HealthPartners has demonstrated its commitment to simplicity, affordability, and a better shopping experience for Wisconsin residents in their health insurance marketplace. HealthPartners’ partnership with Softheon a top cloud-based provider of health insurance exchange technology, will allow Wisconsin residents to shop for and enroll directly on the HealthPartners website.
Softheon supports Phase 3 EDE. This is the highest level of functionality and capability with Centers for Medicare & Medicaid Services (CMS). HealthPartners can confirm eligibility and apply subsidies to 100% of enrollees by investing in a Phase3 EDE solution.
Health plans are focusing on a growing market, which is characterized by an increase in Affordable Care Act (ACA), enrollments and the expansion of subsidies enhancements through 2025 under the Inflation Reduction Act. HealthPartners understood the need of members to have easier access and more affordable health plans.
EDE has been increasingly used by health plan enrollees. 17% of members were enrolled via EDE during 2021 open enrollment. This is a significant increase from 8% in 2020. Softheon predicts that EDE enrollments will continue to rise due to a shift toward a consumer-centric approach in selling and maintaining coverage.
Softheon is one of few Phase3 EDE vendors. Softheon’s close partnership with CMS will allow HealthPartners to quickly respond to evolving regulatory and operational requirements.
Softheon will use its industry knowledge and upstream relationships in order to better serve members of HealthPartners. HealthPartners will be able to offer a more simple enrollment process and remain a leader within a dynamic market.
For more information about Softheon, please visit https://www.softheon.com/