Enhanced Direct Enrollment


As a member of the CMS Alpha Group, Softheon has created an Enhanced Direct Enrollment (EDE) product to unify the enrollment experience. Our easy-to-use portal will eliminate the current challenges with the standard HealthCare.gov enrollment and streamline the process for millions of lives.

The goal of EDE is to provide consumers and health insurance brokers with alternatives to shop for and enroll in coverage. The new program will use APIs to execute complex data exchange behind the scenes and will expand the experience to include a wide range of policy maintenance activities. This allows brokers and members to stay on the health plan’s branded page throughout the enrollment process, reducing the chance of abandonment and preventing the member from seeing a competitor’s plans on HealthCare.gov.

Coming Soon: EDE on Softheon’s WBE platform, Welltheos.

 

Reducing administrative burdens in the era of digitalization


As a certified Web-Based Entity (WBE), Softheon has created a one-stop-shop for health insurance brokers, providing advanced tools to track enrollments, reduce administrative burdens, and manage their book of business. For brokers, finding time to prospect, sign up clients for plans, manage them, while staying up to date with technology has been a struggle. Welltheos integrates all of these processes into a one-stop-shop.

Resources


EDE: The evolution of the member experience in the Marketplace (Part 2)

EDE encourages the private sector to innovate, enable additional methods for consumers to enroll, provide better consumer experience, and leads to greater Marketplace stability, resulting from higher enrollments and issuer participation. Here, Softheon engages in a conversation with Jane Good, former Executive Director for Aetna’s Exchange program and Founder of JGood Advisors.



EDE: The evolution of the member experience in the Marketplace (Part 1)

EDE’s goal is to provide consumers and health insurance brokers with alternatives to shop for and enroll in coverage, providing the data and tools needed to effectuate and maintain policies. Here, Jane Good, former Executive Director for Aetna’s Exchange program and Founder of JGood Advisors, highlights EDE’s impact on the member experience, as well as Issuers and Brokers participating in the Marketplace.



EDE: The evolution of the consumer experience

In our new whitepaper written by Jane Good, Founder, JGood Advisors, we will be discussing Enhanced Direct Enrollment (EDE). EDE is a unified enrollment experience that contains an updated, easy-to-use, portal for Marketplace members. EDE will eliminate the current "double redirect" to HealthCare.gov, using a series of CMS-based APIs to process eligibility and changes behind the scenes.



Softheon Marketplace Cloud to eliminate use of HealthCare.gov for real-time health plan enrollment

Softheon, a national leader in cloud-based health insurance exchange integration and services, announced today its private-label enrollment solution, which provides Enhanced Direct Enrollment-as-a-service (EDE); a unified enrollment experience and an updated, easy-to-use, portal for Marketplace members.