Softheon

Blog

Category: Uncategorized (page 1 of 2)

An interview with Jimmy Lee of Anthem – Part 2

Hamoon Hadavand

Hamoon Hadavand

Senior National Account Executive at Softheon
Hamoon has more than 10 years of experience working with healthcare payers, strengthening existing client relationships and identifying new market opportunities across the country. He joined Softheon in 2012, after working as a Director of Business Development at America’s Health Insurance Plans (AHIP). Hamoon is passionate about working with payers to learn their business challenges and finding innovative technologies to enhance their operational efficiencies. He can be reached by phone at (202) 615-9222 or email hhadavand@softheon.com.
Hamoon Hadavand

Jimmy LeeAs of January 2017, approximately 27,000 employers have active coverage through SHOP Marketplaces, covering nearly 230,000 individuals. These numbers fall significantly short of the Congressional Budget Office (CBO) estimate that 4 million people nationwide would enroll in coverage through the SHOP Marketplaces by 2017. According to a survey conducted by Mercer, many small employers are considering higher deductibles and correspondingly lower premiums.

In part two of this two-part interview, Anthem’s former President of Consumer Division and SVP of Commercial Segments, Jimmy Lee, offers his perspective on the small group market, and approaches health plans can adopt in order to better serve their small group lines of business.

Continue reading

Trump Administration releases guidance on Medicaid work requirements

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?  

In a major shift that could affect millions of low-income people receiving benefits, The Trump Administration announced Thursday, January 11, that it will open the door for states to require work requirements for Medicaid recipients.  

The guidance was published in a letter from CMS Deputy Administrator Brian Neale to State Medicaid Directors Thursday morning. In the letter, Deputy Administrator Neale stated that the move would help “improve Medicaid enrollee health and well-being through incentivizing work and community engagement.” 

Continue reading

How can an e-billing platform revolutionize health plan members’ experience?

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

In today’s click-to-buy world, consumers have limited patience for slow, outdated technology. This is especially true when it comes to online payments. Since the rise of Amazon, people expect to select what they want, pay, and move on. Although this is especially true when purchasing health insurance, it is far from the reality most people face when purchasing their plans.

The health insurance industry has seen a marked shift from affordability to accessibility. Along with this change comes a greater focus on the consumer experience. Now, the infamously outdated industry must stop and look at how far e-billing has advanced. Travel, airlines, and even banking industries have all made drastic updates, including user-friendly web design and mobile applications, to meet consumers’ needs. To retain members and continue growing their customer base, health plans must adapt.

Continue reading

Graham-Cassidy: A Closer Look

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)

There is a major effort in Washington to push healthcare reform through before the end of the September.

The new bill drafted by Sen. Lindsey Graham (R-SC) and Sen. Bill Cassidy (R-LA) is appropriately known as the Graham-Cassidy bill. It is lauded by its sponsors as a proposal to return power to the states after the centralization of the ACA. Under the Graham-Cassidy bill, money made available for Medicaid Expansion effort and health plan subsidies would be pooled and allocated to states as block grants, which the states can then use to build their own health care plans. The block grants will be based on the number of individuals with incomes between 50-138% of the Federal Poverty Line (FPL) in the state, but this is only initially. Starting in 2024, enrollment levels will also be factored in to determine the level of funding available through the grants. Block grants are only provisioned through 2026, though, with nothing legislated to take their place after that year.

Continue reading

Senate Hearings Day 1: State Insurance Commissioners Testify

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 Committee on Health, Education, Labor, and Pensions kicked off their hearings on stabilizing the individual health insurance market yesterday. These bipartisan discussions aim at strengthening our healthcare system for American families, or nearly 18 Million consumers. The first of four hearings, committee members heard from 5 insurance commissioners: Julie Mix McPeak (Tennessee), Mike Kreidler (Washington),  Lori Wing-Heier of Alaska, Teresa Miller (Pennsylvania), John Doak (Oklahoma):

Continue reading

2017 Gartner Hype Cycle for Healthcare Payers Names Softheon as Sample Vendor

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

We’re thrilled to announce that for the seventh year, Softheon has been recognized in Gartner’s 2017 Hype Cycle for Healthcare Payers, which tracks the maturity and adoption rates of various technologies within the healthcare payer industry.

For 2017, we have been named a sample vendor in the areas of Private Exchange Technology and Retail Analytics for Healthcare Payer, a new category which covers analytics oriented around members and prospects, member lifetime value, and “member next-best action.”

Gartner Hype Cycle Download Continue reading

What We Know About TrumpCare

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

President Trump has stated on several occasions that he will deliver a replacement plan for the Affordable Care Act following the confirmation of Rep. Tom Price (R-Ga) for the role of Secretary of Health and Human Services (HHS). Many of the specifics have not been shared, but President Trump has hinted to what this plan may include.

Since the November election, the incoming Administration has stated that they are working on a strategy that would ensure a smooth and orderly transition to a market-based healthcare reform system. Several Executive Actions have been signed on the Affordable Care Act (ACA) in addition to how Federal agencies will soon carry out the health reform law.

Prior to coming into office, President Trump shared how his plan to replace the ACA would include insurance for everyone as well as great healthcare provided in a simple, less expensive form. This was to be accomplished via lower deductibles, rather than single payer coverage [1].

Continue reading

2016’s Most Captivating Health IT Developments

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

This past year has had its fair share of captivating health information technology developments. From mergers and acquisitions to the repeal and replacof the Affordable Care Act, one thing is for sure: Our healthcare system is an attention magnet.

We took a look at the biggest hits of the year on our Twitter (@Softheon), blog, and daily newsletter. Our curated list includes some of our most popular and timely posts and shared stories on key topics affecting the healthcare landscape. Here are the top five from each category.

Continue reading

Will the ACA Evolve into Consumerized Medicaid?

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

Seema Verma was recently selected by President-elect Trump to lead the Centers for Medicare and Medicaid Services (CMS). With her extensive experience redesigning Medicaid programs in several states and her tenure as an architect of the country’s first consumer directed Medicaid program, Healthy Indiana Plan, she is uniquely qualified for the role.

While Verma will need to acquire confirmation from the Senate, her selection raises some important questions. What does this mean for Medicaid expansion? Will she prove that her approach to expanding Medicaid can work on a national scale?

Continue reading

Uncertainties Begin to Subside with President-elect Trump’s Dream Team Selections

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

President-elect Dream Team Selections

On November 8, 2016, Donald Trump was elected President of the United States, which in turn provoked weighing uncertainties on the future of our healthcare system and the Affordable Care Act (ACA). Those uncertainties have begun to subside with President-elect Trump’s ‘Dream Team’ selections.

Within the first 100 days in office, the administration has narrowed its sights on three areas: repeal and replace the ACA, immigration, and the creation of jobs. While President-elect Trump has yet to publish a clear course of action on the adjustments to be made within the healthcare system, the selection of Rep. Tom Price (R-GA) for Secretary of the Department of Health and Human Services (HHS), and Seema Verma to lead the Centers for Medicare and Medicaid Services (CMS), have helped to lessen some of the guesswork. Here’s what we know.

Continue reading

Older posts

© 2018 Softheon

Theme by Anders NorenUp ↑