Recorded live at the ACAP Member Engagement and Retention Vendor Showcase – May 16, 2025
Key Takeaways from the Session
- Streamlining Enrollment + Payment: UCare’s example shows how unified On- and Off-Exchange workflows can drive growth, improve subsidy reconciliation, and reduce friction in the member journey.
- ICHRA = The 401(k) of Health Benefits: Just like 401(k)s gave employees control over retirement, ICHRAs let them choose health plans that match their needs — shifting the benefits experience to be more personal and flexible.
- ICHRA 101, Demystified: Many still misunderstand ICHRA — including what the “A” stands for. This session breaks down what it is, how it works, and where it came from.
- Innovative Payvider Models in Texas: Hospital-based health plans are covering premium costs for uninsured individuals to ensure access to care — reshaping how coverage is funded at the local level.
- Why Subsidies Still Matter: Even a $1 premium shift can cause major member drop-off. Health systems are responding with new models to stabilize enrollment and keep people covered.
Members shouldn’t have to start over every time their coverage changes.
Whether they’re transitioning between Medicaid, Marketplace, or an Individual Coverage Health Reimbursement Arrangement (ICHRA), life events are inevitable — but member loss doesn’t have to be. In this recorded session, Softheon explores how health plans can build loyalty by delivering a unified member experience across all lines of business.
From the first shopping interaction to ongoing communication, continuity is key. The discussion highlights why it’s critical to engage members immediately after plan selection, how to centralize member data for better support, and what technology is making it all possible.
We also share real-world examples, including how UCare streamlined enrollment and payment workflows across exchange channels. In addition, the session covers how provider-sponsored “payvider” models are addressing coverage gaps in high-uninsured regions like Texas.
Softheon Website: https://softheon.com/
LinkedIn: https://www.linkedin.com/company/softheon/
Youtube: https://www.youtube.com/@Softheon
