Softheon works with vendors across the healthcare ecosystem. We help payers connect their data, processes, and systems by doing the heavy lifting for you. Integrate closely with the technology you already use, plus additional solution partners. We also advocate for standards-based approaches to make healthcare more affordable, accessible and plentiful.
Business Partners
ClearFile, part of the Penstock suite of solutions, offers a “Regulatory-as-a-Service” filing platform designed to streamline and scale the regulatory filing process for health plans. ClearFile simplifies marketplace filings, reduces the burden of managing complex objections and interactions with federal and state divisions of insurance nationwide, and ensures the successful certification of Qualified Health Plans.
The Performance Improvement Platform for Payers provides collaborative workflows that let Payers and Provider Groups securely share and update mission-critical information. Improve CMS reimbursements and performance, and Provider Group engagement through enhanced coordination of patient care, wellness, and increased incentive plan revenue.
The Simplify App Fabric assessment portals provide self-service broker and provider registration, training, certification and attestation, from a single broker portal or provider portal. Streamline broker and provider onboarding, improve certification, and increase plan visibility.
Whether needing help to move a piece of legislation, navigate through regulatory red tape, or develop a new messaging strategy, Texas Star Alliance is a boutique public affairs group offering a fresh and effective approach.
Industry Associations
The Association for Community Affiliated Plans is the national trade association which represents not-for-profit Safety Net Health Plans. Softheon is a Preferred Vendor.
California Association of Health Plans (CAHP) is a statewide trade association representing public and private health care plans that provide coverage to nearly 28 million Californians. Softheon is a sponsor.
The Health Reimbursement Arrangement Council is a non-partisan advocacy organization, dedicated to improving and expanding health coverage options for millions of workers by giving employers better ways to offer workers health insurance. Softheon is a member.
The Alliance of Community Health Plans (ACHP) represents the nation’s top-performing nonprofit health organizations to improve affordability and outcomes in health care. Softheon is a Strategic Ally.
The Texas Association of Health Plans (TAHP) is the statewide trade association representing health insurers, Medicaid plans, Medicare Advantage plans, and other related health care entities operating in Texas. Softheon is a member.
The Health Plan Alliance is a nationwide network of hospitals, health plans, and providers working together. It is now owned by nearly 30 provider-sponsored health plans and provides services to nearly 50 similar organizations across the United States. Softheon is a Preferred Business Sponsor.
The Association of Health Insurance Plans is the national association whose members provide health care coverage, services, and solutions to hundreds of millions of Americans every day. Softheon is a Select Vendor.
Partner With Us
Softheon helps connect health plans with other reputable healthcare technology vendors
Connect with a Platform Specialist
Tech that Works. A Team Who Listens
We know migrating operations is a big lift and a big decision for health plans. That’s why our team takes a collaborative approach, helping you explore what’s possible and decide if now is the right time. No pressure. No strings attached.
Here’s what you get at no cost when you connect with us:
A Health Plan Solutions VP who understands plans like yours.
Access to our operations and engineering team to address your current challenges and brainstorm solutions.
25+ years of Exchange expertise helping plans succeed across ACA, Medicare Advantage, Small Group, Dental, Vision, and ICHRA markets.