Press Release

Massachusetts Health Connector Selects Softheon to Modernize Billing and Payment Operations with Members, and Enrollment Data Transfer to Carriers

BOSTON – April 11, 2019 – Continuing to modernize and automate customer and carrier operations, the Massachusetts Health Connector Board of Directors today approved a five-year contract with Softheon, which will deliver new payment options for members while maintaining consistent enrollment information transfer to carriers.

Starting in June 2020, members will be able to pay their monthly premiums by using a debit card, credit card or automated phone system fulfilling a long-time request from members for a wider variety of payment options. Softheon will also develop state-of-the-art billing and notice-delivery processes for the Health Connector.

“Our goal as an agency is to deliver to our members high-quality, efficient customer service that supports a broader variety of consumer needs,” said Louis Gutierrez, the Executive Director of the Massachusetts Health Connector. “We are looking forward to the work with Softheon, so as to improve services for members and carriers.”

“Softheon is truly honored to partner with the Health Connector in their mission to serve the citizens of Massachusetts,” said Eugene Sayan, Founder & CEO of Softheon. “As the health care industry embraces the digital transformation, we are committed to making health care affordable, accessible, and plentiful for all Americans.”

The contract for Softheon includes configuring their systems and connecting them to existing operations by June 2020, and four years of running the Health Connector’s enrollment and billing operations. The five-year contract, which includes the creation of a new member portal, is valued at $60 million, along with potentially two, two-year extensions at the Health Connector’s discretion, and is the result of a procurement process that created the opportunity for the Health Connector to advance its customer service and carrier operations, and modernize the systems it utilizes.

Along with improving member-facing actions through billing, payment and noticing, Softheon has committed to comprehensive financial controls supporting the Health Connector’s operations. Softheon’s procurement response displayed an understanding of exchange needs,

along with a mature financial control system meeting Connector requirements for “bank-like” transactions.

About Softheon

Since its founding in 2000, Softheon’s mission has been to make health care affordable, accessible and plentiful for individuals, employers, and government agencies across America. As an Affordable Care Act Market of Record, Softheon serves over 37 percent of ACA members in their journey for health coverage. Softheon, as an Agent, Broker, and Merchant of Record for health insurance marketplaces, has been consistently recognized as a leading SaaS, BPaaS, and PaaS provider by Gartner, IDC, AHIP, ACAP, and HCEG. In 2018, Softheon was ranked the 23rd fastest growing company in the United States on Deloitte’s Technology Fast 500. For more information go to www.softheon.com.

About the Massachusetts Health Connector

The Massachusetts Health Connector is the Commonwealth’s health insurance exchange, and currently serves more than 300,000 individuals and small-employer members with health and dental insurance. Massachusetts residents who do not have health insurance from an employer or other entity can use the exchange to gain coverage. Through the ConnectorCare program, income-qualifying residents can access coverage that includes low-cost premiums and co-pays, and no deductibles. Access to health coverage for individuals and small businesses can be found at the Health Connector’s website, MAhealthconnector.org.

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Thursday, April 11th, 2019|Tags: |