Softheon

Blog

Category: Employers (page 1 of 2)

What’s new for SHOP in 2018

Yvonne Villante
Follow Me

Yvonne Villante

Director of Marketing at Softheon
Yvonne Villante is the Director of Marketing at Softheon. Before this, Yvonne held several roles within the organization including Senior Research Manager, Corporate Research Manager, and Marketing Research Analyst. She holds a MBA in healthcare administration from Ohio University and a BS in business management from SUNY Stony Brook. During her undergraduate studies, she graduated within the top 10% of her class.
Yvonne Villante
Follow Me

The Small Business Health Options Program (SHOP) will remain open for small businesses with 1-50 employees in 2018, and will boast new features that’ll impact how small employers and their employees enroll in and manage their coverage for SHOP plans starting on or after January 1, 2018.

Continue reading

A Guide to the 2017 SHOP Guaranteed Availability Window

Sean Kirschner

Sean is a Business Analyst at Softheon. His objective is to provide insight into the current state of the healthcare landscape through research on both business and policy. He is also responsible for assisting the research team through creating and maintaining research briefings on various industry topics. He earned his bachelor’s degree in economics from Boston College.

Latest posts by Sean Kirschner (see all)

While small businesses can enroll in the Small Business Health Options Program (SHOP) at any time, today kicks off a month-long guaranteed availability window that allows small businesses to enroll in SHOP plans without meeting the usual requirements.

Starting today, the Federally facilitated SHOP (FF-SHOP) on HealthCare.gov is closed. Small businesses in FF-SHOP states will not be able to enroll online (though they will still be able to check their eligibility online). From now on, these small businesses will have to use a broker or agent to enroll in SHOP, or, alternatively, they can enroll directly with a health plan.

Continue reading

‘HELP’ May Have Arrived For ACA Exchanges

Jen Eyring

Jen Eyring

Communications Manager at Softheon
Jen Eyring is the Communications Manager at Softheon. Prior to this role, she focused on creating instructional documentation for Softheon’s five core solutions and their corresponding operating procedures. She has also acted as a Product Manager for our Foundry solution. Jen holds a BA in Writing, Rhetoric, and Technical Communication from James Madison University and is working toward her MA in Strategic Communication at American University.
Jen Eyring

After failing to reach an agreement at the end of four senate committee hearings last month, Senators Lamar Alexander (R – Tenn.) and Patty Murray (D-Wash) have found common ground and announced a bipartisan deal ‘in principle’ yesterday.

The agreement reinstates the cost sharing reduction payments President Trump ended last week and increases flexibility for states. During a Rose Garden press conference yesterday, Trump called the deal a “short-term solution” that would last for a year or two.

“It’ll get us over this intermediate hump,” Trump said.

Continue reading

President Trump Signs Executive Order on Health Care

Matt Cummings

Solutions Architect at Softheon
Matthew is a Solutions Architect at Softheon. He works closely with Product and Development teams to design products and solutions to help Health Plans and other entities to excel in the marketplace. He received his bachelor's degree in Applied Psychology and Business Management from Stony Brook University in Stony Brook, New York.
What Happened?

President Trump on Thursday, signed an executive order directing the Departments of Treasury, Labor and HHS to consider loosening rules controlling the issuance of health coverage by groups and businesses as well as the duration of short-term that don’t currently meet ACA rules[1].

“With these actions, we are moving toward lower costs and more options in the health-care market…”, Trump said during the signing ceremony in the Roosevelt Room in the White House.

Supporters of the executive order say that it will help to improve access, increase choices and lower costs for healthcare. Sen. Rand Paul (R-KY), who worked closely with the President on the order called it, “The biggest free market reform of healthcare in a decade”.

Continue reading

CMS to Boost 2018 Enrollment with Proxy Direct Enrollment Pathway 

Yvonne Villante
Follow Me

Yvonne Villante

Director of Marketing at Softheon
Yvonne Villante is the Director of Marketing at Softheon. Before this, Yvonne held several roles within the organization including Senior Research Manager, Corporate Research Manager, and Marketing Research Analyst. She holds a MBA in healthcare administration from Ohio University and a BS in business management from SUNY Stony Brook. During her undergraduate studies, she graduated within the top 10% of her class.
Yvonne Villante
Follow Me

CMS will allow some to skip HealthCare.gov during the 2018 Open Enrollment Period (OEP).

On May 17, 2017, the Department of Health and Human Services and the Centers for Medicare and Medicaid Services announced a new “Proxy Direct Enrollment (DE) Pathway” for the 2018 Open Enrollment Period (OEP).

Initially this process will be available for simple enrollments only, rather than special enrollments, terminations, or such as multi-tax filer households or applications with non-United States-born citizens. Consumers will also need to create their own HealthCare.gov account to engage in the process [1]. For the 2018 open enrollment period, DE Proxy will be available for the Federally Facilitated Marketplace (FFM) and State-based Marketplaces (SBMs) utilizing the Federal HealthCare.gov platform. Applicants and enrollees using the process will be able to complete their eligibility determinations – including eligibility determination of marketplace coverage, premium tax credit, and cost-sharing reduction payment – and enroll in qualified health plans (QHP) on the direct enrollment entity’s website [1].

Continue reading

1332 ACA Waiver Could Be a ‘Game Changer’

Yvonne Villante
Follow Me

Yvonne Villante

Director of Marketing at Softheon
Yvonne Villante is the Director of Marketing at Softheon. Before this, Yvonne held several roles within the organization including Senior Research Manager, Corporate Research Manager, and Marketing Research Analyst. She holds a MBA in healthcare administration from Ohio University and a BS in business management from SUNY Stony Brook. During her undergraduate studies, she graduated within the top 10% of her class.
Yvonne Villante
Follow Me

With the future state of health care uncertain, States are displaying their continued interest in healthcare reform to address their states’ health care needs with Section 1332 State Innovation Waivers.

