|By PR Newswire||
|August 11, 2014 06:11 PM EDT||
STONY BROOK, N.Y., Aug. 11, 2014 /PRNewswire/ -- Softheon, Inc., a proven leader in health insurance marketplace integration and business operation, announced today that Health Republic Insurance Company (HRIC) has chosen the Marketplace Connector Cloud (MC2) as their software platform that will integrate and transition its comprehensive plan offerings for individuals and SHOP plans, both on and off Exchange, to the Federally Facilitated Marketplace (FFM). HRIC is a non-profit Consumer Oriented and Operated Plan (CO-OP) and member of the National Alliance of State Health Co-Ops (NASHCO), which serves Oregon-based members.
Softheon MC2 will be utilized to integrate HRIC's Plan Catalog Management, Eligibility & Enrollment (including electronic Direct Enrollment Consumer portal), SHOP, Premium Billing, Edge Server, and other consumer service solutions through leveraging its Facets core administrative system, without the need to "rip and replace" existing IT investments. This partnership will focus on enhancing HRIC's multi-channel distribution and outreach channels, while aiming at enhancing the user experience of its members and brokers.
"We're confident our members will significantly benefit from our move to the Federal Exchange and we are pleased to have Softheon as a valued partner and ongoing resource during this transition," said Health Republic president and CEO Dawn Bonder.
Softheon MC2 is a Software-as-a-Service (SaaS) solution that serves as the integration platform between both State and Federally Facilitated Marketplaces, as well as, all existing business processes and IT systems for both Public and Private Exchanges. The Softheon MC2 platform offers Plan Catalog Management, Eligibility & Enrollment, SHOP, Premium Billing, Customer Service, and Edge Server solutions. Softheon MC2 is compatible with multiple carrier core systems, including TriZetto Facets, QNXT, DST Amisys, HealthEdge, ikaSystems, and EPIC.
Eugene Sayan, Founder & CEO of Softheon, concludes "We could not be more excited to be working with the team at Health Republic." "The work Co-Ops are doing around the country is truly extraordinary. We are honored that HRIC has chosen Softheon as a trusted technology partner as they deliver high quality health coverage to Oregonians."
As of May 12, 2014, Health Insurers have enrolled and effectuated over 400,000 lives through ACA Federal and State Based Marketplaces using the Softheon MC2 platform. Softheon MC2 is fully integrated with Federal and State Based Marketplaces, including California, Washington, Massachusetts, New York, and others. This innovative integration platform provides Insurers the ability to have marketplace infrastructure and processes up and running in less than 90 days, with minimal risk and full PPACA regulatory compliance.
Softheon is uniquely qualified as the technology platform used by the nation's first full-service state health benefit exchange, since 2008. During the initial testing and implementation of marketplaces, Softheon participated in pilot federal and state programs, including the CMS Direct Enrollment connectivity and carrier wave testing-successfully effectuating marketplace members with multiple carrier core systems. Softheon was also chosen, as the sole vendor, to participate in the CMS Data Baseline Beta Test Program where all Softheon MC2 clients successfully established an enrollment baseline with CMS. Softheon recently announced their recognition as the, "leading Cloud Platform for Public & Private Exchanges," by iMERGE Consulting, an independent research and consulting firm assisting States and Health Insurers with ACA challenges as well.
Health Republic Insurance (HRIC) is a Consumer Operated and Oriented Plan, or CO-OP, serving Oregonians. Health Republic was created in 2012 to get back to the roots of insurance: bringing people together to build a collective voice that advocates for the health and wellness of its members over profits. Health Republic Insurance began enrolling members in October 2013, for coverage beginning Jan. 1, 2014. The CO-OP offers individual and SHOP plans on Oregon's state-sponsored marketplace.
Empowering the nation's first state health benefit exchange since 2008, Softheon's vision and strategic direction addresses healthcare payer, provider, and government agencies' goal of meeting Affordable Care Act (ACA) milestones. Softheon provides solutions for interacting with Federal and State Health Insurance Exchange (HIX) Marketplaces, while measurably reducing administrative costs, improving member and provider satisfaction, as well as, addressing regulatory compliance challenges in all managed care administrative processes.
Softheon's Marketplace Connector Cloud (MC2) has been trusted by over 40 health plans as an accelerated federal, state, and private exchange integration platform. Softheon MC2 is a Software-as-a-Service (SaaS) solution where insurers pay a one-time activation and ongoing PMPM fees for exchange members only, while eliminating most, if not all, risks associated with ACA compliance of 2014 enrollment and other mandates.
To find out more about the Softheon, visit www.softheon.com.
