STONY BROOK, N.Y. November 15, 2016 – , a proven leader in cloud-based health insurance exchange, has announced that (Sendero) is now live with Softheon’s full marketplace solution for enrollment remediation, financial management, reporting and analytics. The Texas-based, provider-sponsored health plan fully implemented the entire product suite in 17 days.
A community health plan with over 20,000 Marketplace members, Sendero has served the needs of central Texas’ medically underserved population since 2011. The organization was seeking a solution to improve its business processes, with a specific focus on plan enrollment and payment reconciliation. Sendero selected Softheon’s proven solutions suite to further enhance the quality of its services while improving the overall consumer experience for its members.
“Driven by a deep commitment to our organization’s mission and the population we serve, we were seeking a comprehensive solution that would benefit both our employees and our members” said Wesley Durkalski, CEO of Sendero Health Plans. “Based on our extensive experience in managed care and the Marketplace, and years of work with CMS and the state of Texas, we knew the functionality we needed in a new technology solution, and Softheon’s offering met and exceeded expectations.”
Sendero has implemented Softheon’s full solution suite, including its exchange platform, integration engine, enrollment management system, payment solution and data analytics and reporting capabilities. With comprehensive out-of-the-box functionality, Softheon’s solutions are already helping Sendero to relieve administrative burden, improve efficiency, and enhance member satisfaction. Softheon continuously updates its technology to stay current with frequently changing requirements put forth by state and federal authorities, which is of utmost importance to health plans like Sendero.
“Once again, our team has completed a full end-to-end implementation in an exceptionally short amount of time,” said Eugene Sayan, Founder & CEO of Softheon. “We know how important it is for our clients to be up and running as quickly as possible, and we consider this to be a business imperative, not just a ‘nice-to-have’ feature.”
With a technology-driven revolution sparked by the Affordable Care Act, Softheon has maintained its position as a premier solutions architect in a highly competitive and dynamic industry. Recognized by , IDC, AHIP, ACAP, HCEG, and other respected organizations, Softheon is the nation’s leading platform addressing the industry’s ever-changing regulatory demands.
Sendero Health Plans, Inc. (“Sendero”) was formed in 2011 as a new, non-profit organization in central Texas to improve access to care for those covered by publicly-funded health insurance programs. Sendero’s mission is to provide comprehensive healthcare coverage and to arrange for innovative, high quality, and cost-effective medical services for health plan members within Central Texas. Sendero Health Plans understands and treats its members and their families with compassion and respect. For more information, please go to
Empowering the nation's first state health benefit exchange since 2008, Softheon's vision and strategic direction address healthcare payer, provider, and government agencies’ goal of meeting Affordable Care Act (ACA) milestones. Softheon provides HIX Integration, Direct Enrollment, Premium Billing, and Edge Server solutions for insurance carriers of all sizes participating in Federal and State Health Insurance Exchange (HIX) Marketplaces. Softheon's Marketplace Connector Cloud (MC2) has been trusted by health plans in all 50 states as an accelerated federal, state, and private exchange integration platform. Softheon MC2 is a Software-as-a-Service (SaaS) solution where insurers pay a one-time activation and ongoing PMPM fees for exchange members only, while eliminating most, if not all, risks associated with ACA enrollment compliance and other mandates.
*Gartner does not endorse any vendor, product or service depicted in its research publications, and does not advise technology users to select only those vendors with the highest ratings or other designation. Gartner research publications consist of the opinions of Gartner’s research organization and should not be construed as statements of fact. Gartner disclaims all warranties expressed or implied, with respect to this research, including any warranties of merchantability or fitness for a particular purpose.