit margins. With the flexibility to meet the unique needs of your plan, Softheon provides a competitive edge in growing markets.
- More, happier members – An end-to-end member journey allows you to support members at every step. Increase effectuation and retention rates while optimizing member outcomes.
- Easy implementation with pre-established integrations - Our solution communicates with parties needed to sell and maintain coverage, such as claims systems, CMS, the Federally Facilitated Marketplace through Enhanced Direct Enrollment (EDE), and most of the State-Based Exchanges.
Health plans have experienced results with Softheon:
Over 1075%
ROI on operational costs alone
33%
higher retention rate than the national average
73%
reduction in deployment time