Perhaps less well known than Section 1115 Waivers, Section 1332 Waivers allows states to pursue innovative strategies for providing residents with access to quality, affordable insurance while retaining basic protections of the Affordable Care Act (ACA).  Section 1332 Waivers became available through the ACA on January 1, 2017, as a way to permit states to pursue new strategies to provide quality health insurance, while preserving basic protections of the ACA.

Continue reading

Senate Bill Would Allow Small Businesses and Association to Form Small Business Health Plans

Yvonne Villante
Follow Me

Yvonne Villante

Director of Marketing at Softheon
Yvonne Villante is the Director of Marketing at Softheon. Before this, Yvonne held several roles within the organization including Senior Research Manager, Corporate Research Manager, and Marketing Research Analyst. She holds a MBA in healthcare administration from Ohio University and a BS in business management from SUNY Stony Brook. During her undergraduate studies, she graduated within the top 10% of her class.
Yvonne Villante
Follow Me

The Senate unveiled the Better Care Reconciliation Act of 2017 (H.R. 1628) on June 22, a bill that would effectively repeal and replace the Affordable Care Act and introduce a number of provisions impacting how more than 12.7 million people obtain health insurance. The bill would also grant small businesses and associations the ability to establish small business health plans that operate outside of state insurance regulations.

These association health plans (AHPs), also known as group trusts, multiple employer welfare associations (MEWAs), or Small Business Health Plans (SBHPs), would provide more than 28.5 million small employers with the option to offer competitive and affordable health benefits to employees and maintain common benefits across state lines. This would be achieved when small businesses with healthy employees join associations and sign up for plans with fewer benefits and lower premiums. This in turn would allow cost savings to be passed down to their employees along with heightened purchasing power. An example of this could involve a group of restaurants that form a restaurant association and purchase insurance as a group.

Continue reading

Here Is What’s in The House-Approved AHCA Bill

Yvonne Villante
Follow Me

Yvonne Villante

Director of Marketing at Softheon
Yvonne Villante is the Director of Marketing at Softheon. Before this, Yvonne held several roles within the organization including Senior Research Manager, Corporate Research Manager, and Marketing Research Analyst. She holds a MBA in healthcare administration from Ohio University and a BS in business management from SUNY Stony Brook. During her undergraduate studies, she graduated within the top 10% of her class.
Yvonne Villante
Follow Me

In a 217 -213 vote, Members of the House passed the American Health Care Act (H.R. 1628).  If passed in the Senate, the bill would replace the Affordable Care Act (ACA) and establish a system designed along conservative lines. This is anticipated to reduce the cost of healthcare for Americans and provide greater choice and flexibility, as well as reduce Federal spending, and lower taxes for Americans.

(Related: AHIP Illustrates the Big Picture on AHCA, our Evolving Health Care System)

Here are the highlights of the key provisions in the health care bill:

Continue reading

Will Private Exchange Enrollment Really Quadruple by 2020?

Yvonne Villante
Follow Me

Yvonne Villante

Director of Marketing at Softheon
Yvonne Villante is the Director of Marketing at Softheon. Before this, Yvonne held several roles within the organization including Senior Research Manager, Corporate Research Manager, and Marketing Research Analyst. She holds a MBA in healthcare administration from Ohio University and a BS in business management from SUNY Stony Brook. During her undergraduate studies, she graduated within the top 10% of her class.
Yvonne Villante
Follow Me

Private exchanges are evolving to become an end-to-end solution for healthcare benefits administration. Although there has been a slower than expected uptake in private exchange enrollment among active employees, enrollment is anticipated to more than quadruple between 2015 and 2020.

The private exchange experience

Unlike the public exchanges, where the states or federal government (healthcare.gov) own the experience, private exchanges are often owned by health insurance companies or brokers, and provide an ecommerce portal for shopping, enrolling, and purchasing insurance or ancillary products.

For consumers, using private exchanges often feels like a personal shopping experience. It’s consistent and is often very similar to making an online purchase or booking a trip through a tool like Expedia. In a matter of a few clicks, consumers can locate the amount of money that their employer is contributing toward their cost of insurance, search through plans with differing premium accounts, and enroll or renew in insurance coverage.

Continue reading

We Stand For Equal Pay

Chuck Marcelin

Chuck is the Talent Acquisition Manager, where he oversee’s and manages all of the hiring efforts at Softehon. During his time with Softheon, he has created an award winning summer internship program, as well double the size of the company. He also oversee’s employee engagement, which includeds events like our Softheon Olympics. Chuck received a degree in Business Administration and Business Analysis from Sacred Heat University in Fairfield, CT.

Latest posts by Chuck Marcelin (see all)

Women make up nearly half of the U.S. labor force, working in positions and fields traditionally occupied by men [1],  yet, the gender pay gap is still very much alive. In the U.S., women earn (on average) about 76 cents per dollar earned by men, but the causes of the gender pay gap are a bit more complicated.

Here at Softheon, we are committed to doing our part to close the gender pay gap, which is why we have pledged our commitment to equal pay for equal work and experience on Glassdoor. Pay equality is an important issue for all of us, and by taking the pay equality pledge, we are formally telling our employees, candidates, and the world that we are committed to equitable pay practices. The more companies stand up for equal pay, the closer we get to closing the pay gap and making pay a reality for all.

Continue reading

Older posts

© 2018 Softheon

Theme by Anders NorenUp ↑