Gartner predicts that the bulk of new IT spending by 2016 will be for cloud platforms and applications and that nearly half of large enterprises will have cloud deployments by the end of 2017. The benefits of the cloud may be clear for applications that can tolerate brief periods of downtime, but for critical applications like SQL Server, Oracle and SAP, companies need a strategy for HA and DR protection. While traditional SAN-based clusters are not possible in these environments, SANless cluste...
May. 25, 2015 11:00 AM EDT Reads: 1,784
Software Defined Storage provides many benefits for customers including agility, flexibility, faster adoption of new technology and cost effectiveness. However, for IT organizations it can be challenging and complex to build your Enterprise Grade Storage from software. In his session at Cloud Expo, Paul Turner, CMO at Cloudian, looked at the new Original Design Manufacturer (ODM) market and how it is changing the storage world. Now Software Defined Storage companies can build Enterprise grade ...
May. 25, 2015 11:00 AM EDT Reads: 4,565
Discussions about cloud computing are evolving into discussions about enterprise IT in general. As enterprises increasingly migrate toward their own unique clouds, new issues such as the use of containers and microservices emerge to keep things interesting. In this Power Panel at 16th Cloud Expo, moderated by Conference Chair Roger Strukhoff, panelists will address the state of cloud computing today, and what enterprise IT professionals need to know about how the latest topics and trends affec...
May. 25, 2015 11:00 AM EDT Reads: 1,779
SYS-CON Events announced today that EnterpriseDB (EDB), the leading worldwide provider of enterprise-class Postgres products and database compatibility solutions, will exhibit at SYS-CON's 16th International Cloud Expo®, which will take place on June 9-11, 2015, at the Javits Center in New York City, NY. EDB is the largest provider of Postgres software and services that provides enterprise-class performance and scalability and the open source freedom to divert budget from more costly traditiona...
May. 25, 2015 11:00 AM EDT Reads: 1,865
Fundamentally, SDN is still mostly about network plumbing. While plumbing may be useful to tinker with, what you can do with your plumbing is far more intriguing. A rigid interpretation of SDN confines it to Layers 2 and 3, and that's reasonable. But SDN opens opportunities for novel constructions in Layers 4 to 7 that solve real operational problems in data centers. "Data center," in fact, might become anachronistic - data is everywhere, constantly on the move, seemingly always overflowing. Net...
May. 25, 2015 11:00 AM EDT Reads: 4,844
To manage complex web services with lots of calls to the cloud, many businesses have invested in Application Performance Management (APM) and Network Performance Management (NPM) tools. Together APM and NPM tools are essential aids in improving a business's infrastructure required to support an effective web experience... but they are missing a critical component - Internet visibility. Internet connectivity has always played a role in customer access to web presence, but in the past few years u...
May. 25, 2015 10:00 AM EDT Reads: 5,709
There's Big Data, then there's really Big Data from the Internet of Things. IoT is evolving to include many data possibilities like new types of event, log and network data. The volumes are enormous, generating tens of billions of logs per day, which raise data challenges. Early IoT deployments are relying heavily on both the cloud and managed service providers to navigate these challenges. In her session at Big Data Expo®, Hannah Smalltree, Director at Treasure Data, discussed how IoT, Big D...
May. 25, 2015 10:00 AM EDT Reads: 4,194
Buzzword alert: Microservices and IoT at a DevOps conference? What could possibly go wrong? In this Power Panel at DevOps Summit, moderated by Jason Bloomberg, the leading expert on architecting agility for the enterprise and president of Intellyx, panelists will peel away the buzz and discuss the important architectural principles behind implementing IoT solutions for the enterprise. As remote IoT devices and sensors become increasingly intelligent, they become part of our distributed cloud en...
May. 25, 2015 10:00 AM EDT Reads: 2,070
SYS-CON Events announced today that MetraTech, now part of Ericsson, has been named “Silver Sponsor” of SYS-CON's 16th International Cloud Expo®, which will take place on June 9–11, 2015, at the Javits Center in New York, NY. Ericsson is the driving force behind the Networked Society- a world leader in communications infrastructure, software and services. Some 40% of the world’s mobile traffic runs through networks Ericsson has supplied, serving more than 2.5 billion subscribers.
May. 25, 2015 09:45 AM EDT Reads: 1,748
In their general session at 16th Cloud Expo, Michael Piccininni, Global Account Manager – Cloud SP at EMC Corporation, and Mike Dietze, Regional Director at Windstream Hosted Solutions, will review next generation cloud services, including the Windstream-EMC Tier Storage solutions, and discuss how to increase efficiencies, improve service delivery and enhance corporate cloud solution development. Speaker Bios Michael Piccininni is Global Account Manager – Cloud SP at EMC Corporation. He has b...
