Community First Health Plans to Enter Affordable Care Act Market By Leveraging Softheon’s Cloud Enrollment and Billing Solution

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STONY BROOK, NY, July 13, 2021 / PRNewswire / – Community First Health Plans (Community First) Has Partnered With Softheon, A Leading Provider Of Cloud-Based Health Insurance And Private Exchange Technology, To Enter The Growing Market of the Affordable Care Act (ACA).

Community First Health plans to use Softheon, a private exchange technology provider in New York City, to enter the ACA market.

Entry into ACA supports Community First’s efforts to provide quality care to citizens of Bexar County in South Texas.

Recent legislation and increased market stability have led many health plans to begin positioning themselves to enter the market to capitalize on this growing opportunity.

Community First’s Approach to Providing Quality Care to Texas Residents

Community First continues to increase the number of individuals and families they have reached in the San Antonio and the surrounding area. Reaching over 700,000 unique members and serving their community for over 26 years has made Community First a staple in the health insurance market. Community First offers innovative products that aim to make healthcare more accessible by providing affordable coverage through their local network of healthcare providers.

“We are in a unique position where we can combine the latest technology with local experience to deliver high quality health and wellness services to our members,” said Therese Scépanski, President and CEO of Community First Health Plans.

Operating at the local level allows Community First to partner with key community organizations to help educate members and connect them to the extensive healthcare coverage and resources they need. Entering the market allows Community First to further expand its offerings and help improve the lives of more members of its community.

How Softheon is helping the community first achieve its goal

Softheon helps healthcare plans position themselves for growth as they enter the market using innovative technology. Softheon supports scaling of healthcare plans to meet growing enrollment numbers and market changes by leveraging industry best practices and modular systems designed to deliver customizable solutions. Providing Community First with state-of-the-art registration, billing and member engagement technology will improve the user experience while reducing administrative costs.

Speaking on the partnership, the CEO of Softheon Eugene Sayan said, “Healthcare plans continue to find the Affordable Care Act market attractive, and Softheon is a driver of innovation that makes entry into ACA fast and efficient. “

Softheon allows Community First to focus on ensuring they are delivering the best quality health plans to their members by helping to manage all regulatory and operational requirements with a turnkey solution.

Learn how to enter the ACA market before your competition. Read Softheon’s latest white paper to learn about the top tech trends your healthcare plan should keep in mind to take advantage of the expanding ACA market.

About community first

For over 26 years, Community First Health Plans have been inspired by the communities in which we live and work. As the only locally owned not-for-profit health plan in the region, our commitment to our members is to provide excellent health care benefits backed by exceptional service, provided by people who live right here in South Texas. Our aim is to help San Antonio and surrounding areas achieve better health outcomes by putting our community first.

About Softheon
Founded in 2000, Softheon’s Software-as-a-Service (SaaS) and Business Process-as-a-Service (BPaaS) solutions solve complex problems for healthcare plans and government healthcare agencies.

Issuers and consumers using Medicaid, Medicare and ACA Marketplace benefit from Softheon’s innovative technology that reduces administrative costs and improves user experience.

Softheon is an official agent, broker, and merchant that makes it easy to enroll, administer, and renew health insurance. Recognized by CMS and 8 state agencies, Softheon’s solutions span multiple industries.

To learn more about Softheon’s solutions, visit www.softheon.com or send an email Mitchel forneyat [email protected]

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SOURCE Softhéon


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