Eugene Sayan, CEO, Founder, and Chairman The healthcare and insurance landscape is transforming with new digital technology innovations. It has become pertinent for these organizations to integrate novel business processes that comply with regulations such the Affordable Care Act (ACA), while delivering superior service to their members. However, with these regulations and additional data analysis, organizations face tremendous challenges in integrating their business processes. Cloud-based Business Process Management (BPM) solutions can help these organizations to accumulate the new processes, mitigate risks, and reduce administrative burdens. "We have seen how digital commerce has drastically revolutionized various industries such as the airlines and retail, yet healthcare has been notably slow in this process," says Eugene Sayan, CEO, Founder and Chairman, Softheon. Spearheading this type of advancement in the healthcare space is Softheon, a company headquartered at Stony Brook, NY that architects and deploys cloud-based Public and Private Health Insurance Exchange (HIX) platforms.
Founded in 2000, Softheon is a leading exchange enrollment and remediation platform servicing brokers, health plans, healthcare providers, and government agencies. Their technologies enable seamless enrollment, streamline administration, and provide consistent customer support.
With Payment Card Industry (PCI) Data Security Standard DSS 3.1 certification, the company processes ACH, eCheck, credit and debit card transactions securely and in real-time. Architecting best practices for complex business processes, Softheon delivers turnkey, agile, and customizable solutions.
We have developed a series of cloud based products and services that can deliver business processes and add value
“We have developed a series of cloud based products and services that can deliver business processes with value addition in comparison to Enterprise Project Management (EPM) and Business Process Management (BPM) solutions,” explains Sayan.
Softheon offers cloud-based Business Process Management (BPM) technologies to insurance companies to deliver HIX integration, direct enrollment, and enrollment remediation. “Without purchasing any hardware or software, insurance companies are able to sell their product to the non-subsidized population,” adds Sayan. Through the cloud-based BPM solution, insurance companies can also import data from various formats, making the information exchange between the healthcare institutions and the insurance companies proficient and easy. In addition, Softheon‘s integration with the Federally Facilitated Marketplace (FFM) can result in an increase in the number of enrollees for health plans.
In order to add more credence to its place in the future, Softheon is looking forward to the opportunity to work with diverse health plans, provider sponsored health plans (PSHPs), government agencies, employers, and brokers and continuously invests in the health space. The firm is also planning to enhance its solutions to meet the future Patient Protection and Affordable Care Act (PPACA) challenges, thereby optimizing new healthcare opportunities.