May. 25, 2015 09:30 AM EDT Reads: 1,662
Information Technology (IT) service providers have historically struggled between the huge capital expenditure and long development cycles of building their own cloud versus the thin margins and limited flexibility of using public retailers such as Amazon Web Services (AWS). The emergence of wholesale cloud, and the technologies that make it possible, is revolutionizing how and by whom enterprise IT is delivered. Wholesale cloud is the game-changing third option between building your own (BYO) c...
May. 25, 2015 09:00 AM EDT Reads: 3,066
Shipping daily, injecting faults, and keeping an extremely high availability "without Ops"? Understand why NoOps does not mean no operations. Agile development methodologies require evolved operations to be successful. In his keynote at DevOps Summit, David Tesar, Microsoft Technical Evangelist on Microsoft Azure and DevOps, will discuss how Microsoft teams who have made huge progress with a DevOps transformation effectively utilize operations staff and how challenges were overcome. Regardless ...
May. 25, 2015 09:00 AM EDT Reads: 1,653
You often hear the two titles of "DevOps" and "Immutable Infrastructure" used independently. In his session at DevOps Summit, John Willis, Technical Evangelist for Docker, will cover the union between the two topics and why this is important. He will cover an overview of Immutable Infrastructure then show how an Immutable Continuous Delivery pipeline can be applied as a best practice for "DevOps." He will end the session with some interesting case study examples.
May. 25, 2015 09:00 AM EDT Reads: 2,205
SYS-CON Media named Andi Mann editor of DevOps Journal. DevOps Journal is focused on this critical enterprise IT topic in the world of cloud computing. DevOps Journal brings valuable information to DevOps professionals who are transforming the way enterprise IT is done. Andi Mann, Vice President, Strategic Solutions, at CA Technologies, is an accomplished digital business executive with extensive global expertise as a strategist, technologist, innovator, marketer, communicator, and thought lea...
May. 25, 2015 09:00 AM EDT Reads: 1,964
Even though it’s now Microservices Journal, long-time fans of SOA World Magazine can take comfort in the fact that the URL – soa.sys-con.com – remains unchanged. And that’s no mistake, as microservices are really nothing more than a new and improved take on the Service-Oriented Architecture (SOA) best practices we struggled to hammer out over the last decade. Skeptics, however, might say that this change is nothing more than an exercise in buzzword-hopping. SOA is passé, and now that people are ...
May. 25, 2015 09:00 AM EDT Reads: 3,769
There is little doubt that Big Data solutions will have an increasing role in the Enterprise IT mainstream over time. 8th International Big Data Expo, co-located with 17th International Cloud Expo - to be held November 3-5, 2015, at the Santa Clara Convention Center in Santa Clara, CA - has announced its Call for Papers is open. As advanced data storage, access and analytics technologies aimed at handling high-volume and/or fast moving data all move center stage, aided by the cloud computing bo...
May. 25, 2015 08:45 AM EDT Reads: 1,957
The 5th International DevOps Summit, co-located with 17th International Cloud Expo – being held November 3-5, 2015, at the Santa Clara Convention Center in Santa Clara, CA – announces that its Call for Papers is open. Born out of proven success in agile development, cloud computing, and process automation, DevOps is a macro trend you cannot afford to miss. From showcase success stories from early adopters and web-scale businesses, DevOps is expanding to organizations of all sizes, including the...
May. 25, 2015 08:30 AM EDT Reads: 4,361
Cloud services are the newest tool in the arsenal of IT products in the market today. These cloud services integrate process and tools. In order to use these products effectively, organizations must have a good understanding of themselves and their business requirements. In his session at 15th Cloud Expo, Brian Lewis, Principal Architect at Verizon Cloud, outlined key areas of organizational focus, and how to formalize an actionable plan when migrating applications and internal services to the ...
May. 25, 2015 08:00 AM EDT Reads: 3,763
Most companies hope for rapid growth so it's important to invest in scalable core technologies that won't demand a complete overhaul when a business goes through a growth spurt. Cloud technology enables previously difficult-to-scale solutions like phone, network infrastructure or billing systems to automatically scale based on demand. For example, with a virtual PBX service, a single-user cloud phone service can easily transition into an advanced VoIP system that supports hundreds of phones and ...
May. 25, 2015 07:00 AM EDT Reads: 2,978
"We have developers who are really passionate about getting their code out to customers, no matter what, in the shortest possible time. Operations are very focused on procedures and policies," explained Stan Klimoff, CTO of Qubell, in this SYS-CON.tv interview at DevOps Summit, held Nov 4–6, 2014, at the Santa Clara Convention Center in Santa Clara, CA.
May. 25, 2015 06:00 AM EDT Reads: 4,962